Weight Gain after Adenotonsillectomy Is More Common in Young Children
Objective Adenotonsillectomy (TA), performed for obstructive sleep apnea (OSA) or recurrent tonsillitis (RT), has been associated with weight gain after surgery. The objective of this study was to look at a large population of children undergoing TA and the demographic factors that contribute to pos...
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Veröffentlicht in: | Otolaryngology-head and neck surgery 2013-03, Vol.148 (3), p.488-493 |
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creator | Smith, David F. Vikani, Ami R. Benke, James R. Boss, Emily F. Ishman, Stacey L. |
description | Objective
Adenotonsillectomy (TA), performed for obstructive sleep apnea (OSA) or recurrent tonsillitis (RT), has been associated with weight gain after surgery. The objective of this study was to look at a large population of children undergoing TA and the demographic factors that contribute to postoperative weight gain.
Study Design
Case series with retrospective chart review.
Setting
Tertiary, urban academic care center.
Subjects and Methods
Children undergoing TA at an academic center between 2008 and 2011 were included in this study. Demographic data (age, gender, race), OSA disease severity, preoperative and 3- to 6-month postoperative normalized body mass index (BMI; z-scores), and changes in z-scores were compared.
Results
Complete weight data after TA were available for 115 children, 85 of whom underwent surgery for OSA. Mean age (7.2 ± 4.3 vs 7.3 ± 4.4 years, P = .955) and gender distribution (38% female vs 50% male; P = .323) were similar for the OSA and RT groups. However, children with OSA were more likely to be black (60% vs 33%) than RT patients (P = .026). Overall, the preoperative BMI z-score increased from 0.98 ± 1.50 to 1.21 ± 1.25 (P = .0009) with no difference by surgical indication (P = .58). Multiple linear regression analysis demonstrated that only age was significantly, and negatively, associated with changes in BMI z-scores (P = .015).
Conclusions
Similar to previous studies, children had weight gain after TA. In this analysis, younger age (≤6 years) was a significant predictor of postoperative weight gain. Future research should prospectively evaluate the association between weight gain and demographic factors in children undergoing TA, with special attention to the relationship with age. |
doi_str_mv | 10.1177/0194599812473412 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1312656984</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0194599812473412</sage_id><sourcerecordid>1312656984</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3866-a59d03edac63dd92416b8111e83119525164607b859a8197a6a0d239ce6d5e8e3</originalsourceid><addsrcrecordid>eNqFkDtPwzAUhS0EouWxM6GMLAHfOPFjLFVfUqELCDFFbnzbpkriYidC_fekSmFAQkx3ON93dHUIuQF6DyDEAwUVJ0pJiGLBYohOSB-oEiGXIE5J_xCHh7xHLrzfUko5F-Kc9CLGokRQ1SejN8zXmzqY6LwK9KpGFwwMVra2lc-LArPalvtg5oMn6zAY2rK0VdCi77ap1sFwkxfGYXVFzla68Hh9vJfkdTx6GU7D-WIyGw7mYcYk56FOlKEMjc44M0ZFMfClBACUDEAlUQI85lQsZaK0BCU019RETGXITYIS2SW563p3zn406Ou0zH2GRaErtI1PgUHEE65k3KK0QzNnvXe4SncuL7Xbp0DTw3jp7_Fa5fbY3ixLND_C91otIDvgMy9w_29hupg-P46BK8ZbNexUr9eYbm3jqnaov3_5AkcmhI0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1312656984</pqid></control><display><type>article</type><title>Weight Gain after Adenotonsillectomy Is More Common in Young Children</title><source>Access via SAGE</source><source>MEDLINE</source><source>Wiley Journals</source><creator>Smith, David F. ; Vikani, Ami R. ; Benke, James R. ; Boss, Emily F. ; Ishman, Stacey L.</creator><creatorcontrib>Smith, David F. ; Vikani, Ami R. ; Benke, James R. ; Boss, Emily F. ; Ishman, Stacey L.</creatorcontrib><description>Objective
Adenotonsillectomy (TA), performed for obstructive sleep apnea (OSA) or recurrent tonsillitis (RT), has been associated with weight gain after surgery. The objective of this study was to look at a large population of children undergoing TA and the demographic factors that contribute to postoperative weight gain.
Study Design
Case series with retrospective chart review.
Setting
Tertiary, urban academic care center.
