Obesity and the
Department of Paediatrics, John Radcliffe Hospital, Oxford, UK.
Summary by Jamie H. Bassel, D.C., P.C.
In this month’s Archives in Diseases in Childhood, a complete review of the
current research focuses on the relative increase in obstructive sleep disorders
and its association with clinical obesity. It has been established that obese
children have more respiratory symptoms than children of normal weight. Weight
has a direct relationship with obstructive breathing disorders including sleep
apnea. Being overweight produces automatic changes in breathing performance.
Wheezing, coughing or snoring are not connected to improved airway sensitivity
and may react more to weight loss than invasive procedures like bronchodilator
therapy or surgery. A large amount of obese children have signs and symptoms of
airway obstruction largely linked to obesity and its effect on upper airway
size. The researchers conclude that unless weight loss and dietary changes are
made, the number of preventable deaths caused by obstructive sleep apnea will
continue to rise.
Dis Child. 2006 Feb;91(2):188-91.