Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review
Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsille...
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| Published in | Nutrients Vol. 16; no. 2; p. 324 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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MDPI AG
22.01.2024
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| Online Access | Get full text |
| ISSN | 2072-6643 2072-6643 |
| DOI | 10.3390/nu16020324 |
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| Abstract | Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate–high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected. |
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| AbstractList | Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate–high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected. Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate-high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected.Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate-high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected. |
| Audience | Academic |
| Author | Ludovica, Fedi Azzolini, Nicolò Franceschi, Roberto Leonardi, Letizia Buono, Pietro Maffeis, Claudio Occhiati, Luisa Mozzillo, Enza Marigliano, Marco Maines, Evelina |
| AuthorAffiliation | 2 Pediatric Diabetology Unit, Pediatric Department, S. Chiara General Hospital, Azienda Provinciale per i Servizi Sanitari del Trentino, 38122 Trento, Italy; evelina.maines@apss.tn.it (E.M.); nicolo.azzolini@apss.tn.it (N.A.); lleonardi39@gmail.com (L.L.) 1 Directorate General of Health, Campania Region, 80131 Naples, Italy; petro.buono2@regione.campania.it 3 Department of Translational Medical Science, Section of Pediatrics, Regional Center of Pediatric Diabetes, Federico II University of Naples, 80131 Naples, Italy; ludovicafedi1@gmail.com (F.L.); luisaocchiati@gmail.com (L.O.) 4 Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy; claudio.maffeis@univr.it (C.M.); marco.marigliano@univr.it (M.M.) |
| AuthorAffiliation_xml | – name: 2 Pediatric Diabetology Unit, Pediatric Department, S. Chiara General Hospital, Azienda Provinciale per i Servizi Sanitari del Trentino, 38122 Trento, Italy; evelina.maines@apss.tn.it (E.M.); nicolo.azzolini@apss.tn.it (N.A.); lleonardi39@gmail.com (L.L.) – name: 3 Department of Translational Medical Science, Section of Pediatrics, Regional Center of Pediatric Diabetes, Federico II University of Naples, 80131 Naples, Italy; ludovicafedi1@gmail.com (F.L.); luisaocchiati@gmail.com (L.O.) – name: 4 Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, 37134 Verona, Italy; claudio.maffeis@univr.it (C.M.); marco.marigliano@univr.it (M.M.) – name: 1 Directorate General of Health, Campania Region, 80131 Naples, Italy; petro.buono2@regione.campania.it |
| Author_xml | – sequence: 1 givenname: Pietro surname: Buono fullname: Buono, Pietro – sequence: 2 givenname: Evelina orcidid: 0000-0002-0445-2974 surname: Maines fullname: Maines, Evelina – sequence: 3 givenname: Nicolò surname: Azzolini fullname: Azzolini, Nicolò – sequence: 4 givenname: Roberto orcidid: 0000-0002-2230-7148 surname: Franceschi fullname: Franceschi, Roberto – sequence: 5 givenname: Fedi surname: Ludovica fullname: Ludovica, Fedi – sequence: 6 givenname: Letizia surname: Leonardi fullname: Leonardi, Letizia – sequence: 7 givenname: Luisa orcidid: 0000-0002-5573-6301 surname: Occhiati fullname: Occhiati, Luisa – sequence: 8 givenname: Enza orcidid: 0000-0002-8437-8494 surname: Mozzillo fullname: Mozzillo, Enza – sequence: 9 givenname: Claudio orcidid: 0000-0002-3563-4404 surname: Maffeis fullname: Maffeis, Claudio – sequence: 10 givenname: Marco orcidid: 0000-0002-3232-8807 surname: Marigliano fullname: Marigliano, Marco |
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