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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| Format: | Article |
| Language: | English |
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Wiley
2021-11-01
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| Series: | OTO Open |
| Online Access: | https://doi.org/10.1177/2473974X211059105 |
| _version_ | 1797428708725751808 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T09:02:47Z |
| format | Article |
| id | doaj.art-119fe50f235141caab83dc4928c7c6b2 |
| institution | Directory Open Access Journal |
| issn | 2473-974X |
| language | English |
| last_indexed | 2024-03-09T09:02:47Z |
| publishDate | 2021-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | OTO Open |
| spelling | doaj.art-119fe50f235141caab83dc4928c7c6b22023-12-02T11:13:05ZengWileyOTO Open2473-974X2021-11-01510.1177/2473974X211059105Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered BreathingRohith S. Voora0Daniela Carvalho MD, MMM1Wen Jiang MD2Pediatric Otolaryngology, Rady Children’s Hospital San Diego, San Diego, California, USADepartment of Otolaryngology, University of California, San Diego, San Diego, California, USADepartment of Otolaryngology, University of California, San Diego, San Diego, California, USAObjective 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.https://doi.org/10.1177/2473974X211059105 |
| spellingShingle | Rohith S. Voora Daniela Carvalho MD, MMM Wen Jiang MD Impact of Tonsillectomy on Obesity in Pediatric Patients With Sleep-Disordered Breathing OTO Open |
| title | 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_short | 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 |
| url | https://doi.org/10.1177/2473974X211059105 |
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