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Updated: May 18, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity and obstructive sleep apnea
Indra Narang1, Joseph L Mathew
1Division of Respiratory Medicine, The Hospital For Sick Children, 555 University Avenue, Toronto, ON, Canada M5G 1X8.
Childhood obesity increases adult obesity risk and cardiovascular issues. Obstructive sleep apnea (OSA) in obese children worsens this cardiometabolic burden, highlighting the need for early OSA recognition and treatment.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Cardiovascular Health
Background:
- Childhood and adolescent obesity is a global epidemic with significant long-term health consequences.
- Obesity is linked to increased adult obesity risk and cardiovascular and metabolic system impairments.
- Obstructive sleep apnea (OSA) affects up to 60% of obese children, exacerbating health risks.
Purpose of the Study:
- To summarize the current understanding of obesity-related obstructive sleep apnea (OSA) in children and adolescents.
- To discuss the epidemiology, pathophysiology, and cardiometabolic burden of OSA in this population.
- To review the management strategies for obese children and adolescents with OSA.
Main Methods:
- Review of current literature on obesity-related OSA in pediatric populations.
- Analysis of diagnostic methods, including polysomnography (PSG).
- Examination of the association between OSA and cardiovascular and metabolic comorbidities.
Main Results:
- OSA is common in obese children and is characterized by upper airway obstruction and sleep disturbances.
- OSA is associated with significant cardiovascular burden, including hypertension and altered cardiac function.
- OSA may independently or synergistically worsen the cardiometabolic risks in obese children.
Conclusions:
- Early identification and treatment of OSA in obese children are crucial for mitigating cardiometabolic risks.
- Understanding the pathophysiology and burden of OSA is essential for effective management.
- Addressing OSA is a key component in managing the overall health of obese children and adolescents.
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