Dietary profile of pediatric obstructive sleep apnea patients, effects of routine educational counseling, and predictors for outcomes

Frontiers in Public Health

Public Health

Hai-Hua Chuang¹  Rong-Ho Lin²  Albert C. Yang³  Guo-She Lee⁴  Cheryl C. H. Yang⁵  Terry B. J. Kuo⁶  Li-Ang Lee⁷  Jen-Fu Hsu⁸  Li-Pang Chuang⁹  Yu-Shu Huang^1,10  Tuan-Jen Fang^1,11  Hsueh-Yu Li^1,11 

[1] Department of Family Medicine, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Industrial Engineering and Manage-ment, National Taipei University of Technology, Taipei, Taiwan;College of Medicine, Chang Gung University, Taoyuan, Taiwan;School of Medicine, National Tsing Hua University, Hsinchu, Taiwan;Department of Industrial Engineering and Manage-ment, National Taipei University of Technology, Taipei, Taiwan;Department of Psychiatry, Taipei Veter-ans General Hospital, Taipei, Taiwan;Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan;Department of Otolaryngology, Ren-Ai Branch, Taipei City Hospital, Taipei, Taiwan;Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;Sleep Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan;Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;Tsaotun Psychiatric Center, Ministry of Health and Wel-fare, Nantou, Taiwan;Sleep Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;College of Medicine, Chang Gung University, Taoyuan, Taiwan;Sleep Center, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Otorhinolaryngology – Head and Neck Surgery, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Pediatrics, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Pulmonary and Critical Care Medicine, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Sleep Center, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Sleep Center, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Child Psychiatry, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Metabolism and Obesity Institute, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Sleep Center, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;Department of Otorhinolaryngology – Head and Neck Surgery, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan;

关键词: adenotonsillectomy;    children;    dietary profile;    dietary educational counseling;    food frequency;    food literacy;    obstructive sleep apnea;    outcome assessment;   

DOI  :  10.3389/fpubh.2023.1160647

 received in 2023-02-07, accepted in 2023-05-16,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundDietary behavior is a main contributing yet modifiable factor to the body weight status of children and may be involved in the pathophysiology of childhood obstructive sleep apnea (OSA). This study aimed to investigate the dietary profile of pediatric OSA patients, effects of educational counseling after adenotonsillectomy, and predictor for disease resolution.MethodsThis observational study included 50 pediatric OSA patients undergoing adenotonsillectomy with routine educational counseling (Group 1), 50 pediatric OSA patients undergoing adenotonsillectomy without formal educational counseling (Group 2), and 303 healthy children without OSA (Control). The three groups were matched by age. The consumption frequency of 25 food items/groups was assessed by the Short Food Frequency Questionnaire. Quality of life was evaluated by the OSA-18 questionnaire. Sleep architecture and OSA severity were measured by standard polysomnography. Between- and within-group comparisons were analyzed by non-parametric approaches and generalized estimating equations. Prediction of disease recovery was performed by multivariable logistic regression models.ResultsGroup 1 children consumed fruit drinks with sugar, vegetables, sweets, chocolate, rice, and noodles more frequently than Control Group children. At baseline, the distributions of sex, weight status, OSA-18 scores, and polysomnographic variables were comparable between Group 1 and Group 2. After a 12-month follow-up, Group 1 had better improvements in physical suffering, caregiver concerns, sleep architecture, and mean peripheral oxygen saturation compared to Group 2. Furthermore, Group 1 no longer had excessive consumption of fruit drinks with sugar, chocolate, and noodles; however, food consumption frequencies did not change significantly. Notably, younger age and reduced intake of butter/margarine on bread and noodles were independent predictors of cured OSA in Group 1.ConclusionThe present study preliminarily characterized an unhealthy dietary profile among pediatric OSA patients and suggested that routine educational counseling in addition to adenotonsillectomy yielded some clinical benefits. Certain items/groups of food frequencies may be associated with disease recovery and further investigations are warranted.

【 授权许可】

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