Obstructive Sleep Apnea in Underweight Children
| Autor: | Ron B. Mitchell, Shiva Daram, Courtney Johnson, Taylor Leavitt, Romaine F. Johnson |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Sleep Apnea Obstructive business.industry Polysomnogram Hypertrophy Ethnically diverse medicine.disease Rhinitis Allergic respiratory tract diseases Obstructive sleep apnea Otorhinolaryngology Thinness Case-Control Studies medicine Humans Surgery Female Underweight medicine.symptom Tonsillar hypertrophy business Child Retrospective Studies |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 167(3) |
| ISSN: | 1097-6817 |
| Popis: | To determine predictors of obstructive sleep apnea (OSA) in underweight children and to describe the demographic, clinical, and polysomnographic characteristics of an ethnically diverse population of underweight children with OSA.Case-control study.University of Texas Southwestern Medical Center and Children's Medical Center of Dallas.Underweight children aged 2 to 18 years who underwent a polysomnogram for suspected OSA between January 2014 and December 2020 were included. Underweight was defined as body mass index5th percentile per Centers for Disease Control and Prevention guidelines. Children with apnea-hypopnea index1.0 served as a control group. Univariate and multiple logistic regression analysis was used to determine the predictors of OSA. Significance was set atAn overall 124 children met inclusion criteria: mean age, 6.4 years; 50% female; 44% Hispanic, 31% African American, and 18% Caucasian. A total of 83 children had OSA (apnea-hypopnea index ≥1.0). Height was negatively correlated with OSA (odds ratio, 0.94; 95% CI, 0.88-0.99;Underweight children with OSA, as compared with those without OSA, are more likely to have decreased height, tonsillar hypertrophy, and allergic rhinitis. There are no predictors of severe OSA in underweight children. We recommend polysomnography for the diagnosis of OSA in symptomatic underweight children with large tonsils, especially when they have a history of allergies. |
| Databáze: | OpenAIRE |
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