Association Between Severe Obesity and Pediatric Obstructive Apnea-A Retrospective Case Series.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-05-14 DOI:10.1002/ohn.1295

Tyler A Durham, Basir S Mansoor, Stephen R Chorney, Ron B Mitchell, Alex Najjar, Romaine F Johnson

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引用次数: 0

Abstract

Objective: To investigate the impact of severe obesity on the severity of pediatric obstructive sleep apnea (OSA).

Study design: Retrospective case series.

Setting: Tertiary stand-alone pediatric hospital.

Methods: Consecutive children with obesity (≥95th percentile body mass index [BMI]) who underwent full-night polysomnography between January 2021 and December 2021 were analyzed. Patients were categorized into obesity (≥95th percentile BMI and <120% of the 95th percentile) and severe obesity (≥120% of the 95th percentile BMI). The association between severe obesity and severe OSA was assessed using multiple logistic regression.

Results: The study included 282 patients with a median age of 9.2 years (interquartile range 5.9-12.3), 63% male, and 65% Hispanic. In total, 53% were severely obese. Severely obese children had a higher prevalence of severe OSA (53% vs 33%, P < .001) and very severe OSA (apnea-hypopnea index ≥ 24; 24% vs 11%, P = .006). Multiple logistic regression revealed that severe obesity was associated with severe OSA (adjusted odds ratio [aOR] = 3.44; 95% confidence interval [CI], 1.82-6.53; P < .001) after adjusting for age, sex, and tonsillar hypertrophy. Among 170 patients who underwent posttonsillectomy polysomnography, 29% exhibited residual OSA, with 19% having residual severe OSA. Class 3 severe obesity was associated with residual OSA (aOR = 4.05, 95% CI = 1.09-15.00).

Conclusion: Children with severe obesity face substantial sleep disturbances and a heightened risk of residual OSA following adenotonsillectomy.

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重度肥胖与儿童阻塞性呼吸暂停的关系——回顾性病例系列

目的：探讨重度肥胖对儿童阻塞性睡眠呼吸暂停（OSA）严重程度的影响。研究设计:回顾性病例系列。环境：三级独立儿科医院。方法：对2021年1月至2021年12月连续接受夜间多导睡眠描记仪检查的肥胖儿童（体重指数≥95百分位[BMI]）进行分析。患者被分类为肥胖（BMI≥95百分位）。结果：该研究包括282例患者，中位年龄为9.2岁（四分位数范围5.9-12.3），63%为男性，65%为西班牙裔。总共有53%的人严重肥胖。重度肥胖儿童的严重OSA患病率更高（53% vs 33%）。结论：重度肥胖儿童面临严重的睡眠障碍，且腺扁桃体切除术后残留OSA的风险更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.