Pediatric obstructive sleep apnea in obese and normal-weight children

Impact of adenotonsillectomy on quality-of-life and behavior

Ron B. Mitchell, Emily Boss

Research output: Contribution to journalArticle

Abstract

Objectives: To evaluate the impact of adenotonsillectomy (TA) on quality-of-life (QOL) and behavior in obese versus normal-weight children with Obstructive Sleep Apnea (OSA). Design: Prospective, non-randomized, controlled study. Methods: Children with an apnea-hypopnea index (AHI)≥ 2 were studied. Polysomnography was performed before and after TA. An age- and gender-specific body mass index (BMI-for-age) percentile was determined preoperatively. Children who were obese (>95th percentile) were compared to normal-weight children (BMI-for-age > 5th-85th percentile). Caregivers completed the OSA-18 QOL survey and the Behavioral Assessment Survey for Children (BASC) before surgery and 3-6 months postoperatively. Pre- and postoperative scores were compared using paired t-tests, and the impact of covariants was analyzed using ANOVA. Results: The study population consisted of 89 children, 40 of whom were obese (45%). Postoperative scores for AHI, OSA-18 total and domain scores, and BASC scales and composites were significantly lower (improved) compared to pre-operative values in all children (p

Original languageEnglish (US)
Pages (from-to)650-661
Number of pages12
JournalDevelopmental Neuropsychology
Volume34
Issue number5
DOIs
StatePublished - Sep 2009

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Obstructive Sleep Apnea
Quality of Life
Pediatrics
Weights and Measures
Apnea
Polysomnography
Caregivers
Analysis of Variance
Body Mass Index
Population
Surveys and Questionnaires

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Neuropsychology and Physiological Psychology

Cite this

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title = "Pediatric obstructive sleep apnea in obese and normal-weight children: Impact of adenotonsillectomy on quality-of-life and behavior",
abstract = "Objectives: To evaluate the impact of adenotonsillectomy (TA) on quality-of-life (QOL) and behavior in obese versus normal-weight children with Obstructive Sleep Apnea (OSA). Design: Prospective, non-randomized, controlled study. Methods: Children with an apnea-hypopnea index (AHI)≥ 2 were studied. Polysomnography was performed before and after TA. An age- and gender-specific body mass index (BMI-for-age) percentile was determined preoperatively. Children who were obese (>95th percentile) were compared to normal-weight children (BMI-for-age > 5th-85th percentile). Caregivers completed the OSA-18 QOL survey and the Behavioral Assessment Survey for Children (BASC) before surgery and 3-6 months postoperatively. Pre- and postoperative scores were compared using paired t-tests, and the impact of covariants was analyzed using ANOVA. Results: The study population consisted of 89 children, 40 of whom were obese (45{\%}). Postoperative scores for AHI, OSA-18 total and domain scores, and BASC scales and composites were significantly lower (improved) compared to pre-operative values in all children (p",
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