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Updated: Jun 22, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Relationship between the polysomnography and body mass index in children]
Ruiqing Liu1, Jianyun Li, Fan Lou
1Department of Otolaryngology, Children's Hospital of Kunming, Kunming, 650034, China. lighting-liu@163.com
Insights
Pediatric obstructive sleep apnea hypopnea syndrome impacts children's growth. Diagnosis is suggested at an apnea-hypopnea index (AHI) greater than or equal to 2 for operative standards.
Area of Science:
- Pediatric Sleep Medicine
- Child Growth and Development
- Respiratory Medicine
Context:
- Obstructive sleep apnea hypopnea syndrome (OSAHS) is a prevalent condition in children.
- Growth disturbances are a potential consequence of pediatric OSAHS.
- Establishing clear diagnostic and operative criteria for pediatric OSAHS is crucial.
Purpose:
- To investigate the relationship between OSAHS severity and growth parameters in children.
- To determine appropriate diagnostic thresholds for pediatric OSAHS based on objective measures.
- To inform operative decision-making for children with OSAHS.
Summary:
- A study involving 582 children (2.5-10 years) utilized polysomnography (PSG) to assess the apnea-hypopnea index (AHI).
- Significantly different body mass index (BMI) was observed in boys with AHI ≥ 2 and girls with AHI ≥ 1 compared to controls.
- These findings suggest an AHI threshold of ≥ 2 for diagnosing pediatric OSAHS and guiding surgical interventions.
Impact:
- Provides evidence-based recommendations for the diagnosis and management of pediatric OSAHS.
- Highlights the importance of PSG in evaluating growth impacts of sleep-disordered breathing.
- Aims to improve clinical outcomes for children affected by obstructive sleep apnea hypopnea syndrome.
Objective:
To study the effect of the obstructive sleep apnea hypopnea syndrome on children's growth and to discuss operative standards.
Method:
Five hundred and eighty-two children who were 2.5 to 10 years old were monitored with polysomnography(PSG). The index included apnea and hypopnea index (AHI) and computed body mass index (BMI) which was measured with heights and weights.
Result:
Comparing with the normal children in the same age period and the same sex, boys' BMI had distinguished differences (P < 0.01) when AHI > or =2 and girls BMI had distinguished differences (P < 0.01) when AHI > or =1.
Conclusion:
We Suggests to define the diagnosis and operative standards of pediatric obstructive sleep apnea hypopnea syndrome at AHI > or =2.
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