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- Title
Short-Term Weight Gain after Tonsillectomy Does Not Lead to Overweight: A Systematic Review.
- Authors
Buono, Pietro; Maines, Evelina; Azzolini, Nicolò; Franceschi, Roberto; Ludovica, Fedi; Leonardi, Letizia; Occhiati, Luisa; Mozzillo, Enza; Maffeis, Claudio; Marigliano, Marco
- 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.
- Subjects
FOOD habits; ADENOIDECTOMY; CHILDHOOD obesity; SYSTEMATIC reviews; AGE distribution; DIET; WEIGHT gain; RISK assessment; TONSILLECTOMY; POSTOPERATIVE period; BODY mass index; DISEASE risk factors
- Publication
Nutrients, 2024, Vol 16, Issue 2, p324
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16020324