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Updated: Jul 3, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[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.
Objective:
To observe changes of growth, body composition and biochemical markers associated with growth (IGF-1) in prepubertal children with obstructive sleep apnea syndrome (OSAHS).
Methods:
Thirty-one children aged 3-10 years with OSAHS were followed up for 1 year after the corresponding surgery. During the same period of time, 20 children of similar age without OSAHS (excluded any other diseases that could result growth retardation or hypoxemia) were also followed up for 1 year. PSG, height, weight as well as insulin-like growth factor-1 (IGF-1) were measured during the preoperative period, 3 months, 6 months and 1 year after surgery in patient group. The same indexes were measured before surgery, and only height and weight were recorded after surgery in the control group. Wilcoxon signed- rank test and Mann-Whitney U test are used to analyze the data.
Results:
The lowest oxyhemoglobin saturation of the patient group (0.88) is significantly lower than that of the control group (0.98), and was found increased at the 6 months post-op follow up (0.97, U = 238.5, P > 0.05), no significant change was found at the 1 year follow up. The post-op AHI (6 months after surgery) of the patient group (6.0/h) decreased to the similar level of the control group (0/h, U = 240.0, P > 0.05), and was similar to 1 year after surgery. Height of the patient group (116 cm), which was lower than the control group (U = 127.0, P < 0.001), significantly increased 1 year (138 cm) after the corresponding surgery (Z = 3.726, P < 0.01), and reached the similar levels of the control group (137 cm) 1 year after the surgery (U = 123.5, P > 0.05). The serum IGF-1 levels of the patient group (33.7 ng/ml), which were significantly lower than those of the controls preoperatively (44.1 ng/ml, U = 206.0, P < 0.05), increased to similar levels with the controls 6 months after the operation (50.3 ng/ml, U = 261.0, P > 0.05), and the 1 year post-op follow up was similar to the control group too (48.6 ng/ml, U = 163.0, P > 0.05).
Conclusions:
The cure of OSAHS could accelerate growth in prepubertal children, and the serum IGF-1 levels increases at the same time. The growth retardation is presumed in children with OSAHS.
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