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Behavioral consequences of children with sleep-disordered breathing after adenotonsillectomy

Ji Yoon Kim1, Chang Ho Lee1, Hyoung-Mi Kim2,3

  • 1Otorhinolaryngology Department, CHA University, Seongnam, Korea.

World Journal of Pediatrics : WJP
|February 22, 2018
PubMed

Insights

Adenotonsillectomy improves sleep-disordered breathing (SDB) and behaviors in children. However, weight gain after surgery may impact behavioral outcomes, suggesting a need for postoperative weight management.

Area of Science:

  • Pediatric Otolaryngology
  • Child Psychology
  • Sleep Medicine

Background:

  • Adenotonsillectomy (AT) is a common treatment for pediatric sleep-disordered breathing (SDB).
  • Postoperative weight gain and obesity are known risks following AT.
  • The impact of AT on behavioral outcomes and the role of weight gain require further investigation.

Purpose of the Study:

  • To assess behavioral improvements in children with SDB one year after adenotonsillectomy.
  • To investigate the influence of postoperative weight gain on behavioral changes in these children.

Main Methods:

  • 170 children (5-11 years) with SDB undergoing AT and 150 controls were studied.
  • Assessments included body mass index percentile, SDB severity (SRBD questionnaire), and psychological evaluations (SDQ, CDI, SCARED).
  • Psychological assessments were conducted pre- and post-adenotonsillectomy.

Main Results:

  • Children showed significant improvements in SDB and behavioral problem scores post-AT.
  • A significant increase in the odds of being overweight was observed after adenotonsillectomy.
  • Older age, higher SDB scores, and overweight/obesity at follow-up were associated with less improvement in hyperactivity and conduct problems.

Conclusions:

  • Postoperative behavioral outcomes in children treated with AT warrant evaluation.
  • Early adenotonsillectomy and effective postoperative weight management may mitigate adverse behavioral outcomes.
Abstract

Keywords:
ObesityObstructive sleep apneaPediatricSnoringTonsillectomy

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