The Effect of Obstructive Sleep Apnea Syndrome on Growth and Development in Nonobese Children: A Parallel Study of Twins - 25/02/15
, Hao Wu, MD, PhDAbstract |
Objective |
To explore the effects of obstructive sleep apnea syndrome (OSAS) on children's growth by the study of identical twins.
Study design |
Seventeen cases of nonobese children with OSAS were included in this study. The control group was their identical twin sibling, who had no signs of OSAS. Data including height, weight, and serum insulin–like growth factor 1 levels were analyzed before tonsillectomy and adenoidectomy (T&A) and at 3, 6, and 12 months after surgery.
Results |
The mean apnea hyponea index was 3.9 times/hour in patients with OSAS and became normal after surgery. Minimum oxygen saturation gradually increased after T&A. The height and weight of the OSAS group before T&A was lower than the control group. During the follow-up period, height and weight increased but were lower than the control group. Serum insulin–like growth factor 1 levels in the OSAS group before T&A were lower than the control group. The level was significantly increased 3 months after T&A.
Conclusion |
OSAS impairs growth and development. Significant growth recovery occurs after T&A, and early surgical intervention is an important factor for improvement in growth.
Le texte complet de cet article est disponible en PDF.Keyword : AHI, IGF-1, OSA, OSAS, T&A
Plan
| Supported by the National Natural Science Foundation of China (81371086 [to Z.W.]). The authors declare no conflicts of interest. |
Vol 166 - N° 3
P. 646 - mars 2015 Retour au numéro
Article précédent
- Sleep Disordered Breathing in Young Boys with Duchenne Muscular Dystrophy
- Hemant Sawnani, Lunliya Thampratankul, Rhonda D. Szczesniak, Matthew C. Fenchel, Narong Simakajornboon
- 50 Years Ago in The Journal of Pediatrics : A Note on the Influence of Thermal Factors upon Oxygen Consumption of the Newborn Human
- Jeffrey M. Perlman
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?