[Study on the relationship between adenoid and tonsil hypertrophy and obesity in children]

Objective: To study the relationship between adenoid hypertrophy, tonsillar hypertrophy and overweight or even obesity in children. Methods: A total of 799 children aged 2 to 12 years with tonsillar and adenoid hypertrophy from January 2015 to December 2019 in the Department of Otolaryngology Head Neck Surgery, the Sixth Medical Center of Chinese PLA General Hospital were selected. The body mass index (BMI) was calculated according to the height and weight measured routinely at the time of admission. The difference of BMI between children and normal children of the same age, and the correlation between adenoid, tonsil hypertrophy and obesity were compared. Chi-square test was used to compare the surgical children's BMI of different genders with normal children of the same age, and Spearman rank correlation was used to analyze the correlation between BMI and adenoid and tonsil hypertrophy. Results: The Spearman correlation coefficient between tonsil hypertrophy and BMI was 0.078, P=0.077, the Spearman correlation coefficient between adenoid hypertrophy and BMI was -0.058(P=0.100). χ(2) test showed that the proportion of overweight and obesity in school-age children (7~12 years old) was significantly higher than that in preschool children (2~6 years old), and the difference was statistically significant (χ(2)(male)=22.386, P(male)<0.001, χ(2)(female)=4.478, P(female)<0.001). Conclusion: There is no obvious correlation between adenoid hypertrophy, tonsil hypertrophy and overweight or obesity in children, but the probability of children overweight or obesity increases with age, and the proportion of obesity in children aged 7-12 years is higher.

目的： 研究儿童腺样体扁桃体肥大与肥胖之间的关系。 方法： 回顾性分析解放军总医院第六医学中心耳鼻咽喉头颈外科自2015年1月至2019年12月收治的因扁桃体和腺样体肥大行手术治疗的2~12岁患儿799例的病例资料，按入院时测量的身高、体重，计算体质量指数（BMI）。对比患儿与同龄儿童BMI有无差异，及腺样体、扁桃体肥大程度与患儿肥胖之间的相关关系。使用卡方检验对不同性别患儿与同龄儿童的BMI进行分组比较，Spearman秩相关对BMI与腺样体和扁桃体肥大程度的相关关系分别进行统计学分析。 结果： 扁桃体肥大程度与BMI的Spearman相关系数为0.078，P=0.077，而腺样体肥大程度与BMI的Spearman相关系数为-0.058，P=0.100。学龄期患儿（7~12岁）超重及肥胖比例明显高于学龄前患儿（2~6岁），差异有统计学意义（χ(2)(男)=22.386，P(男)<0.001，χ(2)(女)=14.478，P(女)<0.001）。 结论： 儿童腺样体肥大和扁桃体肥大与肥胖无明显相关，但患儿随着年龄的增长出现超重及肥胖的概率相应增加，在7～12岁的儿童中肥胖所占的比例较高。.

Keywords: Adenoid hypertrophy; Children; Obesity; Tonsil hypertrophy.