Subjects and Methods
Children undergoing TA at an academic center between 2008 and 2011 were included in this study. Demographic data (age, gender, race), OSA disease severity, preoperative and 3- to 6-month postoperative normalized body mass index (BMI; z-scores), and changes in z-scores were compared.
Results
Complete weight data after TA were available for 115 children, 85 of whom underwent surgery for OSA. Mean age (7.2 ± 4.3 vs 7.3 ± 4.4 years, P = .955) and gender distribution (38% female vs 50% male; P = .323) were similar for the OSA and RT groups. However, children with OSA were more likely to be black (60% vs 33%) than RT patients (P = .026). Overall, the preoperative BMI z-score increased from 0.98 ± 1.50 to 1.21 ± 1.25 (P = .0009) with no difference by surgical indication (P = .58). Multiple linear regression analysis demonstrated that only age was significantly, and negatively, associated with changes in BMI z-scores (P = .015).
Conclusions
Similar to previous studies, children had weight gain after TA. In this analysis, younger age (≤6 years) was a significant predictor of postoperative weight gain. Future research should prospectively evaluate the association between weight gain and demographic factors in children undergoing TA, with special attention to the relationship with age.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599812473412</identifier><identifier>PMID: 23325709</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adenoidectomy ; adenotonsillectomy ; Age Factors ; Body Mass Index ; Child ; Female ; Humans ; Male ; pediatric obstructive sleep apnea ; Postoperative Period ; Recurrence ; Retrospective Studies ; Sleep Apnea, Obstructive - surgery ; Tonsillectomy ; Tonsillitis - surgery ; Weight Gain</subject><ispartof>Otolaryngology-head and neck surgery, 2013-03, Vol.148 (3), p.488-493</ispartof><rights>American Academy of Otolaryngology—Head and Neck Surgery Foundation 2013</rights><rights>2013 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3866-a59d03edac63dd92416b8111e83119525164607b859a8197a6a0d239ce6d5e8e3</citedby><cites>FETCH-LOGICAL-c3866-a59d03edac63dd92416b8111e83119525164607b859a8197a6a0d239ce6d5e8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599812473412$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599812473412$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1417,21819,27924,27925,43621,43622,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23325709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, David F.</creatorcontrib><creatorcontrib>Vikani, Ami R.</creatorcontrib><creatorcontrib>Benke, James R.</creatorcontrib><creatorcontrib>Boss, Emily F.</creatorcontrib><creatorcontrib>Ishman, Stacey L.</creatorcontrib><title>Weight Gain after Adenotonsillectomy Is More Common in Young Children</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
Adenotonsillectomy (TA), performed for obstructive sleep apnea (OSA) or recurrent tonsillitis (RT), has been associated with weight gain after surgery. The objective of this study was to look at a large population of children undergoing TA and the demographic factors that contribute to postoperative weight gain.
Study Design
Case series with retrospective chart review.
Setting
Tertiary, urban academic care center.
Subjects and Methods
Children undergoing TA at an academic center between 2008 and 2011 were included in this study. Demographic data (age, gender, race), OSA disease severity, preoperative and 3- to 6-month postoperative normalized body mass index (BMI; z-scores), and changes in z-scores were compared.
Results
Complete weight data after TA were available for 115 children, 85 of whom underwent surgery for OSA. Mean age (7.2 ± 4.3 vs 7.3 ± 4.4 years, P = .955) and gender distribution (38% female vs 50% male; P = .323) were similar for the OSA and RT groups. However, children with OSA were more likely to be black (60% vs 33%) than RT patients (P = .026). Overall, the preoperative BMI z-score increased from 0.98 ± 1.50 to 1.21 ± 1.25 (P = .0009) with no difference by surgical indication (P = .58). Multiple linear regression analysis demonstrated that only age was significantly, and negatively, associated with changes in BMI z-scores (P = .015).
