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Updated: May 11, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[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.
Objective:
To investigate the influence of obstructive sleep apnea hypopnea syndrome (OSAHS) on children's growth.
Method:
Fifty-three children diagnosed as OSAHS were included in the treatment group and underwent tonsillectomy or adenoidectomy, and 51 normal children were employed as the control group. Main data monitored by PSG and growth hormone (GH) in children of the treatment group were recorded before and after surgery, in addition, growth hormone, height and weight of children in the treatment group and control group were respectively recorded and compared.
Result:
Height and weight of children with OSAHS before treatment were lower than that of the normal children and the difference was significant (P<0.05). Compared with the data before surgery, oxygen saturation of blood in children of treatment group recorded by PSG increased (P<0.05), while value of other data decreased (P<0.05). Growth hormone in children of the treatment group was lower than that of the control group and the difference between two group was significant (P<0.05), while the content of growth hormone in children of the treatment group elevated after 3 months postoperatively and at this time no difference was found between the two groups.
Conclusion:
Children with OSAHS present the symptom of upper airway obstruction, which badly affects sleep quality and results in decreased secretion of growth hormone and finally the height and weight of children is got involved. Timely surgery is necessary to alleviate the symptom.
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