[Study on the height and weight in children with obstructive sleep apnea hypopnea syndrome]

Yong Zeng1, Yuejian Wang, Weixiong Chen

  • 1Department of Otorhinolaryngology Head and Neck Surgery, the First People's Hospital of Foshan, Foshan, 528000, China. zyong@fsyyy.com

Insights

Obstructive sleep apnea hypopnea syndrome (OSAHS) in children stunts growth by reducing growth hormone. Surgery improves sleep quality, normalizes growth hormone, and allows children to catch up in height and weight.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Otolaryngology

Context:

  • Obstructive sleep apnea hypopnea syndrome (OSAHS) is increasingly recognized as a condition affecting children's overall health.
  • Growth impairment is a potential but not fully understood consequence of OSAHS in pediatric populations.

Purpose:

  • This study aimed to investigate the impact of OSAHS on the growth parameters of children.
  • The research specifically examined the relationship between OSAHS, growth hormone secretion, and physical growth (height and weight).

Summary:

  • Children diagnosed with OSAHS exhibited significantly lower height and weight compared to healthy controls.
  • Sleep studies (PSG) revealed decreased blood oxygen saturation in OSAHS patients.
  • Growth hormone levels were significantly lower in children with OSAHS, but normalized three months after surgical intervention (tonsillectomy or adenoidectomy).

Impact:

  • Findings highlight that upper airway obstruction in OSAHS negatively affects sleep quality, leading to reduced growth hormone secretion and consequently, impaired growth.
  • Early surgical intervention is crucial for alleviating OSAHS symptoms, normalizing growth hormone levels, and enabling catch-up growth in height and weight.
Abstract

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