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Presidential keynote address and new research highlights from the American Society of Pediatric Otolaryngology meeting
Date:4/10/2012

dds ratio 1.98, p=0.0381, 95%CI 1.04-3.79). None of the remaining 37 variables showed significant differences between cases and controls.

Is Tonsillectomy A Risk Factor for Childhood Obesity?
Speaker: Jessica Levi, MD
Date: Saturday, April 21, 2012
Time: 8:14 8:21am

San Diego, CA Children, particularly younger ones, gain weight after tonsillectomy but the odds of a child being overweight or obese after tonsillectomy was no different than before surgery.

Research methods were carried out on 200 children ages 2-12 undergoing tonsillectomy. All children had a pre-operative body mass index (BMI) recorded and a post-operative BMI recorded 6-18 months after surgery. Two hundred age and gender matched controls were selected for comparison. The Body mass index percentile for age (BMI %) was analyzed between and within groups. A Wilcoxon matched-pairs test was used to analyze BMI% pre and post tonsillectomy, and a Mann-Whitney test was used to compare BMI% between the study and control groups. An odds ratio was used to compare overweight (85%) and obese (95%) patients pre and post-operatively. A correlation analysis was used to examine the relationship between age and weight gain.

Study results concluded the BMI% between the study and control groups did not differ significantly prior to tonsillectomy (p = 0.1380). The BMI% in the study group increased significantly post tonsillectomy (p < 0.0001). Although they had a higher BMI% pre-operatively than age matched controls, older children had a smaller change in BMI% after tonsillectomy than younger children (p=0.0042). The odds of a child being overweight (85%) (Odds ratio= 1.226; p=0.3641) or obese (95%) (Odds ratio= 1.439; p= 0.1237) was not significantly different before or after tonsillectomy.

Effect of Obesity and Medical Comorbidities on Polysomnographic Outcomes After Adjunct Surgery in Adenotonsillectomy Failu
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Contact: Mary Stewart
mstewart@entnet.org
703-535-3762
American Academy of Otolaryngology - Head and Neck Surgery
Source:Eurekalert

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