Alaraifi Abdulaziz K, Alosfoor Mariam A, Alsaab Fahad
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
Int J Pediatr Otorhinolaryngol. 2020 Jun;133:110005. doi: 10.1016/j.ijporl.2020.110005. Epub 2020 Mar 13.
Otitis Media with Effusion (OME) is the most common cause of hearing impairment in the pediatric population. Pediatric obesity is another major health issue with numerous reported health consequences, however, published studies about its role in OME are limited. This study aims to investigate the impact of pediatric obesity on the prevalence and outcome of OME.
A case-control study on 112 children aged 2-18 years who underwent ventilation tube insertion for the treatment of OME during 2015-2017 (cases) and 130 children with no history of OME matching for age and gender (control group). Each group was divided into four subgroups based on BMI by age and gender. The differences in the BMI between the cases and the control group were explored. The cases were further divided into obese and non-obese subgroups and were compared to determine the impact of obesity on the presentation and outcome of OME.
Mean±SD BMI is significantly higher in the cases compared to the control group (19.98±5.20 vs. 17.25±4.21) (P=0.032). Obesity is significantly more prevalent in patients with OME compared to the control group (25.0% vs. 19.2%) (P=0.021). Obese OME patients are more prone to develop recurrence compared to non-obese OME patients (OR 3.51, 95% CI1.12, 11.01).
Pediatric obesity might be associated with the development of OME. Moreover, obese OME patients are more prone to develop recurrence compared to non-obese patients.
中耳积液（OME）是儿童听力障碍最常见的原因。儿童肥胖是另一个主要的健康问题，有许多报道的健康后果，然而，关于其在OME中作用的已发表研究有限。本研究旨在调查儿童肥胖对OME患病率和结局的影响。
对2015年至2017年期间因治疗OME而接受通气管插入术的112名2至18岁儿童（病例组）和130名无OME病史、年龄和性别匹配的儿童（对照组）进行病例对照研究。根据年龄和性别将每组分为四个亚组。探讨病例组和对照组之间BMI的差异。将病例组进一步分为肥胖和非肥胖亚组，并进行比较，以确定肥胖对OME表现和结局的影响。
与对照组相比，病例组的平均±标准差BMI显著更高（19.98±5.20 vs. 17.25±4.21）（P = 0.032）。与对照组相比，OME患者中肥胖的患病率显著更高（25.0% vs. 19.2%）（P = 0.021）。与非肥胖OME患者相比，肥胖OME患者更容易复发（OR 3.51，95%CI1.12，11.01）。
儿童肥胖可能与OME的发生有关。此外，与非肥胖患者相比，肥胖OME患者更容易复发。
