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Changes in childhood growth after adenotonsillectomy: a population-based cohort study

Eun Kyo Ha1, Seung Won Lee2, Ju Hee Kim3

  • 1Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, South Korea; Department of Data Science, Sejong University College of Software Convergence, Seoul, South Korea.

Sleep Medicine
|December 31, 2021
PubMed

Insights

Adenotonsillectomy (T&A) in children is linked to a significant growth spurt, including increased weight and height. Post-operative monitoring is advised to manage potential weight gain following this common surgical procedure.

Area of Science:

  • Pediatric Endocrinology
  • Otolaryngology
  • Public Health

Background:

  • Adenotonsillectomy (T&A) is a common surgical procedure in children.
  • Potential impacts of T&A on childhood growth are not fully understood.
  • Large-scale data analysis is needed to clarify the association between T&A and growth trajectories.

Purpose of the Study:

  • To investigate the association between adenotonsillectomy (T&A) and serial changes in growth in children.
  • To compare growth parameters (BMI-z, height-z) in children with and without T&A.
  • To analyze growth changes based on the timing of the T&A operation.

Main Methods:

  • Population-based nationwide study using the Korean National Health Insurance Service (NHIS) database.
  • Propensity score (PS) matching to compare children who underwent T&A with a control group.
  • Serial changes in age-/sex-standardized BMI (BMI-z) and height (height-z) were analyzed.

Main Results:

  • T&A was associated with increased weight and height compared to controls.
  • At 66-71 months, BMI-z and height-z were significantly higher in the T&A group.
  • Weight gain was more pronounced in the T&A group, with BMI-z increasing shortly after surgery and height-z increasing over a year post-operation.

Conclusions:

  • Children undergoing T&A tend to experience a growth spurt.
  • Careful consideration is needed to manage or mitigate anticipated weight gain after T&A.
  • Further research should focus on optimizing post-T&A care to support healthy growth.
Abstract

Keywords:
AdenoidectomyGrowth spurtObstructive sleep apneaTonsillectomy

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