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Growth velocity predicts recurrence of sleep-disordered breathing 1 year after adenotonsillectomy

Raouf Amin1, Leonard Anthony, Virend Somers

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. raouf.amin@cchmc.org

American Journal of Respiratory and Critical Care Medicine
|January 5, 2008
PubMed

Insights

Rapid weight gain, obesity, and being African American increase the risk of sleep-disordered breathing (SDB) recurrence after adenotonsillectomy in children. Monitoring BMI gain velocity is crucial for identifying at-risk individuals.

Area of Science:

  • Pediatric Surgery
  • Sleep Medicine
  • Cardiovascular Health

Background:

  • Adenotonsillectomy is the primary treatment for pediatric sleep-disordered breathing (SDB).
  • Predictors for SDB recurrence post-surgery and associated cardiovascular risks remain unclear.

Purpose of the Study:

  • To determine if increased body mass index (BMI) velocity (change in BMI per year) independently predicts SDB recurrence one year after adenotonsillectomy.

Main Methods:

  • Prospective follow-up of children with SDB and hypertrophy of tonsils, alongside a healthy control group, for one year.
  • Serial polysomnographies, BMI, and blood pressure measurements were taken pre- and post-operatively at multiple time points.

Main Results:

  • Gain velocity in BMI, overall BMI, and African American ethnicity were significant predictors of SDB recurrence.
  • Children experiencing SDB recurrence had higher systolic blood pressure at one year compared to baseline and controls.

Conclusions:

  • Rapid BMI gain, obesity, and African American ethnicity are independent risk factors for SDB recurrence after adenotonsillectomy.
  • Long-term monitoring of BMI gain velocity in children with SDB is essential for identifying those at risk for recurrence and potential hypertension.
Abstract

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