Skip to main content
Log in

The risk of overweight and obesity in children after tonsillectomy: a cross-sectional study

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Paradise JL (1995) Tonsillectomy and adenoidectomy. In: Bluestone CD, Stool SE, Kenna MA (eds) Pediatric Otolaryngology, 3rd edn. WB Saunders Co, Philadelphia, pp 1054–1065

    Google Scholar 

  2. Baugh RF, Archer SM, Mitchell RB, Rosenfeld RM, Amin R, Burns JJ et al (2010) Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg 144(1 suppl):S1–S30

    Article  Google Scholar 

  3. Akgun D, Seymour FK, Qayyum A, Crystal R, Frosh A (2008) Assessment of clinical improvement and quality of life before and after tonsillectomy. J Laryngol Otol 20:1–4

    Google Scholar 

  4. Barr GS, Osborne J (1988) Weight gain in children following tonsillectomy. J Laryngol Otol 102:595–597

    Article  PubMed  CAS  Google Scholar 

  5. Bar A, Tarasiuk A, Segev Y, Phillip M, Tal A (1999) The effect of adenotonsillectomy on serum insulin-like growth factor-I and growth in children with obstructive sleep apnea syndrome. J Pediatr 135:76–80

    Article  PubMed  CAS  Google Scholar 

  6. Soultan Z, Wadowski S, Rao M, Kravath RE (1999) Effect of treating obstructive sleep apnea by tonsillectomy and/or adenoidectomy on obesity in children. Arch Pediatr Adolesc Med 153:33–37

    PubMed  CAS  Google Scholar 

  7. Ersoy B, Yücetürk A, Taneli F, Ürk V, Uyanik B (2005) Changes in growth pattern, body composition and biochemical markers of growth after adenotonsillectomy in prepubertal children. Int J Pediatr Otorhinolaryngol 69:1175–1181

    Article  PubMed  Google Scholar 

  8. Roemmich JN, Barkley JE, D’Andrea L, Nikova M, Rogol AD, Carskadon MA et al (2006) Increases in overweight after adenotonsillectomy in overweight children with obstructive sleep-disordered breathing are associated with decreases in motor activity and hyperactivity. Pediatrics 117:200–208

    Article  Google Scholar 

  9. Aydogan M, Toprak D, Hatun S, Yüksel A, Gokalp AS (2007) The effect of recurrent tonsillitis and adenotonsillectomy on growth in childhood. Int J Pediatr Otorhinolaryngol 71:1737–1742

    Article  PubMed  Google Scholar 

  10. Wijga AH, Scholtens S, Wieringa MH, Kerkhof M, Gerritsen J, Brunekreef B et al (2009) Adenotonsillectomy and the development of overweight. Pediatrics 123(6):1095–1101

    Article  PubMed  Google Scholar 

  11. Jeyakumar A, Fettman N, Armbrecht ES, Mitchell R (2011) A systematic review of adenotonsillectomy as a risk factor for childhood obesity. Otolaryngol Head Neck Surg 144(2):154–158

    Article  PubMed  Google Scholar 

  12. Bar-Or O, Foreyt J, Bouchard C, Brownell KD, Dietz WH, Ravussin E et al (1998) Physical activity, genetic, and nutritional considerations in childhood weight management. Med Sci Sports Exerc 30(1):2–10

    Article  PubMed  CAS  Google Scholar 

  13. Dietz WH (2001) The obesity epidemic in young children. BMJ 322(7282):313–314

    Article  PubMed  CAS  Google Scholar 

  14. Han JC, Lawlor DA, Kimm SY (2010) Childhood obesity. Lancet 375(9727):1737–1748

    Article  PubMed  Google Scholar 

  15. Population-based prevention strategies for childhood obesity. Report of a WHO Forum and Technical Meeting, Geneva, Switzerland 15–17 December 2009. Retrieved Feb 2011 from: http://www.who.int/dietphysicalactivity/childhood/report/en/index.html

  16. Dietz WH (1998) Childhood weight affects adult morbidity and mortality. J Nutr 128(2 Suppl):S411

    Google Scholar 

  17. Biro FM, Wien M (2010) Childhood obesity and adult morbidities. Am J Clin Nutr 91(5):1499S–1505S

    Article  PubMed  Google Scholar 

  18. Kipping RR, Jago R, Lawlor DA (2008) Obesity in children. Part 2: prevention and management. BMJ 337:a1848

    Article  PubMed  Google Scholar 

  19. Neyzi O, Alp H, Orhon A (1975) Sexual maturation in Turkish girls. Ann Hum Biol 2:49–59

    Article  PubMed  CAS  Google Scholar 

  20. Neyzi O, Furman A, Bundak R, Gunoz H, Darendeliler F, Baş F (2006) Growth references for Turkish children aged 6–18 years. Acta Paediatr 95:1635–1641

    Google Scholar 

  21. Physical status: the use and interpretation of anthropometry, Report of a WHO Expert Committee (1995) World Health Organ Tech Rep Ser 854:1–452

    Google Scholar 

  22. Neyzi O, Gunoz H, Furman A, Bundak R, Gokcay G, Darendeliler F et al (2008) Weight, height, head circumference and body mass index references for Turkish children. J Pediatr 51:1–14 (in Turkish)

    Google Scholar 

  23. Hatipoglu N, Ozturk A, Mazicioglu MM, Kurtoglu S, Seyhan S, Lokoglu F (2008) Waist circumference percentiles for 7- to 17-year-old Turkish children and adolescents. Eur J Pediatr 167:383–389

    Article  PubMed  Google Scholar 

  24. Wei JL (2011) Weight gain after tonsillectomy: myth or reality? Interpreting research responsibly. Otolaryngol Head Neck Surg 144:855–857

    Article  PubMed  Google Scholar 

  25. Veugelers PJ, Fitzgerald AL (2005) Prevalence of and risk factors for childhood overweight and obesity. CMAJ 173(6):607–613

    PubMed  Google Scholar 

  26. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337(13):869–873

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We wish to thank the parents and students who participated in this survey, the teachers who helped in data collection, and finally the fifth-year medical students Orhan Kara, Caglayan Yavuz, Guven Erbay, Sahabettin Mete, Nergiz Girgin, Mine Atun, Tugba Ramasli, Mahmut Burak Kilci and Goksu Comlekcioglu who took part in this survey within the scope of an elective module.

Conflict of interest

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kenan Topal.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 61 kb)

Supplementary material 2 (PDF 33 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Topal, K., Kara, C.O., Bozkurt, A.I. et al. The risk of overweight and obesity in children after tonsillectomy: a cross-sectional study. Eur Arch Otorhinolaryngol 270, 689–694 (2013). https://doi.org/10.1007/s00405-012-2064-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-012-2064-x

Keywords

Navigation