Istinye University, Department of Otorhinolaryngology, Istanbul, Turkey.
Bursa Yuksek Ihtisas Training and Research Hospital, Department of Otorhinolaryngology, Bursa, Turkey.
Int J Pediatr Otorhinolaryngol. 2022 Oct;161:111272. doi: 10.1016/j.ijporl.2022.111272. Epub 2022 Aug 9.
The aim of this study was to investigate the relationship between obesity and otitis media with effusion. 471 cases with ages between 4 and 12 years were included. Of the 471 cases, 204 cases (97 girls, 107 boys) were diagnosed OME, the study group, 267cases (127 girls, 140 boys) were the control group. Body mass index of the two groups were compared to each other. The average body mass index for girls in all age groups was 17.93 ± 1.92 (n: 97) for cases with OME and 16.67 ± 1.28 (n: 127) for the control group.(p < 0.05). The average BMI for boys in all age groups was 18.25 ± 1.98 (n: 107) for cases with OME and 16.30 ± 1.26 (n: 140) for the control group. (p < 0.05). Children with a BMI greater than or equal to the 85th percentile were considered to be overweight or obese. Regarding the girls, of the 97 cases with OME, 23 cases were overweight, whereas of the 127 control cases, 7 cases were found to be overweight. This difference was statistically significant (p < 0.05). Regarding the boys, of the 107 cases with OME, 29 cases were overweight, whereas of the 140 control cases, 13 cases were found to be overweight. This difference was also statistically significant (p < 0.05). It is concluded that childhood obesity and overweight may play a role as a predisposing factor in the development of OME. It is also noted that even if a child is in the normal range of BMI percentile (less than 85th percentile; not obese or overweight), as the BMI increases, the relative risk of developing OME increases.
本研究旨在探讨肥胖与分泌性中耳炎（OME）的关系。共纳入 471 例年龄在 4 至 12 岁的患者。其中 204 例（97 名女孩，107 名男孩）被诊断为 OME，为研究组，267 例（127 名女孩，140 名男孩）为对照组。比较两组的体重指数。所有年龄段女孩的平均 BMI 为 OME 组 97 例的 17.93 ± 1.92（n：97）和对照组 127 例的 16.67 ± 1.28（n：127）（p<0.05）。所有年龄段男孩的平均 BMI 为 OME 组 107 例的 18.25 ± 1.98（n：107）和对照组 140 例的 16.30 ± 1.26（n：140）（p<0.05）。BMI 大于或等于第 85 百分位的儿童被认为超重或肥胖。关于女孩，97 例 OME 中有 23 例超重，而 127 例对照组中只有 7 例超重。这一差异具有统计学意义（p<0.05）。关于男孩，107 例 OME 中有 29 例超重，而 140 例对照组中只有 13 例超重。这一差异也具有统计学意义（p<0.05）。结论是，儿童肥胖和超重可能是 OME 发展的易患因素。还注意到，即使儿童的 BMI 百分位在正常范围内（小于第 85 百分位；不肥胖或超重），随着 BMI 的增加，患 OME 的相对风险也会增加。
