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The risk of overweight and obesity in children after tonsillectomy: a cross-sectional study
Authors:Kenan Topal  Cuneyt Orhan Kara  Ali Ihsan Bozkurt  Esra Saatci
Institution:1. Department of Family Medicine, Faculty of Medicine C103, Pamukkale University, 20070, Denizli, Turkey
2. Department of Otorhinolaryngology, Faculty of Medicine, Pamukkale University, Denizli, Turkey
3. Department of Public Health, Faculty of Medicine, Pamukkale University, Denizli, Turkey
4. Department of Family Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey
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.
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