Effect of treating obstructive sleep apnea by tonsillectomy and/or adenoidectomy on obesity in children

  • Soultan Z
  • Wadowski S
  • Rao M
 et al. 
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Abstract

BACKGROUND: Obstructive sleep apnea is common in obese children who have enlarged tonsils and adenoids.

OBJECTIVE: 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.

DESIGN: 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.

SETTING: A tertiary care inner-city hospital.

PARTICIPANTS: 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.

RESULTS: At the time of surgery, 25 children were of normal weight; 3, underweight; 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
CONCLUSION: Treating obstructive sleep apnea by tonsillectomy and/or adenoidectomy is associated with increased gain in height, weight, and body mass index in most children, including the obese and morbidly obese.

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Authors

  • Zafer Soultan

  • Stephen Wadowski

  • Madu Rao

  • Richard E. Kravath

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