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Updated: Nov 7, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Otitis Media and Obesity-An Unusual Relationship in Children
Cristina Gavrilovici1, Elena-Lia Spoială1, Anca-Viorica Ivanov1
1Pediatrics Department, Grigore T. Popa University of Medicine and Pharmacy, 16 Universitatii Street, 700115 Iasi, Romania.
Insights
Obesity and overweight may increase the risk of otitis media (OM), an ear infection. Conversely, ear infections might also elevate the risk of obesity, highlighting a complex bidirectional relationship.
Area of Science:
- Otolaryngology
- Pediatrics
- Public Health
Background:
- Otitis media (OM) is a primary cause of preventable hearing loss in children.
- Established risk factors for OM include prematurity, low birth weight, and tobacco exposure.
- Emerging evidence suggests a potential link between obesity and increased OM incidence.
Purpose of the Study:
- To review current literature on the relationship between otitis media and obesity.
- To discuss the interconnectivity and potential mechanisms linking these two conditions.
Main Methods:
- Conducted an electronic literature search in PubMed and EMBASE databases.
- Included 15 relevant articles from an initial pool of 176 references.
Main Results:
- Findings suggest that obesity and overweight are potential risk factors for developing OM.
- The relationship appears bidirectional, with OM potentially increasing obesity risk.
- Proposed mechanisms include altered cytokine profiles, increased gastroesophageal reflux, and fat accumulation in obese individuals.
- Middle ear inflammation from OM may lead to taste alterations, contributing to obesity.
Conclusions:
- Obesity and overweight may represent significant risk factors for otitis media.
- The interplay between OM and obesity warrants further investigation.
- Understanding these connections can inform public health strategies for both conditions.
Abstract:
Otitis media (OM) represents a public health matter, being the main cause of preventable hearing loss in pediatric patients. Besides well-established risk factors for developing OM, such as craniofacial abnormalities, prematurity, low birth weight, or tobacco exposure, there is evidence that obesity could be associated with a high incidence of OM. Our aim is to perform a literature review on the state of current published research on the relationship between OM and obesity and to discuss the interconnectivity between these two entities. We conducted an electronic search in PubMed and EMBASE databases. Out of 176 references, 15 articles were included in our study. Our findings suggest that obesity and overweight might be risk factors for developing OM, and vice versa. The main mechanisms for developing OM in obese patients include alteration in cytokine profile, increased gastroesophageal reflux, and/or fat accumulation. Conversely, ear infections exposure might increase the risk of obesity, mostly by taste changes through middle ear cavity inflammation.
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