2016, Number 1
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Otorrinolaringología 2016; 61 (1)
Correlation of apnea-hypopnea index to nutritional state and degree of adenotonsillar hypertrophy in 5-14 years old patients
Rodríguez-González A, Loretto-Guerra CI
Language: Spanish
References: 14
Page: 50-56
PDF size: 384.37 Kb.
ABSTRACT
Objective: To determine the relation between the apnea-hypopnea
index (AHI) and the nutritional state and the degree of adenotonsillar
hypertrophy in children of a population of Nuevo León, Mexico.
Material and Method: A prospective, analytic, transversal and
comparative study in which to selected patients from September to
November 2011 were done a thorough clinical history and physical
examination, including anthropometric measurements, as well as polygraphic
recording system. We correlated the apnea-hypopnea index with
the degree of adenotonsillar hypertrophy and nutritional state using the
Pearson correlation coefficient.
Results: Thirty patients were included in the study; 97% of them were
diagnosed with obstructive sleep apnea-hypopnea syndrome. Patients
with adenotonsillar hypertrophy presented a positive correlation with
respect the apnea-hypopnea index, with an r value of 9.808, and p
value of 0.003. Patients with some degree of malnutrition presented a
higher apnea-hypopnea index, compared with the groups of normal
weight and obesity.
Conclusions: There is a positive relation between the degree of
adenotonsillar hypertrophy and apnea-hypopnea index, but not with
obesity in our population. Patients of 5 to 14 years could suffer from
obstructive sleep apnea-hypopnea syndrome, regardless of the nutrition
state, this could be due to the great frequency of the adenotonsillar
disease in this population.
REFERENCES
Eseverri MV, Noya P del V, Mac Lean B, Cipriani SA, Remedi AR. Ronquido primario y síntomas asociados a apneas obstructivas de la infancia: prevalencia, pesquisa y actitud familiar. Arch Argent Pediatr 2008;106:231-235.
Prevención, diagnóstico y tratamiento oportuno de la apnea obstructiva del sueño en pediatría en primer y segundo niveles de atención. México: Secretaría de Salud, 2008.
Maltrana-García JA, El Uali-Abeida M, Perez-Delgado L, Adiego-Leza I, et al. Síndrome de apnea obstructiva en niños. Acta Otorrinolaringol Esp 2009;60:202-207.
Caminiti C, Evangelista P, Leske V, Loto Y, Mazza C. Síndrome de apnea obstructiva del sueño en niños obesos sintomá ticos: confirmación polisomnográfica y su asociación con trastornos del metabolismo hidrocarbonado. Arch Argent Pediatr 2010;108:226-233.
Howard NS, Brietzke SE. Pediatric tonsil size: objective vs subjective measurements correlated to overnight polysomnogram. Otolaryngology Head Neck Surg. 2009;140:675- 681.
Arens R, Muzumdar H. Chilhood obesity and obstructive sleep apnea syndrome. J Appl Physiol 2010;108:436-444.
Prevención y diagnóstico de sobrepeso y obesidad en niños y adolescentes en el primer nivel de atención. México: Secretaría de Salud, 2008.
Shires CB, Anold SL, Schoumacher RA, Dehoff GW, et al. Body mass index as an indicator of obstructive sleep apnea in pediatric Down syndrome. Int J Pediatr Otorhinolaryngol 2010;74:768-772.
O’Driscoll DM, Horne RS, Davey MJ, Hope SA, et al. Increased sympathetic activity in children with obstructive sleep apnea: cardiovascular implications. Sleep Med 2011;12:483-488.
Rudnick EF, Mitchell RB. Behavior and obstructive sleep apnea in children: is obesity a factor? Laryngoscope 2007;117:1463-1466.
Mitchell RB, Kelly J. Outcome of adenotonsillectomy for obstructive sleep apnea in children under 3 years. Otolaryngol Head Neck Surg 2005;132:681-684.
Chakravorty SS, Finder JD. Positive airway pressure therapy in children. Sleep Med Clin 2010;5:439-449.
Rohde K, Verse T. Sleep disordered breathing. En: Hörmann Karl, Verse Thomas, coord. Surgery for sleep disordered breathing. 2ª Ed. Berlín: Springer-Verlag, 2010;1-3.
Marcus CL. Sleep-disordered breathing in children. Am J Respir Crit Care Med 2001;164:16-30.