Obesidad infantil y trastornos respiratorios del sueño

Esteller-Moré, Eduard; Vilella, Laura Castells; Segarra-Isern, Francesc; Argemí-Renom, Josep

doi:10.1016/j.otorri.2011.10.006

Cited by 8 publications

(4 citation statements)

References 45 publications

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“…Noticeably, there is no significant association between obesity and sleep breathing disorder, according to Esteller-More et al’s study ( 33 ) and the prevalence of daytime sleepiness is 22.3% versus 23.8% in children with and without sleep breathing disorder, respectively. In addition, Palm found no independent association between the BMI level at baseline and the development of new sleep problems ( 34 ).…”

Section: Discussionmentioning

confidence: 91%

Comparing the Excessive Daytime Sleepiness of Obese and Non-obese Patients

Mokhber

Ravanbakhsh

Jamshidi

et al. 2016

Iran Red Crescent Med J

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BackgroundObesity, particularly morbid obesity, has various physical and mental complications. Excessive daytime somnolence (EDS) is a sleep disorder that reduces individuals’ performance capability and the accuracy of their short-term memory and causes learning problems. This retrospective study aimed to document the presence of EDS in a sample of obese patients in comparison to patients with a normal weight.ObjectivesThis article compares the excessive daytime sleepiness of obese and non-obese patients in the minimally invasive surgery research center in Tehran, Iran.Patients and MethodsIn this case-control study, we compared excessive daytime sleepiness in 55 obese patients who were candidates for laparoscopic surgery, with a body mass index (BMI) of equal to or greater than 30 kg/ m2, with 55 controls with a normal BMI (19.5 - 24.9 kg/ m2). The process of selecting the control group in our case-control study is matching in group levels, so that the controls are similar to the case group with regard to certain key characteristics, such as age, sex, and race. The sleep assessment was based on the Epworth sleepiness scale (ESS) questionnaire. Analysis of variance (ANOVA) was used to compare the means of quantitative data, such as the ESS score of groups.ResultsSleepiness was not affected by gender in cases or controls. The sleepiness prevalence was 29 (52.7%) in the cases group and 17 (30.9%) in the control group (OR = 2.493 (95% CI 1.144 -5.435)). The mean ESS scores in cases and controls were 7.82 ± 3.86 and 10.54 ± 6.15, respectively (P = 0.007). Moreover, the prevalence of sleepiness and the mean ESS scores in class III of obesity differed significantly from the controls (16 (57.1%) vs. 17 (30.9%)) (OR = 2.980 (95% CI 1.162 - 7.645)) and (11.04 ± 5.93 vs. 7.82 ± 3.86) (P = 0.013), respectively.ConclusionsOur findings suggest a strong relationship between EDS and obesity, particularly morbid obesity. Therefore, physicians must be familiar with EDS as a mixed clinical entity indicating careful assessment and specific treatment planning.

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Section: Discussionmentioning

confidence: 91%

Comparing the Excessive Daytime Sleepiness of Obese and Non-obese Patients

Mokhber

Ravanbakhsh

Jamshidi

et al. 2016

Iran Red Crescent Med J

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“…Dentro de los niños que presentaron TRS, un alto porcentaje era obeso (51,2%), sin embargo, si bien hubo una tendencia, no se encontró asociación significativa entre estas variables, a diferencia del estudio de Sánchez et al 17 en el cual fue significativa la presencia de niños con obesidad severa en el grupo con TRS. La evidencia disponible sugiere que la obesidad constituye un factor de riesgo de TRS en niños producto de mecanismos fisiopatológicos que incluyen cierre de las vías respiratorias, tendencia al colapso por infiltración de grasa en las estructuras de la vía aérea superior y afección de la ventilación, lo que favorecería la aparición de anomalías en la respuesta ventilatoria 19 . Además, los niños con obesidad y TRS tienen mayor probabilidad de que su condición persista o empeore en el tiempo presentando en la adolescencia una distribución de grasa central e incremento de la adiposidad visceral 20 .…”

