Children who undergo adenotonsillectomy for obstructive sleep apnea (OSA) may be at risk for weight gain. So, a nutritional and physical activity intervention should be routinely included in the regimen. The primary outcomes of the Childhood Adenotonsillectomy Study (CHAT) study were cognitive and behavioral, 46% of patients in the control group had a resolution of OSA without surgery - although kids who had surgery had very large improvements in behavior . . . in both parent and teacher reports. The finding that children in both groups gained weight, but those who underwent surgery gained more, on average. The effect seems pronounced in children who are overweight before the procedure. This study demonstrates the profound influence that obstructive sleep apnea has on the metabolic processes in children, that is at least partially reversible with treatment. A comprehensive dietary and activity history be included in the preoperative evaluation of children with obstructive sleep apnea undergoing adenotonsillectomy, and that an appropriate anticipatory intervention to improve nutritional intake and increase physical activity be instituted postoperatively. Dr. Eliot Katz of Boston Childrens Hospital, reported online July 28 in Pediatrics.
Posted on: Thu, 31 Jul 2014 01:47:35 +0000
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