Evaluation of Body Mass Index of 3–10-year-old Children with Adenotonsillar Hypertrophy, who Referred to Khatamolanbia Hospital during 2017–2018
BACKGROUND: Adenotonsillar hypertrophy is a common disorder in the children’s population that can lead to growth disorders. Chronic adenotonsillar hypertrophy can cause a break in the normal growth of children, weight loss, and decreased growth hormone secretion.
AIM: The purpose of this study was to evaluate adenotonsillar hypertrophy in the growth rate of children with height, weight, and body mass index (BMI).
METHODS: In this descriptive-analytical cross-sectional study, after examining 312, 3–10-year-old children with adenotonsillar hypertrophy, who met the inclusion criteria, growth scales were evaluated and entered into the patient evaluation form.
RESULTS: There was a significant relationship between BMI, height, weight, and severity of tonsillar hypertrophy at Brodsky’s scale (P <0.001). Our studies showed well that with increasing severity of adenotonsillar hypertrophy disease, the growth indicators are also decreased in children.
CONCLUSION: Adenotonsillar hypertrophy decreases growth indicators in children. There was also a relationship between growth indicators and severity of adenotonsillar hypertrophy in patients.
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Hellings PW, Fokkens WJ. Allergic rhinitis and its impact on otorhinolaryngology. Allergy. 2006;61(6):656-64. https://doi. org/10.1111/j.1398-9995.2006.01109.x PMid:16677233
Choudhary B, Patil R, Bhatt GC, Dhingra B, Pakhare AP, Goyal A, et al. Association of sleep disordered breathing with mono-symptomatic nocturnal enuresis: A study among school children of central India. PLoS One. 2016;11(5):e0155808 https://doi.org/10.1371/journal.pone.0155808 PMid:27191620
Bonuck KA, Freeman K, Henderson J. Growth and growth biomarker changes after adenotonsillectomy: Systematic review and meta-analysis. Arch Dis Child. 2009;94(2):83-91. https:// doi.org/10.1136/adc.2008.141192 PMid:18684748
Brodsky L, Koch RJ. Bacteriology and immunology of normal and diseased adenoids in children. Arch Otolaryngol Head Neck Surg. 1993;119(8):821-9. https://doi.org/10.1001/ archotol.1993.01880200021003 PMid:8343242
Brodsky L, Radomski K, Gendler J. The effect of post-operative in structions on recovery after tonsilectomy and adenoidectomy. Int J Pediatr Otorhinolaryngol. 1993;25(1-3):133-40. https://doi. org/10.1016/0165-5876(93)90046-6 PMid:8436457
Bland RM, Bulgarelli S, Ventham JC, Jackson D, Reilly JJ, Paton JY. Total energy expenditure in children with obstructive sleep apnoea syndrome. Eur Respir J. 2001;18(1):164-9. https://doi.org/10.1183/09031936.01.99104401 PMid:11510789
Capdevila OS, Kheirandish-Gozal L, Dayyat E, Gozal D. Pediatric obstructive sleep apnea: Complications, management, and long-term outcomes. Proc Am Thorac Soc. 2008;5(2):274- 82. https://doi.org/10.1513/pats.200708-138mg PMid:18250221
Williams EF 3rd, Woo P, Miller R, Kellman RM. The effects of adenotonsillectomy on growth in young children. Otolaryngol Head Neck Surg. 1991;104(4):509-16. https://doi. org/10.1177/019459989110400415 PMid:1903865
Leach J, Olson J, Hermann J, Manning S. Polysomnographic and clinical findings in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 1992;118(7):741-4. https:// doi.org/10.1001/archotol.1992.01880070071013 PMid:1627296
Walker MP, Diaugustine RP, Zeringue E, et al. An IGF1/insulin receptor substrate-1 pathway stimulates a mitotic kinase (cdk1) in the uterine epithelium during the proliferative response to estradiol. J Endocrinol. 2010;207(2):225-35. https://doi. org/10.1677/joe-10-0102 PMid:20798132
Greg R, Raymond C. Creative tourism. ATLAS News 2000;23:16-20.
Richart H. Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-coat Edition. United States: Jones & Bartlett Learning; 2015. p. 349.
Izu SC, Itamoto CH, Pradella-Hallinan M, Pizarro GU, Tufik S, Pignatari S, et al. Obstructive sleep apnea syndrome (OSAS) in mouth breathing children. Braz J Otorhinolaryngol. 2010;76(5):552-6. PMid:20963335
Daar G, Sarı K, Gencer ZK, Ede H, Aydın R, Saydam L. The relation between childhood obesity and adenotonsillar hypertrophy. Eur Arch Otorhinolaryngol. 2016;273(2):505-9. https://doi.org/10.1007/s00405-015-3554-4 PMid:25876003
Farmarzi M, Shishegar M, Heydari ST, Haghighi A, Sharouny H. Effects of adenotonsillectomy on serum levels of IGF-1 and IGFBP-3 and growth indices in children with adenotonsillar hypertrophy or recurrent tonsillitis. Iran J Otorhinolaryngol. 2016;28(88):329-35. PMid:27738609
Egeli E, Belli SB, Oghan F, Ozturk O. Relation of isolated tonsillar hypertrophy with body mass index. ORL J Otorhinolaryngol Relat Spec. 2006;68(4):228-31. https://doi.org/10.1159/000092124 PMid:16549938
Hable KA, Washington JA 2nd, Herrmann EC Jr. Bacterial and viral throat flora. Comparison of findings in children with acute upper respiratory tract disease and in healthy controls during winter. Clin Pediatr (Phila). 1971;10(4):199-203. https://doi. org/10.1177/000992287101000405 PMid:4396432
Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):242-52. PMid:18250218
Schiffmann R, Faber J, Eidelman AI. Obstructive hypertrophic adenoids and tonsils as a cause of infantile failure to thrive: Reversed by tonsillectomy and adenoidectomy. Int J Pediatr Otorhinolaryngol. 1985;9(2):183-7. https://doi.org/10.1016/ s0165-5876(85)80019-7 PMid:4030240
Ahlqvist-Rastad J, Hultcrantz E, Melander H, Svanholm H. Body growth in relation to tonsillar enlargement and tonsillectomy. Int J Pediatr Otorhinolaryngol. 1992;24(1):55-61. https://doi. org/10.1016/0165-5876(92)90066-x PMid:1399304
Park DY, Choi JH, Kang SY, Han J, Park HY, Hwang JS, et al. Correlations between pediatric obstructive sleep apnea and longitudinal growth. Int J Pediatr Otorhinolaryngol. 2018;106:41-5. PMid:29447889
Gibb AG. Unusual complications of tonsil and adenoid removal. J Laryngol Otol. 1969;83(12):1159-74. https://doi.org/10.1017/ s0022215100071486 PMid:5360031
Nieminen P, Löppönen T, Tolonen U, Lanning P, Knip M, Löppönen H. Growth and biochemical markers of growth in children with snoring and obstructive sleep apnea. Pediatrics. 2002;109(4):e55. https://doi.org/10.1542/peds.109.4.e55 PMid:11927728
Bar A, Tarasiuk A, Segev Y, Phillip M, Tal A. The effect of adenotonsillectomy on serum insulin-like growth factor-I and growth in children with obstructive sleep apnea syndrome. J Pediatr. 1999;135(1):76-80. https://doi.org/10.1016/ s0022-3476(99)70331-8 PMid:10393608
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