Associations of tonsillar hypertrophy and snoring with history of wheezing in childhood

Kaditis, Athanasios G.; Kalampouka, Efthimia; Hatzinikolaou, Souzana; Lianou, Loukia; Papaefthimiou, Maria; Gartagani-Panagiotopoulou, P.; Ζιντζαράς, Ηλίας; Chrousos, George P.

doi:10.1002/ppul.21174

Cited by 55 publications

(39 citation statements)

References 38 publications

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“…20 Therefore, the small amount of residual lymphoid tissue left after ITA may be enough to compromise the airway. While individual response to ETA or ITA is likely mul- 31 Several studies [32][33][34][35] have confirmed that patients with asthma are more likely to develop symptoms of OSAS. A recent study 36 also found that after adenotonsillectomy, children with asthma had a significant reduction in asthma exacerbation, hospitalization, and emergency department visits.…”

Section: Overnight Psgmentioning

confidence: 96%

Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea

Mukhatiyar

Nandalike

Cohen

et al. 2016

JAMA Otolaryngol Head Neck Surg

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Section: Overnight Psgmentioning

confidence: 96%

Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea

Mukhatiyar

Nandalike

Cohen

et al. 2016

JAMA Otolaryngol Head Neck Surg

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“…[53][54][55] Wheezing can be interpreted as a surrogate for asthma, 56 however, asthma at age 7 was not found to be a predictor of HS. It could also be interpreted as a sign of URIs, 57 however, early URIs were not significant for HS.…”

Section: Discussionmentioning

confidence: 99%

Parental Snoring and Environmental Pollutants, but Not Aeroallergen Sensitization, Are Associated with Childhood Snoring in a Birth Cohort

KannanJennifer

Brokamp

BernsteinDavid

et al. 2017

Pediatric Allergy, Immunology, and Pulmonology

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The objective of this study was to determine whether atopy and other clinical and environmental variables predict the risk of childhood habitual snoring (HS) in a birth cohort born to atopic parents. Participants completed clinical evaluations and questionnaires at ages 1-4 and age 7. HS was defined as snoring ‡3 nights/week. Traffic-related air pollution (TRAP) exposure was estimated using land-use regression. The association between early (£age 4) and current (age 7) allergic disease, environmental exposures, and snoring at age 7 was examined using adjusted logistic regression. Of the 609 children analyzed the prevalence of HS at age 7 was 21%. Early tobacco smoke exposure [environmental tobacco smoke (ETS)] [odds ratio (OR) 1.79, 95% CI (confidence interval) 1.12-2.84], rhinitis (OR 1.74, 95% CI 1.06-2.92), wheezing (OR 1.63, 95% CI 1.05-2.53), maternal HS (OR 2.08, 95% CI 1.36-3.18), and paternal HS (OR 1.83, 95% CI 1.14-3.00) were significantly associated with HS at age 7. Current TRAP (OR 1.93, 95% CI 1.13-3.26), respiratory infections (OR 1.16, 95% 1.03-1.35), maternal HS (OR 2.86, 95% CI 1.69-4.84), and paternal HS (OR 3.01, 95% CI 1.82-5.09) were significantly associated with HS at age 7. To our knowledge, this is the largest birth cohort examining longitudinal predictors of snoring in children born to atopic parents. Parental HS was the only variable consistently associated with childhood HS from ages 1 to 7. Early rhinitis, early ETS exposure, and concurrent traffic pollution exposure increased the risk of HS at age 7, while aeroallergen sensitization did not. Children with these characteristics should be considered for screening of sleep disorders.

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“…As rationale, the association between wheezing and SDB has been supported [50,51] and wheezing was predictive of physician-diagnosed asthma in this cohort [52], a known risk factor for SDB [43,50,53]. Further, the association between snoring and asthma has been found to be independent of allergic rhinitis, which is often linked to asthma [53].…”

Section: Support Of Cluster Clinical Validitymentioning

confidence: 93%

“…Further, the association between snoring and asthma has been found to be independent of allergic rhinitis, which is often linked to asthma [53]. As further rationale, both wheezing and snoring have been linked with adenotonsillar hypertrophy [43,51], and adenotonsillectomy is known as the first line treatment for SDB [21].…”

Section: Support Of Cluster Clinical Validitymentioning

confidence: 99%

Snoring, mouth-breathing, and apnea trajectories in a population-based cohort followed from infancy to 81 months: A cluster analysis

Freeman

Bonuck

2012

International Journal of Pediatric Otorhinolaryngology

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Associations of tonsillar hypertrophy and snoring with history of wheezing in childhood

Abstract: Children with history of wheezing have more frequently tonsillar hypertrophy than those without wheezing. Tonsillar hypertrophy may mediate at least in part the reported association between asthma and obstructive sleep-disordered breathing in childhood.

Cited by 55 publications

References 38 publications

Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea

Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea

Parental Snoring and Environmental Pollutants, but Not Aeroallergen Sensitization, Are Associated with Childhood Snoring in a Birth Cohort

Snoring, mouth-breathing, and apnea trajectories in a population-based cohort followed from infancy to 81 months: A cluster analysis

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