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Otolaryngologic findings in prepubertal obese children with sleep-disordered breathing

Juliana Alves de Sousa Caixêta1, Alex Martins Saramago, Gustavo Antonio Moreira

  • 1Department of Otorhinolaryngology of Federal University of São Paulo, Brazil.

International Journal of Pediatric Otorhinolaryngology
|August 23, 2013
PubMed

Insights

In obese children with sleep-disordered breathing, adenoid size is a key indicator. Larger adenoids correlate with obstructive sleep apnea syndrome, aiding diagnosis.

Area of Science:

  • Otolaryngology
  • Pediatrics
  • Sleep Medicine

Background:

  • Obesity is increasingly prevalent in children and is linked to sleep-disordered breathing (SDB).
  • Otolaryngologic factors may contribute to SDB in obese children.
  • Identifying specific findings can aid in diagnosing obstructive sleep apnea syndrome (OSAS).

Purpose of the Study:

  • To investigate otolaryngologic findings in obese prepubertal children experiencing SDB.
  • To determine if specific ear, nose, and throat (ENT) findings are associated with OSAS in this population.

Main Methods:

  • Prospective evaluation of 29 obese children with snoring and no prior ENT surgery.
  • Comprehensive ENT examination, endoscopy, and polysomnography.
  • Calculation of body mass index (BMI) and BMI z-score for all participants.

Main Results:

  • No significant differences in age, gender, weight, height, BMI, or BMI z-score between groups.
  • Adenoid size was the only significant differentiating factor between children with OSAS and primary snoring (p = 0.01).

Conclusions:

  • Adenoid size is a crucial evaluation point in obese children with SDB symptoms.
  • Adenoid size is significantly related to the presence of OSAS in this demographic.
Abstract

Keywords:
Adenoid hypertrophyChildObesityObstructive sleep apnea syndrome

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