title: Otolaryngologic findings in prepubertal obese children with sleep-disordered breathing.
abstract: OBJECTIVE
  To evaluate otolaryngologic findings in obese prepubertal children with sleep-disordered breathing.
  
  
  METHODS
  We prospectively evaluated 29 obese children referred by pediatric endocrinologist, complaining of snoring and without a history of nasal surgery or removal of the palatine tonsils and/or adenoids. Patients underwent ear, nose and throat (ENT) examination, endoscopy, measurements of weight, height, calculation of body mass index (BMI), assessment of BMI z-score and polysomnography, from which were divided into two groups: those with obstructive sleep apnea syndrome (nine children) and those with primary snoring (20 children). Then we proceeded to the statistical analysis of the data collected.
  
  
  RESULTS
  The groups did not differ in age, gender, weight, height, BMI and BMI z-score. Among the findings of the ENT examination, the adenoid size was the only one that differed between the groups (p = 0.01).
  
  
  CONCLUSIONS
  The evaluation of the adenoid size is an important in obese children with symptoms of sleep-disordered breathing and is related to the presence of obstructive sleep apnea syndrome.
authors: Department of Otorhinolaryngology of Federal University of São Paulo, Brazil. Electronic address: jualves39@yahoo.com.br.
authors: Juliana Alves
authors: JA
authors: de Sousa Caixêta
authors: Alex Martins
authors: AM
authors: Saramago
authors: Gustavo Antonio
authors: GA
authors: Moreira
authors: Reginaldo Raimundo
authors: RR
authors: Fujita
mesh_terms: D000234:Adenoids / Q000473:pathology*; D000367:Age Factors; D015992:Body Mass Index; D001938:Brazil; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000453:epidemiology / Q000473:pathology; D015994:Incidence; D008297:Male; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology*; D010036:Otolaryngology / Q000379:methods; D017286:Polysomnography / Q000379:methods; D011379:Prognosis; D011446:Prospective Studies; D018570:Risk Assessment; D012891:Sleep Apnea Syndromes / Q000175:diagnosis / Q000453:epidemiology*; D012913:Snoring / Q000175:diagnosis / Q000453:epidemiology*
keywords: Adenoid hypertrophy; Child; Obesity; Obstructive sleep apnea syndrome