{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:49:41Z","timestamp":1789602581914,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T00:00:00Z","timestamp":1458000000000},"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":[[2016,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The severity of obstructive sleep apnea in children determines perioperative management and is an indication for postoperative polysomnography. The relationship between increasing weight and sleep apnea severity in children remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare demographic, clinical, and polysomnography parameters in normal\u2010weight, overweight, obese, and morbidly obese children, as well as identify demographic factors that predict sleep apnea severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic children\u2019s hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of 290 children aged 2 to 18 years who underwent polysomnography at an academic children\u2019s hospital was performed. Demographics, clinical findings, and polysomnographic parameters were recorded. Children were categorized as normal weight, overweight, obese, or morbidly obese. Differences were assessed using linear and logistical regression models. Significance was set at <jats:italic>P<\/jats:italic> &lt;. 05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Morbidly obese were older than normal\u2010weight children (mean, 8.0 \u00b1 0.5 years vs 5.8 \u00b1 0.3 years; <jats:italic>P<\/jats:italic> &lt;. 001) and less likely to have a normal polysomnogram (16% vs 48%; <jats:italic>P<\/jats:italic> =. 02). There were no differences in sex, ethnicity, birth status (term or preterm), or tonsil size between normal\u2010weight, overweight, obese, and morbidly obese children. Sleep efficiency and percentage of time in rapid eye movement were decreased in morbidly obese compared with other children (<jats:italic>P<\/jats:italic> &lt;. 05). The apnea\u2010hypopnea index was positively correlated with increasing body mass index <jats:italic>z<\/jats:italic> score only as a function of increasing age (<jats:italic>P<\/jats:italic> &lt;. 001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Obstructive sleep apnea severity is correlated with a combination of increasing age and weight but not with either variable independently. This study suggests that obese and morbidly obese older children are most likely to have severe obstructive sleep apnea.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599816636626","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T22:19:28Z","timestamp":1458080368000},"page":"936-943","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"154","author":[{"given":"Brian","family":"Scott","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romaine F.","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas Texas USA"},{"name":"Children\u2019s Health Children\u2019s Medical Center Dallas Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron B.","family":"Mitchell MD","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center Dallas Texas USA"},{"name":"Children\u2019s Health Children\u2019s Medical Center Dallas Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.68.3.360"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61622-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2010.09.015"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708-135MG"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.4.499"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.5.9809079"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.3049"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874620901003010019"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27649"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-007-0132-z"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)36806-7"},{"key":"e_1_2_8_13_1","unstructured":"American Academy of Sleep Medicine.The AASM Manual for the Scoring of Sleep and Associated Events: Rules Terminology and Technical Specifications Version 2.1.http:\/\/www.aasmnet.org\/scoringmanual\/default.aspx. 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