Conclusions
Similar to previous studies, children had weight gain after TA. In this analysis, younger age (≤6 years) was a significant predictor of postoperative weight gain. Future research should prospectively evaluate the association between weight gain and demographic factors in children undergoing TA, with special attention to the relationship with age.</description><subject>Adenoidectomy</subject><subject>adenotonsillectomy</subject><subject>Age Factors</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>pediatric obstructive sleep apnea</subject><subject>Postoperative Period</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Tonsillectomy</subject><subject>Tonsillitis - surgery</subject><subject>Weight Gain</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAUhS0EouWxM6GMLAHfOPFjLFVfUqELCDFFbnzbpkriYidC_fekSmFAQkx3ON93dHUIuQF6DyDEAwUVJ0pJiGLBYohOSB-oEiGXIE5J_xCHh7xHLrzfUko5F-Kc9CLGokRQ1SejN8zXmzqY6LwK9KpGFwwMVra2lc-LArPalvtg5oMn6zAY2rK0VdCi77ap1sFwkxfGYXVFzla68Hh9vJfkdTx6GU7D-WIyGw7mYcYk56FOlKEMjc44M0ZFMfClBACUDEAlUQI85lQsZaK0BCU019RETGXITYIS2SW563p3zn406Ou0zH2GRaErtI1PgUHEE65k3KK0QzNnvXe4SncuL7Xbp0DTw3jp7_Fa5fbY3ixLND_C91otIDvgMy9w_29hupg-P46BK8ZbNexUr9eYbm3jqnaov3_5AkcmhI0</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>Smith, David F.</creator><creator>Vikani, Ami R.</creator><creator>Benke, James R.</creator><creator>Boss, Emily F.</creator><creator>Ishman, Stacey L.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201303</creationdate><title>Weight Gain after Adenotonsillectomy Is More Common in Young Children</title><author>Smith, David F. ; Vikani, Ami R. ; Benke, James R. ; Boss, Emily F. ; Ishman, Stacey L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3866-a59d03edac63dd92416b8111e83119525164607b859a8197a6a0d239ce6d5e8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adenoidectomy</topic><topic>adenotonsillectomy</topic><topic>Age Factors</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>pediatric obstructive sleep apnea</topic><topic>Postoperative Period</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Tonsillectomy</topic><topic>Tonsillitis - surgery</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, David F.</creatorcontrib><creatorcontrib>Vikani, Ami R.</creatorcontrib><creatorcontrib>Benke, James R.</creatorcontrib><creatorcontrib>Boss, Emily F.</creatorcontrib><creatorcontrib>Ishman, Stacey L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, David F.</au><au>Vikani, Ami R.</au><au>Benke, James R.</au><au>Boss, Emily F.</au><au>Ishman, Stacey L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Weight Gain after Adenotonsillectomy Is More Common in Young Children</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2013-03</date><risdate>2013</risdate><volume>148</volume><issue>3</issue><spage>488</spage><epage>493</epage><pages>488-493</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
Adenotonsillectomy (TA), performed for obstructive sleep apnea (OSA) or recurrent tonsillitis (RT), has been associated with weight gain after surgery. The objective of this study was to look at a large population of children undergoing TA and the demographic factors that contribute to postoperative weight gain.
Study Design
Case series with retrospective chart review.
Setting
Tertiary, urban academic care center.
Subjects and Methods
Children undergoing TA at an academic center between 2008 and 2011 were included in this study. Demographic data (age, gender, race), OSA disease severity, preoperative and 3- to 6-month postoperative normalized body mass index (BMI; z-scores), and changes in z-scores were compared.
Results
Complete weight data after TA were available for 115 children, 85 of whom underwent surgery for OSA. Mean age (7.2 ± 4.3 vs 7.3 ± 4.4 years, P = .955) and gender distribution (38% female vs 50% male; P = .323) were similar for the OSA and RT groups. However, children with OSA were more likely to be black (60% vs 33%) than RT patients (P = .026). Overall, the preoperative BMI z-score increased from 0.98 ± 1.50 to 1.21 ± 1.25 (P = .0009) with no difference by surgical indication (P = .58). Multiple linear regression analysis demonstrated that only age was significantly, and negatively, associated with changes in BMI z-scores (P = .015).
Conclusions
Similar to previous studies, children had weight gain after TA. In this analysis, younger age (≤6 years) was a significant predictor of postoperative weight gain. Future research should prospectively evaluate the association between weight gain and demographic factors in children undergoing TA, with special attention to the relationship with age.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23325709</pmid><doi>10.1177/0194599812473412</doi><tpages>6</tpages></addata></record> |
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subjects | Adenoidectomy adenotonsillectomy Age Factors Body Mass Index Child Female Humans Male pediatric obstructive sleep apnea Postoperative Period Recurrence Retrospective Studies Sleep Apnea, Obstructive - surgery Tonsillectomy Tonsillitis - surgery Weight Gain |
title | Weight Gain after Adenotonsillectomy Is More Common in Young Children |
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