Impacts of body weight after surgery for obstructive sleep apnea in children

Abstract

Although sleep parameters improved in all weight statuses, obese children had a higher incidence of residual OSA postoperatively. About half of the underweight children shifted to normal weight status after T&A.

The Effect of Obstructive Sleep Apnea Syndrome on Growth and Development in Nonobese Children: A Parallel Study of Twins

“…Although the night breath restriction factors lifted, the growth promoter (IGF-1) can get a significant increase, which leads to height and weight gain, consistent with previous studies reporting catch-up growth after T&A. 22,24,25 A difference remains, however, between patients with OSAS and their twin brothers or sisters, although the results of PSG indicated no sleep problems after surgical intervention. Some papers had indicated that T&A is useful for preschool children.…”

“…[22][23][24][25] Most conclusions, however, were drawn from pre-and postoperative results, and furthermore, the control groups were normal children. The growth pattern and rate of children differ by ages, family status, and the parents' genetic predisposition.…”

Discrepancy between Objective and Subjective Outcomes after Adenotonsillectomy in Children with Obstructive Sleep Apnea Syndrome

“…In addition to demonstrating the effectiveness of T&A in treating pediatric OSA, the above findings verified the needs of both objective and subjective measures for children with sleep apnea receiving surgery. Adenotonsillectomy for children with OSA significantly improved polysomnographic parameters, including diminished obstructive respiratory events, [5][6][7]15,[27][28][29] increased oxygen saturation, 6,7,15,[27][28][29] and decreased arousal events. 6,7,15,[27][28][29] Our study found a significantly diminished AHI, obstructive index, hypopnea index, oxygen desaturation event, and arousal index, along with increased mean and minimum oxygen saturation.…”

Blood Pressure after Surgery among Obese and Nonobese Children with Obstructive Sleep Apnea

“…33 Obesity was defined as a BMI higher than the 95th percentile for a child's age and sex. [26][27][28][29][30]33 Adenotonsillectomy Children with a PSG diagnosis of OSA were requested to have tonsillectomy and adenoidectomy as the treatment. Tonsillectomy was performed using the coblation method, and adenoidectomy was performed using the microdebrider-assisted method.…”