Higher Body Mass Index and Increased Prevalence of Paranasal Sinus Disease

Kabeya, Yusuke; Kato, Kiyoe; Tomita, Masuomi; Katsuki, Tsutomu; Oikawa, Yoichi; Shimada, Akira

doi:10.2188/jea.je20150134

Cited by 15 publications

(20 citation statements)

References 26 publications

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“…By studying the relation between nasal polyps and BMI, where the mean was 30.5, there was a strong statistical relation between the increase in BMI and the incidence of nasal polyps in our study , and this was consistent with the study of (Kabeya Y, Kato K, co-authors) (4).…”

Section: Discussionsupporting

confidence: 92%

Risk factors for nasal polyps, a case-control study

Shoaib

Yaghi

Kahal

et al. 2022

Preprint

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Background : Nasal polyposis is considered one of the most common diseases that cause obstruction of the respiratory tract and impede the patient's quality of life.Aims : The aim is to determine if smoking and body mass index are risk factors for hyperplastic nasal polyps in patients with chronic obstructive rhinitis and allergic rhinitis, and thus conducting early diagnostic investigations to detect the disease early and limit its development.Methods : A cross-sectional case control study was conducted that includes patients who came to Damascus Hospital with complaints of chronic obstruction of the nose and chronic allergies that doesn’t respond to conventional treatments and who met the entry criteria and patients from ENT Division without symptoms of obstructive respiratory tracts .Results : 120 patients were included in the study and were distributed as follows: 60 patients with nasal polyps and 60 patients without nasal polyps. The arithmetic mean of age in the group of cases was 31 ± 16.7 years, while in the controls 32.2 ± 18.3, the BMI value was expressed as the arithmetic mean and it was 30.5 ± 4.16 years, while in the controls 23.6 ± 4.30, and the sex ratio was equal between cases and controls with A statistically non-significant value p = 1.000, while the proportion of smokers in cases was 70%, while in controls 37%, with a statistically significant value p = 0.0003.Conclusion : Smoking and body mass index had a statistically significant relation with the development of nasal polyposis.

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Section: Discussionsupporting

confidence: 92%

Risk factors for nasal polyps, a case-control study

Shoaib

Yaghi

Kahal

et al. 2022

Preprint

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“…103 A cross-sectional, large-scale study on a group of Japanese adults revealed significant, positive association between high BMI and the frequency of paranasal sinuses disease (PSD). 113 The authors established that obesity and PSD were not actually mediated by inflammation but rather by airway structural problems related to obesity or obesity-related lifestyles. They suggested that increased blood glucose levels in obese could predispose to PSD by inducing improper immune function or improper ciliary motility.…”

Section: Resultsmentioning

confidence: 99%

“…They suggested that increased blood glucose levels in obese could predispose to PSD by inducing improper immune function or improper ciliary motility. 113 Nevertheless, the certain mechanisms linking these disorders have not been established yet.…”

Section: Rhinosinusitismentioning

confidence: 99%

The Association Between ENT Diseases and Obesity in Pediatric Population: A Systemic Review of Current Knowledge

2019

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Obesity in pediatric population is an important global problem. The prevalence of obesity in children is dramatically rising. According to World Health Organization, about 41 million children under the age of 5 years are obese or overweight worldwide. Overweight and obesity are well-known risk factors for a number of health disorders. Diseases commonly observed in this group of patients are metabolic disorders, type 2 diabetes mellitus, cardiovascular diseases, fatty liver disease, musculoskeletal problems, and many others. The main aim of this study was to present the current knowledge of the association between childhood obesity and common otorhinolaryngological disorders. It is suggested that obese children are more prone to suffer from otorhinolaryngological illnesses than the lean ones. Obesity may predispose to otorhinolaryngological diseases in various ways. It strongly interferes with the immune system (increases serum levels of interleukin 6, tumor necrosis factor, C-reactive protein, and leptin and reduces adiponectin concentration) affecting organs of the upper respiratory tract. Additionally, obesity induces mechanical disorders in the upper airways. According to our review, obesity predisposes to otitis media with effusion, acute otitis media, recurrent otitis media, obstructive sleep apnea, sensorineural hearing loss, adenotonsillar hypertrophy, and post-/perioperative complications after adenotonsillectomy. Obesity in children significantly correlates with both obstructive sleep apnea (OSA) and asthma and constitutes a significant component of ''OSA, obesity, asthma'' triad.

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“…20 Additionally, allergy and high BMI, typically associated in the literature with increased sinusitis morbidity and prevalence, respectively, also showed no significant relation to high-acuity visits. 19, 21 We posit that increased morbidity and prevalence may not be directly related to high-acuity setting presentation but rather that a lack of access to routine outpatient management may cause increased presentation to the ED and inpatient setting instead.…”

Section: Discussionmentioning

confidence: 99%

“…16,17 Specific comorbid conditions (CMCs), including gastroesophageal reflux disease (GERD) and high body mass index (BMI), have been associated with an increased prevalence of sinus disease. 18,19 Depression as a CMC has also been linked with impaired health care utilization for sinusitis. 20 Additionally, comorbid allergy has been associated with increased morbidity in sinusitis.…”

Section: Introductionmentioning

confidence: 99%

Demographic Factors and Comorbid Conditions Related to Health Care Presentation Among Patients With Sinusitis

Salman

Dasgupta²,

Eldeirawi

et al. 2022

Am J Rhinol�Allergy

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Background Social determinants of health (SDOH) and comorbid conditions (CMCs) influence the setting of presentation for care; however, few studies have explored this relationship in the context of sinus disease. Objective This study aims to characterize the relationship of SDOH and CMCs with acuity of health care presentation setting in adults with sinusitis. Methods A retrospective analysis based on medical records (demographics, visit types, and ICD-10 codes) of 1842 adult patients presenting with sinusitis to an urban academic medical center was conducted. Chi-square analysis was used to assess bivariate associations of SDOH (age, race/ethnicity, sex, insurance type, and employment status) and CMCs (depression, body mass index [BMI], allergy, and gastroesophageal reflux disease [GERD]) with high-acuity visit types—including emergency department (ED) and inpatient visits. Multivariable binary logistic regression was performed to examine the adjusted associations between SDOH and high-acuity visits. Results The sample's mean age was 46.8 years, with 68.5% females and 31.5% males. In adjusted models, the odds of high-acuity visit presentation was higher for males than females (odds ratio [OR]: 1.57; confidence interval [CI]: 1.22–2.01); non-Hispanic Blacks (OR: 2.21; CI: 1.58–3.09) as well as Hispanics/Latinos (OR: 2.10; CI:1.43–3.08) than Whites; unemployed (OR: 1.90; CI: 1.47–2.46.) than employed. Age was positively associated with high-acuity presentation. While GERD was associated with increased odds of high-acuity presentation (OR: 2.80; CI: 1.64–4.78), BMI, allergy, and depression did not have a statistically significant association with these visit types. These associations were independent of insurance coverage, which was not statistically associated with high-acuity visits. Conclusion SDOH and CMCs were associated with high-acuity healthcare presentation in adults with sinusitis. While this study highlights how SDOH affect healthcare usage patterns among people with sinusitis, further investigation is needed to identify and address the causes of these patterns.

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Higher Body Mass Index and Increased Prevalence of Paranasal Sinus Disease

Cited by 15 publications

References 26 publications

Risk factors for nasal polyps, a case-control study

Risk factors for nasal polyps, a case-control study

The Association Between ENT Diseases and Obesity in Pediatric Population: A Systemic Review of Current Knowledge

Demographic Factors and Comorbid Conditions Related to Health Care Presentation Among Patients With Sinusitis

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