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儿童肥胖与中耳积液性中耳炎之间的关系。

The Relationship Between Obesity and Otitis Media with Effusion in Children.

作者信息

Aghaei Saleh, Khademi Bijan, Faramarzi Mohammad, Babaei Amirhossein

机构信息

Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Otorhinolaryngol. 2025;37(2):79-84. doi: 10.22038/ijorl.2025.79859.3688.

Abstract

INTRODUCTION

Otitis media with effusion (OME) is a widespread condition affecting children globally. This study aimed to assess the relationship between obesity in pediatric populations and the risk of developing OME.

MATERIALS AND METHODS

This retrospective observational study was performed in 2020 at Khalili and Dastgheib hospitals, affiliated with Shiraz University of Medical Sciences in Shiraz, Iran. The study included all children aged 2 to 15 years with a confirmed OME diagnosis. Participants in the non-OME group were chosen from children who did not have OME.

RESULTS

A total of 148 healthy individuals were included in the non-OME group, while the OME group comprised 110 patients. Statistical analysis revealed that the mean age (p=0.040), weight (p<0.001), height (p=0.024), BMI (p=0.023), and BMI percentile (p=0.023) were significantly greater in the OME group compared to the non-OME group. Additionally, there was a higher proportion of males in the OME group (63.6%) compared to the non-OME group (44.0%), with this difference being statistically significant (p=0.001). Logistic regression analysis indicated that factors such as older age (p=0.023), male gender (p=0.001), and elevated BMI percentile (p=0.004) were significantly associated with the presence of OME.

CONCLUSION

This research indicates that there is a correlation between obesity and a heightened risk of OME.

摘要

引言

中耳积液(OME)是一种在全球范围内影响儿童的普遍病症。本研究旨在评估儿童肥胖与患OME风险之间的关系。

材料与方法

这项回顾性观察研究于2020年在伊朗设拉子医科大学附属的哈利利医院和达斯特盖布医院进行。该研究纳入了所有确诊为OME的2至15岁儿童。非OME组的参与者选自没有患OME的儿童。

结果

非OME组共纳入148名健康个体,而OME组包括110名患者。统计分析显示,与非OME组相比,OME组的平均年龄(p = 0.040)、体重(p < 0.001)、身高(p = 0.024)、BMI(p = 0.023)和BMI百分位数(p = 0.023)显著更高。此外,OME组男性比例(63.6%)高于非OME组(44.0%),这一差异具有统计学意义(p = 0.001)。逻辑回归分析表明,年龄较大(p = 0.023)、男性性别(p = 0.001)和BMI百分位数升高(p = 0.004)等因素与OME的存在显著相关。

结论

本研究表明肥胖与OME风险增加之间存在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a7/11949430/80b3e0ca193f/ijo-37-84-g001.jpg

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