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Short-term weight gain after adenotonsillectomy in children with obstructive sleep apnoea: systematic review

M Van1, I Khan1, S S M Hussain1

  • 1Department of Otorhinolaryngology,Head and Neck Surgery,Ninewells Hospital and University of Dundee Medical School,Scotland,UK.

The Journal of Laryngology and Otology
|December 22, 2015
PubMed

Insights

Adenotonsillectomy, a common surgery for childhood obstructive sleep apnea, may be linked to short-term weight gain. Studies suggest a potential association, particularly in the months following the procedure.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Surgery

Background:

  • Adenotonsillectomy is a primary surgical intervention for children diagnosed with obstructive sleep apnea.
  • Concerns exist regarding potential post-surgical weight changes in pediatric patients following this procedure.

Purpose of the Study:

  • To investigate the association between adenotonsillectomy and subsequent weight gain in pediatric patients with obstructive sleep apnea.
  • To synthesize current evidence on the short-term impact of this surgical intervention on body weight.

Main Methods:

  • Systematic literature review conducted by two independent researchers.
  • Searched databases included Ovid Medline, Embase, and PubMed for studies published between 1995 and 2014.
  • Included studies focused on pediatric patients undergoing adenotonsillectomy with pre- and post-operative weight measurements.

Main Results:

  • Six studies met the inclusion criteria for the review.
  • Four of the included studies reported a statistically significant increase in weight post-surgery.
  • A high-quality randomized controlled trial indicated significant weight gain at seven months, even in children with pre-existing overweight conditions.

Conclusions:

  • Current evidence suggests a short-term association between adenotonsillectomy and weight gain in pediatric obstructive sleep apnea patients.
  • Further research may be warranted to understand the long-term implications and underlying mechanisms of this association.
Abstract

Keywords:
AdenoidectomyObesityObstructive Sleep ApneaReviewSystematicTonsillectomyWeight Gain

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