Clinicals And Upper Airway Characteristics in Obese Children with Obstructive Sleep Apnea
Introduction: Obesity is a factor that is strongly related to the occurrence of obstructive sleep apnea (OSA) in adults, although this association remains controversial for children. Objective: The aim of this study was to compare the clinical and upper airway cha...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
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| Series: | Sleep Science |
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| Online Access: | http://www.sleepscience.org.br/export-pdf/398/v10n1a01.pdf |
| _version_ | 1797330785865302016 |
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| author | Eli O Martinelli Fernanda Louise M Haddad Renato Stefanini Gustavo A Moreira Priscila B Rapoport Luis Carlos Gregório Sérgio Tufik Lia Rita A Bittencourt |
| author_facet | Eli O Martinelli Fernanda Louise M Haddad Renato Stefanini Gustavo A Moreira Priscila B Rapoport Luis Carlos Gregório Sérgio Tufik Lia Rita A Bittencourt |
| author_sort | Eli O Martinelli |
| collection | DOAJ |
| description | Introduction: Obesity is a factor that is strongly related to the
occurrence of obstructive sleep apnea (OSA) in adults, although this association remains
controversial for children. Objective: The aim of this study was to compare the clinical
and upper airway charactheristics, obtained by questionnaires, physical examination and
laboratory tests, among obese children with and without OSA. Method: This was
aprospective cohort study. 44 obese children (body mass index above the 95th percentile)
were included in the study. Questionnaires, physical examination of the upper airway,
nasofibrolaryngoscopy, polysomnography, and laboratory allergic tests were performed.
Results: There were 22 male patients (50%), and the mean age was 7.6±2.5 years. OSA was
present in 19 (43%) patients. There were no statistically significant differences
between the groups with and without OSA, in relation to clinical or laboratory allergic
parameters. For the upper airway assessments, hypertrophy of the pharyngeal (p=0.001)
and palatine (p=0.049) tonsils were the only parameters associated with OSA, and a
modified Mallampati index of class III/IV also demonstrated a tendency towards being
statistically associated with OSA (p=0.081). Moreover, these findings were confirmed to
be factors associated with OSA in this group of children according to a logistic
regression analysis. Conclusions: The occurrence rate of OSA in this obese pediatric
population was high. Adenotonsillar hypertrophy and a modified Mallampati index of class
III/IV were the factors associated with OSA. |
| first_indexed | 2024-03-08T07:24:35Z |
| format | Article |
| id | doaj.art-b1a8d6044b81478ea48565337481c527 |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T07:24:35Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-b1a8d6044b81478ea48565337481c5272024-02-02T22:20:42ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00631011610.5935/1984-0063.20170001Clinicals And Upper Airway Characteristics in Obese Children with Obstructive Sleep ApneaEli O Martinelli0Fernanda Louise M Haddad1Renato Stefanini2Gustavo A Moreira3Priscila B Rapoport4Luis Carlos Gregório5Sérgio Tufik6Lia Rita A Bittencourt7Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Universidade Federal de São Paulo.Introduction: Obesity is a factor that is strongly related to the occurrence of obstructive sleep apnea (OSA) in adults, although this association remains controversial for children. Objective: The aim of this study was to compare the clinical and upper airway charactheristics, obtained by questionnaires, physical examination and laboratory tests, among obese children with and without OSA. Method: This was aprospective cohort study. 44 obese children (body mass index above the 95th percentile) were included in the study. Questionnaires, physical examination of the upper airway, nasofibrolaryngoscopy, polysomnography, and laboratory allergic tests were performed. Results: There were 22 male patients (50%), and the mean age was 7.6±2.5 years. OSA was present in 19 (43%) patients. There were no statistically significant differences between the groups with and without OSA, in relation to clinical or laboratory allergic parameters. For the upper airway assessments, hypertrophy of the pharyngeal (p=0.001) and palatine (p=0.049) tonsils were the only parameters associated with OSA, and a modified Mallampati index of class III/IV also demonstrated a tendency towards being statistically associated with OSA (p=0.081). Moreover, these findings were confirmed to be factors associated with OSA in this group of children according to a logistic regression analysis. Conclusions: The occurrence rate of OSA in this obese pediatric population was high. Adenotonsillar hypertrophy and a modified Mallampati index of class III/IV were the factors associated with OSA.http://www.sleepscience.org.br/export-pdf/398/v10n1a01.pdfObstructive sleep apneaObesityPhysical examinationPalatine tonsilPharynx |
| spellingShingle | Eli O Martinelli Fernanda Louise M Haddad Renato Stefanini Gustavo A Moreira Priscila B Rapoport Luis Carlos Gregório Sérgio Tufik Lia Rita A Bittencourt Clinicals And Upper Airway Characteristics in Obese Children with Obstructive Sleep Apnea Sleep Science Obstructive sleep apnea Obesity Physical examination Palatine tonsil Pharynx |
| title | Clinicals And Upper Airway Characteristics in Obese Children with
Obstructive Sleep Apnea |
| title_full | Clinicals And Upper Airway Characteristics in Obese Children with
Obstructive Sleep Apnea |
| title_fullStr | Clinicals And Upper Airway Characteristics in Obese Children with
Obstructive Sleep Apnea |
| title_full_unstemmed | Clinicals And Upper Airway Characteristics in Obese Children with
Obstructive Sleep Apnea |
| title_short | Clinicals And Upper Airway Characteristics in Obese Children with
Obstructive Sleep Apnea |
| title_sort | clinicals and upper airway characteristics in obese children with obstructive sleep apnea |
| topic | Obstructive sleep apnea Obesity Physical examination Palatine tonsil Pharynx |
| url | http://www.sleepscience.org.br/export-pdf/398/v10n1a01.pdf |
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