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Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Summary
Objective: Adenotonsillar hypertrophy is the main cause of upper airway narrowing in children and results with sleep-disordered breathing. Although adenotonsillectomy restore abnormal respiration during sleep and improve growth but also it may lead to rapid weight gain and obesity. The purpose of this study is to assess the children with previous tonsillectomy whether obesity exists in long period.
Methods: First stage of the study was cross sectional and undertaken at a representative sample (12291 students) in 19 primary and 8 high schools in Denizli/Turkey. After this stage the design changed to case control study. The students who had tonsillectomy in last one year or more (n=123) enrolled to the study. Two other students chosen by systematical sampling at same age and gender for control group from the same class (n=246). A questionnaire was given to parents. There were questions about environmental risk factors for overweight and obesity in children and about parent’s characteristic features. After getting anthropometric measurements the body mass index and waist circumference percentiles obtained from recently reported references for Turkish children.
Results: Previous tonsillectomy established in 123 students and the prevalence of tonsillectomy found 1.0 % at 11-17 year old children. The rate of overweight and obesity were quite imminent to each other in two groups, 17.9 % and 17.5 % sequentially (p = 0.9).
Conclusion: Although many studies showed that there was weight gain in first few years of adenotonsillectomy there was not any report whether increased weight is maintained. We found that there was no overweight or obesity in children with previous tonsillectomy in long term when compared to control group.
Keywords: Previous tonsillectomy, BMI percentile, obesity, long term.
Objective: Adenotonsillar hypertrophy is the main cause of upper airway narrowing in children and results with sleep-disordered breathing. Although adenotonsillectomy restore abnormal respiration during sleep and improve growth but also it may lead to rapid weight gain and obesity. The purpose of this study is to assess the children with previous tonsillectomy whether obesity exists in long period.
Methods: First stage of the study was cross sectional and undertaken at a representative sample (12291 students) in 19 primary and 8 high schools in Denizli/Turkey. After this stage the design changed to case control study. The students who had tonsillectomy in last one year or more (n=123) enrolled to the study. Two other students chosen by systematical sampling at same age and gender for control group from the same class (n=246). A questionnaire was given to parents. There were questions about environmental risk factors for overweight and obesity in children and about parent’s characteristic features. After getting anthropometric measurements the body mass index and waist circumference percentiles obtained from recently reported references for Turkish children.
Results: Previous tonsillectomy established in 123 students and the prevalence of tonsillectomy found 1.0 % at 11-17 year old children. The rate of overweight and obesity were quite imminent to each other in two groups, 17.9 % and 17.5 % sequentially (p = 0.9).
Conclusion: Although many studies showed that there was weight gain in first few years of adenotonsillectomy there was not any report whether increased weight is maintained. We found that there was no overweight or obesity in children with previous tonsillectomy in long term when compared to control group.
Keywords: Previous tonsillectomy, BMI percentile, obesity, long term.
Learning Objectives: 1.Determined of Adenotonsillectomy prevalence on primary school students 2.Determined the Risk of Obesity in Children with Previous Adenotonsillectomy 2.Assessing the Risk of Obesity in primary school Children.
Sub-Theme: Lessons learned from community-based public health research