Department of Family Medicine, Faculty of Medicine C103, Pamukkale University, 20070 Denizli, Turkey.
Eur Arch Otorhinolaryngol. 2013 Feb;270(2):689-94. doi: 10.1007/s00405-012-2064-x. Epub 2012 Jun 6.
The aim of this cross-sectional study was to determine the prevalence of tonsillectomy among secondary school children and to investigate whether tonsillectomy with or without adenoidectomy is a risk factor for childhood obesity. A total of 27 secondary schools with 12,296 students between the ages 11 and 17 were screened in Denizli, Turkey. We determined 129 students who had undergone tonsillectomy; each student was matched with two healthy control subjects of the same age and sex (n = 258). A 28-item questionnaire on nutrition and physical exercise was completed by the parents. Age-adjusted body mass index and waist circumference percentiles of Turkish boys and girls were used for the assessment of overweight and obesity. The prevalence of tonsillectomy was 1.0 %. There was no significant relationship between having tonsillectomy and being overweight or obese and physical exercise and screen time (p > 0.05 for each). Logistic regression analyses suggested no significant effect of tonsillectomy on overweight or obesity of the subjects (p > 0.05). It seems that tonsillectomy had no effect on overweight and obesity among children.
本横断面研究旨在确定中学生扁桃体切除术的流行率,并探讨扁桃体切除术(伴或不伴腺样体切除术)是否是儿童肥胖的危险因素。在土耳其代尼兹利,共对 27 所中学的 12296 名年龄在 11 至 17 岁的学生进行了筛查。我们确定了 129 名接受过扁桃体切除术的学生;每个学生都与同年龄和性别相同的 2 名健康对照者相匹配(n=258)。家长完成了一份关于营养和体育锻炼的 28 项问卷。使用土耳其男孩和女孩的年龄调整后体重指数和腰围百分位数来评估超重和肥胖。扁桃体切除术的流行率为 1.0%。扁桃体切除术与超重或肥胖以及体育锻炼和屏幕时间之间没有显著关系(每项 p>0.05)。逻辑回归分析表明扁桃体切除术对受试者的超重或肥胖没有显著影响(p>0.05)。似乎扁桃体切除术对儿童超重和肥胖没有影响。