Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing

Objective Both tonsillar hypertrophy and obesity contribute to pediatric sleep-disordered breathing (SDB). Tonsillectomy addresses anatomical obstruction causing SDB; however, it may adversely affect the obesity profile postoperatively. Herein, we investigate posttonsillectomy body mass index (BMI)...

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Autores principales:	Rohith S. Voora, Daniela Carvalho MD, MMM, Wen Jiang MD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/119fe50f235141caab83dc4928c7c6b2
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spelling	oai:doaj.org-article:119fe50f235141caab83dc4928c7c6b22021-11-30T23:35:33ZImpact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing2473-974X10.1177/2473974X211059105https://doaj.org/article/119fe50f235141caab83dc4928c7c6b22021-11-01T00:00:00Zhttps://doi.org/10.1177/2473974X211059105https://doaj.org/toc/2473-974XObjective Both tonsillar hypertrophy and obesity contribute to pediatric sleep-disordered breathing (SDB). Tonsillectomy addresses anatomical obstruction causing SDB; however, it may adversely affect the obesity profile postoperatively. Herein, we investigate posttonsillectomy body mass index (BMI) changes in pediatric patients. Study Design Retrospective case series. Setting Tertiary, pediatric urban academic center. Methods All patients undergoing tonsillectomy from January 1, 2016, to December 31, 2016, were included. Patients’ age, sex, surgical indication, and preoperative BMI were recorded. Postoperative BMI data were collected between March 1, 2016, and December 31, 2017. Statistical analysis was performed using a generalized regression model, using BMI percentile-for-age weight status. Results A total of 1153 patients were included (50% female), with age ranging from 2.0 to 19.5 years (mean [SD], 7.6 [4.0]). The majority (87.8%) had tonsillectomy for SDB. Of the cohort, 560 (48.6%) had available follow-up BMI data. The BMI percentile on the day of the surgery had a median of 65.8, and the BMI percentile on follow-up had a median of 76.4. The median time to follow-up was 197 days with a range of 50 to 605 days. Higher postoperative BMI percentile strongly correlated to higher preoperative BMI percentile ( P < .001), as well as younger age ( P < .001), male sex ( P = .0005), and SDB as a surgical indication ( P = .003). Conclusion We observed a significant increase in BMI percentile following tonsillectomy, which accounted for a significantly higher proportion of the cohort being classified as overweight or obese postoperatively. These findings necessitate greater preoperative counseling, closer follow-up, and adjunctive measures for obesity management in pediatric patients undergoing tonsillectomy.Rohith S. VooraDaniela Carvalho MD, MMMWen Jiang MDSAGE PublishingarticleOtorhinolaryngologyRF1-547SurgeryRD1-811ENOTO Open, Vol 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Rohith S. Voora Daniela Carvalho MD, MMM Wen Jiang MD Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
description	Objective Both tonsillar hypertrophy and obesity contribute to pediatric sleep-disordered breathing (SDB). Tonsillectomy addresses anatomical obstruction causing SDB; however, it may adversely affect the obesity profile postoperatively. Herein, we investigate posttonsillectomy body mass index (BMI) changes in pediatric patients. Study Design Retrospective case series. Setting Tertiary, pediatric urban academic center. Methods All patients undergoing tonsillectomy from January 1, 2016, to December 31, 2016, were included. Patients’ age, sex, surgical indication, and preoperative BMI were recorded. Postoperative BMI data were collected between March 1, 2016, and December 31, 2017. Statistical analysis was performed using a generalized regression model, using BMI percentile-for-age weight status. Results A total of 1153 patients were included (50% female), with age ranging from 2.0 to 19.5 years (mean [SD], 7.6 [4.0]). The majority (87.8%) had tonsillectomy for SDB. Of the cohort, 560 (48.6%) had available follow-up BMI data. The BMI percentile on the day of the surgery had a median of 65.8, and the BMI percentile on follow-up had a median of 76.4. The median time to follow-up was 197 days with a range of 50 to 605 days. Higher postoperative BMI percentile strongly correlated to higher preoperative BMI percentile ( P < .001), as well as younger age ( P < .001), male sex ( P = .0005), and SDB as a surgical indication ( P = .003). Conclusion We observed a significant increase in BMI percentile following tonsillectomy, which accounted for a significantly higher proportion of the cohort being classified as overweight or obese postoperatively. These findings necessitate greater preoperative counseling, closer follow-up, and adjunctive measures for obesity management in pediatric patients undergoing tonsillectomy.
format	article
author	Rohith S. Voora Daniela Carvalho MD, MMM Wen Jiang MD
author_facet	Rohith S. Voora Daniela Carvalho MD, MMM Wen Jiang MD
author_sort	Rohith S. Voora
title	Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
title_short	Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
title_full	Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
title_fullStr	Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
title_full_unstemmed	Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing
title_sort	impact of tonsillectomy on obesity in pediatric patients with sleep-disordered breathing
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/119fe50f235141caab83dc4928c7c6b2
work_keys_str_mv	AT rohithsvoora impactoftonsillectomyonobesityinpediatricpatientswithsleepdisorderedbreathing AT danielacarvalhomdmmm impactoftonsillectomyonobesityinpediatricpatientswithsleepdisorderedbreathing AT wenjiangmd impactoftonsillectomyonobesityinpediatricpatientswithsleepdisorderedbreathing
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Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing

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