Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment – A systematic review

Jul 3, 2016International journal of pediatric otorhinolaryngology

Obstructive Sleep Apnea in Overweight Children and Teens: Treatments and Their Results

AI simplified

GLP-1 Therapies on OpenScience ↗PubMed ↗DOI ↗

Abstract

The prevalence of persistent obstructive sleep apnea (OSA) in obese children ranges from 33% to 76% after adenotonsillectomy.

Persisting OSA is more common in obese children compared to non-obese children, with rates of 15% to 37%.
Weight loss interventions have been associated with significant improvements in OSA, leading to a prevalence of persistent OSA between 10% and 38%.
Positive airway pressure treatment for OSA is effective, but average nightly use is less than 4 hours in two-thirds of studies.
Obese children appear to benefit less from adenotonsillectomy than their normal-weight counterparts.

AI simplified

OBJECTIVES: To systematically review and discuss the outcome of treating obstructive sleep apnea (OSA) in obese children and adolescents.

METHODS: In February 2016 Pub Med was searched using a predetermined string to retrieve all relevant articles. The search identified 518 publications. In total 16 articles were included for review using the selected inclusion and exclusion criteria. The PRISMA guidelines was used.

RESULTS: OSA was significantly more likely to persist in obese children after adenotonsillectomy. The prevalence of persistent OSA ranged from 33 to 76% in obese children and from 15 to 37% in non-obese children depending on the definition of OSA, the degree of obesity and the age of the study population. The few studies that investigated the effect of weight loss found that OSA improved significantly after intervention and that the prevalence of persistent OSA varied between 10 and 38%. Positive airway pressure was effective for treating OSA, but the mean nightly use was <4 h in two out of three available studies.

CONCLUSION: Obese children benefit less from adenotonsillectomy than normal-weight children. Weight loss improve OSA significantly, but more research is needed to clarify the role of weight loss as treatment for OSA. Positive airway pressure is effective for treating OSA; however, adherence is a challenge.

Full Text

Full text is available at the source.

View full text (XML) ↗View full text ↗

Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment – A systematic review

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief