Study of weight and height development in children after adenotonsillectomy

Fernandes, Alexandre Augusto; Alcântara, Thiago Alves; D’Ávila, Jeferson Sampaio

doi:10.1016/s1808-8694(15)30573-5

Cited by 11 publications

(5 citation statements)

References 7 publications

(3 reference statements)

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“…[1][2][3][4][5] Adenotonsillar hypertrophy is the primary cause of OSAS in children, and is usually treated with adenotonsillectomy (AT). AT has been reported to accelerate weight [6][7][8][9][10][11][12][13][14] in children with baseline failure to thrive (FTT), 1,3,4,15 normal weight patients, 9,11,14,[16][17][18][19][20] obese individuals, 9,13,16,21,22 and infants. 10 The majority of studies also have demonstrated an increase in the height growth rate after AT for OSAS, 3,6,11,17,23,24 but other studies reported no significant differences.…”

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confidence: 99%

Growth After Adenotonsillectomy for Obstructive Sleep Apnea: An RCT

et al. 2014

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BACKGROUND AND OBJECTIVES: Adenotonsillectomy for obstructive sleep apnea syndrome (OSAS) may lead to weight gain, which can have deleterious health effects when leading to obesity. However, previous data have been from nonrandomized uncontrolled studies, limiting inferences. This study examined the anthropometric changes over a 7-month interval in a randomized controlled trial of adenotonsillectomy for OSAS, the Childhood Adenotonsillectomy Trial. METHODS: A total of 464 children who had OSAS (average apnea/hypopnea index [AHI] 5.1/hour), aged 5 to 9.9 years, were randomized to Early Adenotonsillectomy (eAT) or Watchful Waiting and Supportive Care (WWSC). Polysomnography and anthropometry were performed at baseline and 7-month follow-up. Multivariable regression modeling was used to predict the change in weight and growth indices. RESULTS: Interval increases in the BMI z score (0.13 vs 0.31) was observed in both the WWSC and eAT intervention arms, respectively, but were greater with eAT (P < .0001). Statistical modeling showed that BMI z score increased significantly more in association with eAT after considering the influences of baseline weight and AHI. A greater proportion of overweight children randomized to eAT compared with WWSC developed obesity over the 7-month interval (52% vs 21%; P < .05). Race, gender, and follow-up AHI were not significantly associated with BMI z score change. CONCLUSIONS: eAT for OSAS in children results in clinically significant greater than expected weight gain, even in children overweight at baseline. The increase in adiposity in overweight children places them at further risk for OSAS and the adverse consequences of obesity. Monitoring weight, nutritional counseling, and encouragement of physical activity should be considered after eAT for OSAS.

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Section: (Continued On Last Page)mentioning

confidence: 99%

Growth After Adenotonsillectomy for Obstructive Sleep Apnea: An RCT

et al. 2014

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“…Adenoidectomy is the standard treatment of obstructive adenoidal enlargement that is resistant to conservative treatment. It is a very common otolaryngological surgical procedure, and it has a variable outcome [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Plain radiographic evaluation of the nasopharynx: Do raters agree?

Kolo

Salisu

Tabari

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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“…13) A prospective study in 22 patients to evaluate the effect of adenotonsillectomy revealed that children that underwent adenotonsillectomy had more height and weight gain after 6 months later. 10) Recently, Katz, et al 11) conducted randomized controlled study to compare the effect on growth of adenotonsillectomy and watchful waiting in 464 children who had obstructive sleep apnea. Their results showed that adenotonsillectomy for children with sleep apnea results in significantly greater weight gain than watchful waiting 7 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…There have been many studies regarding the effects on growth pattern after childhood tonsillectomy, and some authors have reported that height and weight growth patterns normalized after tonsillectomy. [10][11][12][13] However, there are few studies on the long-term effects on growth or presenting symptoms. Furthermore, it is also unclear impact on growth according to preoperative growth status.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of Adenotonsillectomy on Growth and Symptoms in Childhood

Park¹,

Ji²,

Lee³

et al. 2018

Korean J Otorhinolaryngol-Head Neck Surg

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Background and Objectives This study was performed to evaluate the long-term effect of adenotonsillectomy on childhood growth by examining preoperative growth status and presenting symptoms. Subjects and Method One hundred and four patients who underwent adenotonsillectomy from January to December 2009 were enrolled in this study. Clinical data were collected from medical record reviews and through the administered questionnaire. We investigated symptoms and growth changes during 5 years following the surgery. Results The mean age of patients was 6.0±1.94 years (range, 3-10), with the male to female ratio of 62:42. Pre-operative symptoms were significantly improved after the surgery. The mean pre-operative height and weight percentiles were 53.6±27.4 and 59.6±29.2 at initial evaluation, and 67.1±26.4 and 59.6±28.6 at 5 years post adenotonsillectomy (p＜0.001, p=0.989), respectively. An increase in height percentile was more prominent in patients whose pre-operative height percentile was less than 50 compared to those with a percentile of 50 or more (p＜0.001). Weight percentile was significantly increased in those with the pre-operative weight percentile of less than 50 and decreased in patients with a percentile of 50 or more. Conclusion Adenotonsillectomy has a positive effect on height growth in children with adenotonsillar hypertrophy, especially in patients whose height percentile is less than 50. Weight gain also can be expected in preoperative low-weight children.

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Study of weight and height development in children after adenotonsillectomy

Abstract: The children that underwent adenotonsillectomy acquired a higher weight-height growth potential in relation to those children who were not operated.

Cited by 11 publications

References 7 publications

Growth After Adenotonsillectomy for Obstructive Sleep Apnea: An RCT

Growth After Adenotonsillectomy for Obstructive Sleep Apnea: An RCT

Plain radiographic evaluation of the nasopharynx: Do raters agree?

Long-Term Effects of Adenotonsillectomy on Growth and Symptoms in Childhood

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