Clinical Assessment of Weight Gain in Pediatric Patients Post-Tonsillectomy: A Retrospective Study

AlAbdullah, Zahrah A. M.; Alali, Khadijah Mustafa; Jabr, Ibrahim Al

doi:10.7759/cureus.12005

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…The PRISMA flow diagram ( Figure 1 ) summarizes the study screening process. A summary of the studies included in this systematic review and the grading of evidence is reported in Table 1 [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review

Buono,

Maines,

Azzolini

et al. 2024

Nutrients

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Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate–high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected.

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Section: Resultsmentioning

confidence: 99%

Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review

Buono,

Maines,

Azzolini

et al. 2024

Nutrients

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show abstract

“…In a large study of patients undergoing ACL repair, MacAlpine, et al observed median increase of 1.83 BMI percentile points 6 to 9 months after surgery with residual weight gain at the 2 year mark 23 . Several studies have assessed weight gain post‐adenotonsillectomy 24–26 . In a meta‐analysis of three studies equaling 127 children pre and post‐adenotonsillectomy, Jeyakumar, et.…”

Section: Discussionmentioning

confidence: 99%

“…23 Several studies have assessed weight gain post-adenotonsillectomy. [24][25][26] In a meta-analysis of three studies equaling 127 children pre and post-adenotonsillectomy, Jeyakumar, et. al, found an approximately 7% increase in BMI with follow-up 6 months-1 year.…”

Section: Discussionmentioning

confidence: 99%

Total Thyroidectomy and Subsequent Weight Gain in Pediatric Populations

et al. 2022

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Objective: To evaluate weight gain in children post-thyroidectomy and identify predictors. Methods: Charts from patients at a tertiary health care facility who underwent total thyroidectomy from 2014 to 2020 were reviewed for Body Mass Index z-scores (BMIz) at the time of thyroidectomy and at 1 and 2-year post-operation intervals. Patient demographic information, comorbidities, pre-and postoperative thyroid stimulating hormone, and postoperative free T4 levels were also extracted. Patients with other known endocrine abnormalities, chronic kidney disease, or without sufficient follow-up were excluded.Results: A total of 56 patients (ages 3-17 years old) met the inclusion criteria (n = 17 Graves' disease; n = 39 presumed cancer). Over the first year, average BMIz significantly increased in patients with Graves' disease (ΔBMIz = 0.45 AE 0.77, p = 0.03), Hispanic ethnicity (ΔBMIz = 0.43 AE 0.68, p = 0.004), Medicaid/no insurance coverage (ΔBMIz = 0.33 AE 0.74, p = 0.038), age <13 years at thyroidectomy (ΔBMIz = 0.35 AE 0.68, p = 0.016), and persistent postoperative hypothyroidism (ΔBMIz = 0.41 AE 0.41, p = 0.012). These changes remained significant after the second year. Age at thyroidectomy correlated negatively with ΔBMIz only after the first year (r = À0.40, p = 0.002). Regression analysis, controlling for Graves' status, persistent postoperative hypothyroidism, and insurance coverage, identified age at thyroidectomy as a significant predictor of ΔBMIz after the first year (b = À0.06, p = 0.004) and Hispanic ethnicity as a significant predictor after the second year (b = 0.60, p = 0.003).Conclusion: A small increase in BMIz post-thyroidectomy was observed across several patient subgroups. Younger age at thyroidectomy and Hispanic ethnicity were associated with increased BMIz in the first 2 years post-thyroidectomy.

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Clinical Assessment of Weight Gain in Pediatric Patients Post-Tonsillectomy: A Retrospective Study

Cited by 2 publications

References 19 publications

Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review

Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review

Total Thyroidectomy and Subsequent Weight Gain in Pediatric Populations

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