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.

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