Section: Discussionunclassified

Composición corporal y trastornos respiratorios del sueño en escolares de Valdivia, Chile

et al. 2020

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La malnutrición por exceso en la infancia constituye una epidemia mundial y se asocia a múltiples enfermedades y complicaciones. Entre ellas, destacan los trastornos respiratorios del sueño (TRS), espectro de enfermedades que han emergido como un problema de salud relevante.Objetivo: Evaluar la relación entre la composición corporal y la presencia de TRS en escolares.Sujetos y Método: Estudio observacional analítico de corte transversal en 127 escolares de primero a octavo básico escogidos aleatoriamente de cinco establecimientos municipales de Valdivia, Chile. La incorporación al estudio ocurrió luego del proceso de consentimiento informado del responsable del escolar y asentimiento informado del menor. Se realizaron mediciones antropométricas y se determinó la presencia de TRS mediante el Pediatric Sleep Questionnaire (PSQ). Para el análisis se aplicó estadística descriptiva, t de Student y test χ2 para determinar asociación de variables con la presencia de TRS.Resultados: Destacó alta prevalencia de malnutrición por exceso (71,7%) y la obesidad alcanzó 39,4%. En tanto la prevalencia de TRS fue 32,3%. Hubo mayor proporción de niños con TRS en escolares obesos severos (56,3%), así como una media significativamente mayor en niños con TRS para los pliegues bicipital (14,6 mm ± 7,3 vs. 12,0 mm ± 6,6; p=0,002) y tricipital (19,8 ± 6,7 mm vs. 16,2 mm ± 6,0; p =0,04).Conclusiones: Existen altas prevalencias de malnutrición por exceso y TRS. De las medidas antropométricas, la presencia de TRS se asoció con mayor grosor de los pliegues bicipital y tricipital.

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“…In addition, More et al explained that their results had probably been influenced by the characteristics of the studied population and therefore should not be an obstacle for being attentive to the possible association of respiratory disease to obesity and its negative consequences. 27 Moreover, OSAS and obesity interrelation was also demonstrated when the prevalence of SDB was examined in the general population. 5 , 24 , 29 …”

Section: Osas and Obesitymentioning

confidence: 96%

“… 8 , 14 In More et al’s study, it does not emerge that the group of children with SDB presents higher rates of obesity, nor does obesity influence its presentation clinically. 27 Verhulst et al reported the presence of OSA in 19% of obese patients and 41% of overweight children who were referred for initial evaluation and management in an obesity clinic but did not find any correlation between BMI z score and obstructive apnea–hypopnea index (OAHI). 28 On the other hand, the reason for such discrepant findings may reside in the limitations imposed by the reporting of obesity in terms of BMI.…”

Section: Osas and Obesitymentioning

confidence: 99%

Links and risks associated with adenotonsillectomy and obesity

Tatlipinar

Kınal

2015

PHMT

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Adenotonsillectomy (A&T) is a very common surgical procedure in children. Over the past 20 years the principal indication for A&T in children has changed from recurrent adenotonsillitis to obstructive sleep apnea. The physiopathology of obstructive sleep apnea syndrome (OSAS) is multifactorial and obesity has been shown to be one of the main factors correlated with its occurrence. On the other hand, the prevalence and severity of childhood obesity have become a veritable epidemic problem in the past 30 years. So the increasing prevalence of obesity in children and high prevalence of obstructive sleep apnea in obese children implies that an increasing number of these children will present for A&T. Due to more prevalent anatomical alterations of the oronasopharyngeal airways, it is often difficult to predict operation success in obese children. However, previous studies supports that although the risk of presence of residual symptoms of OSAS and airway-related perioperative complication in obese may be more than nonobese group, A&T is effective to reduce obstructive symptoms and improve quality of life in obese children with OSAS.

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Obesidad infantil y trastornos respiratorios del sueño

Cited by 8 publications

References 45 publications

Comparing the Excessive Daytime Sleepiness of Obese and Non-obese Patients

Comparing the Excessive Daytime Sleepiness of Obese and Non-obese Patients

Composición corporal y trastornos respiratorios del sueño en escolares de Valdivia, Chile

Links and risks associated with adenotonsillectomy and obesity

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