Mesh : Adenoidectomy / adverse effects Adolescent Adolescent Development Age Factors Biomarkers / blood Child Child Development Child, Preschool Ghrelin / blood Growth Disorders / blood etiology physiopathology Humans Infant Insulin-Like Growth Factor Binding Protein 3 / blood Insulin-Like Growth Factor I / metabolism Leptin / blood Risk Assessment Risk Factors Sleep Apnea Syndromes / blood complications physiopathology surgery Tonsillectomy / adverse effects Treatment Outcome

来  源:   DOI:10.23736/S0031-0808.20.03904-X

Abstract:
The availability of high-quality studies on the association between sleep-disordered breathing in children and delayed growth associated with the hormonal profile recorded before surgery and at follow-up is limited.
Medline PubMed, Scopus and WebOfScience databases were searched for relevant publications published between January 2008 to January 2020 and a total of 261 potentially eligible studies were identified.
Following review 19 papers were eligible for inclusion: seven reported a significant postsurgical increase in growth regardless of initial weight status, type of surgery, type of study design, and length of follow-up period. The only high-quality study was a randomized controlled trial that found an increased risk of obstructive sleep apnea syndrome relapse in overweight children. Twelve studies reported the significant increase in growth parameters showing that IGF-1, IGFBP-3, and ghrelin may boost growth after surgery.
The current systematic review demonstrates a scarcity of high-quality studies on growth delay in children with sleep-disordered breathing. Significant catch-up growth after surgery in the short term and changes in IGF-1, IGFBP-3, ghrelin, and leptin levels has been reported in most published studies.
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