[Growth retardation in children with obstructive sleep apnea hypopnea syndrome]

Jin Hou1, Quan-Qing Kang, Guo-Xi Zheng

  • 1Department of Otorhinolaryngology, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710004, China.

Insights

Children with obstructive sleep apnea syndrome (OSAS) experience growth delays. Treating OSAS accelerates growth and increases insulin-like growth factor-1 (IGF-1) levels in prepubertal children.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Growth and Development

Context:

  • Obstructive sleep apnea syndrome (OSAS) is prevalent in children and may impact growth.
  • Prepubertal children with OSAS often exhibit impaired growth parameters and lower IGF-1 levels.
  • Understanding the effects of OSAS treatment on growth is crucial for pediatric health.

Purpose:

  • To investigate the impact of treating obstructive sleep apnea syndrome (OSAS) on growth, body composition, and insulin-like growth factor-1 (IGF-1) levels in prepubertal children.
  • To compare growth outcomes in children with OSAS post-surgery versus a healthy control group.
  • To establish a correlation between OSAS resolution and biochemical markers of growth.

Summary:

  • Children with OSAS showed significantly lower height and IGF-1 levels compared to controls.
  • Following surgical treatment for OSAS, patients demonstrated significant increases in height and IGF-1 levels, reaching those of the control group within one year.
  • Post-operative improvements in oxygen saturation and reduced apnea-hypopnea index (AHI) were observed, correlating with enhanced growth markers.

Impact:

  • The findings suggest that treating OSAS can reverse growth retardation in children.
  • This study highlights the importance of addressing sleep-disordered breathing to optimize pediatric growth and development.
  • The results provide evidence for the role of IGF-1 as a marker for growth recovery after OSAS treatment.
Abstract

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