Obstructive sleep apnea is common in obese children who have enlarged tonsils and adenoids.
To determine if treatment of obstructive sleep apnea by tonsillectomy and/or adenoidectomy will result in normalization of an obese child's weight, as it does in underweight children, and as it does with other signs and symptoms.
Deslgn : Retrospective cohort study.
We recorded weight and height changes after tonsillectomy and/or adenoidectomy and compared changes of the obese and morbidly obese patients with those of the other patients.
A tertiary care inner-city hospital.
Children (n=45) who underwent tonsillectomy and/or adenoidectomy for obstructive sleep apnea in 1994-1995 ; their mean (±SD) age was 4.9 ± 2.4 years at operation.
At the time of surgery, 25 children were of normal weight ; 3, underweight :
At the time of surgery, 25 children were of normal weight ;
7, obese ;
and 10, morbidly obese.
Postoperatively, 31 children (69%), including 10 of the 17 who were obese or morbidly obese, had substantial weight gain : the z score SD for weight of the entire group increased from 1.37 2.49 to 2 ± 2.27 (P<. 001).
The mean z score SD for height increased from 0.03 ± 1.08 to 0.58 ± 0.94 (P<. 001).
The body mass index (BMI or Quetelet index) : calculated as weight in kilograms divided by the square of the height in meters increased in 28 patients (62%) (P=004). (...)
Mots-clés Pascal : Apnée sommeil syndrome, Traitement, Amygdalectomie, Adénoïdectomie, Corrélation, Développement staturopondéral, Indice masse corporelle, Etude cohorte, Etude comparative, Analyse statistique, Obésité, Enfant, Homme, Végétation adénoïde, Chirurgie
Mots-clés Pascal anglais : Sleep apnea syndrome, Treatment, Tonsillectomy, Adenoidectomy, Correlation, Somatic growth, Body mass index, Cohort study, Comparative study, Statistical analysis, Obesity, Child, Human, Adenoid enlargement, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0093405
Code Inist : 002B25C01. Création : 31/05/1999.