{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:14:42Z","timestamp":1787163282011,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the impact of severe obesity on the severity of pediatric obstructive sleep apnea (OSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary stand\u2010alone pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive children with obesity (\u226595th percentile body mass index [BMI]) who underwent full\u2010night polysomnography between January 2021 and December 2021 were analyzed. Patients were categorized into obesity (\u226595th percentile BMI and &lt;120% of the 95th percentile) and severe obesity (\u2265120% of the 95th percentile BMI). The association between severe obesity and severe OSA was assessed using multiple logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 282 patients with a median age of 9.2 years (interquartile range 5.9\u201012.3), 63% male, and 65% Hispanic. In total, 53% were severely obese. Severely obese children had a higher prevalence of severe OSA (53% vs 33%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and very severe OSA (apnea\u2010hypopnea index\u2009\u2265\u200924; 24% vs 11%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006). Multiple logistic regression revealed that severe obesity was associated with severe OSA (adjusted odds ratio [aOR]\u2009=\u20093.44; 95% confidence interval [CI], 1.82\u20106.53;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) after adjusting for age, sex, and tonsillar hypertrophy. Among 170 patients who underwent posttonsillectomy polysomnography, 29% exhibited residual OSA, with 19% having residual severe OSA. Class 3 severe obesity was associated with residual OSA (aOR\u2009=\u20094.05, 95% CI\u2009=\u20091.09\u201015.00).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Children with severe obesity face substantial sleep disturbances and a heightened risk of residual OSA following adenotonsillectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.1295","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T07:35:11Z","timestamp":1747208111000},"page":"512-521","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association Between Severe Obesity and Pediatric Obstructive Apnea\u2014A Retrospective Case Series"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3707-6941","authenticated-orcid":false,"given":"Tyler A.","family":"Durham","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3581-3422","authenticated-orcid":false,"given":"Basir S.","family":"Mansoor","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1419-6019","authenticated-orcid":false,"given":"Stephen R.","family":"Chorney","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2322-5347","authenticated-orcid":false,"given":"Romaine F.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA"},{"name":"Department of Pediatric Otolaryngology Children's Medical Center of Dallas Dallas Texas 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