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Voltan C, Concer F, Pecoraro L, Pietrobelli A, Piacentini G, Zaffanello M. Exploring the Complex Interplay of Obesity, Allergic Diseases, and Sleep-Disordered Breathing in Children. CHILDREN (BASEL, SWITZERLAND) 2024; 11:595. [PMID: 38790590 PMCID: PMC11120164 DOI: 10.3390/children11050595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 04/29/2024] [Accepted: 05/13/2024] [Indexed: 05/26/2024]
Abstract
This narrative review study investigates the correlations between obesity, allergies, and sleep-disordered breathing in pediatric populations. Searches for pertinent articles were conducted on the Medline PubMed Advanced Search Builder, Scopus, and Web of Science databases from unlimited to April 2024. Sleep-disordered breathing causes repeated upper airway obstructions, leading to apneas and restless sleep. Childhood obesity, which affects around 20% of children, is often associated with sleep-disordered breathing and allergies such as asthma and allergic rhinitis. It is distinguished between diet-induced obesity (resulting from excess of diet and physical inactivity) and genetic obesity (such as is seen in Down syndrome and Prader-Willi syndrome). In children with diet-induced obesity, chronic inflammation linked to weight can worsen allergies and increase the risk and severity of asthma and rhinitis. Furthermore, the nasal congestion typical of rhinitis can contribute to upper respiratory tract obstruction and obstructive sleep apnea. A vicious circle is created between asthma and sleep-disordered breathing: uncontrolled asthma and sleep-disordered breathing can worsen each other. In children with genetic obesity, despite alterations in the immune system, fewer allergies are observed compared to the broader population. The causes of this reduced allergenicity are unclear but probably involve genetic, immunological, and environmental factors. Additional research is necessary to elucidate the underlying mechanisms. The present narrative review study emphasizes the importance of jointly evaluating and managing allergies, obesity, and obstructive sleep apnea in children considering their close interconnection.
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Affiliation(s)
| | | | | | | | | | - Marco Zaffanello
- Pediatric Clinic, Department of Surgery, Dentistry, Gynecology and Pediatrics, University of Verona, 37129 Verona, Italy (A.P.)
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Gueye-Ndiaye S, Tully M, Tsou PY, Amin R, Baldassari CM, Chervin RD, Cielo CM, George A, Hassan F, Ibrahim S, Ishman SL, Kirkham EM, Mitchell RB, Naqvi K, Prero M, Rueschman M, Tapia IE, Sendon C, Wang R, Redline S, Ross K. The effect of adenotonsillectomy on asthma symptoms in the Pediatric Adenotonsillectomy Trial for Snoring (PATS). Pediatr Pulmonol 2024. [PMID: 38656626 DOI: 10.1002/ppul.27022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Accepted: 04/10/2024] [Indexed: 04/26/2024]
Affiliation(s)
- Seyni Gueye-Ndiaye
- Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Meg Tully
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Po-Yang Tsou
- Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Raouf Amin
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Cristina M Baldassari
- Division of Sleep Medicine, Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Children's Hospitals of The King's Daughters, Norfolk, Virginia, USA
| | - Ronald D Chervin
- Department of Neurology, Michigan Medicine, Ann Arbor, Michigan, USA
| | - Christopher M Cielo
- Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Alisha George
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Fauziya Hassan
- Department of Pediatrics, Michigan Medicine, Ann Arbor, Michigan, USA
| | - Sally Ibrahim
- Rainbow Babies and Children's Hospital and University Hospitals, Cleveland, Ohio, USA
| | - Stacey L Ishman
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Erin M Kirkham
- Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, Michigan, USA
| | - Ron B Mitchell
- Children's Medical Center of Dallas and UT Southwestern Medical Center, Dallas, Texas, USA
| | - Kamal Naqvi
- Children's Medical Center of Dallas and UT Southwestern Medical Center, Dallas, Texas, USA
| | - Moshe Prero
- Rainbow Babies and Children's Hospital and University Hospitals, Cleveland, Ohio, USA
| | - Michael Rueschman
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Ignacio E Tapia
- University of Miami Health System and Miller School of Medicine, Miami, Florida, USA
| | - Carlos Sendon
- Division of Sleep Medicine, Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Children's Hospitals of The King's Daughters, Norfolk, Virginia, USA
| | - Rui Wang
- Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA
- Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
| | - Susan Redline
- Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Kristie Ross
- Rainbow Babies and Children's Hospital and University Hospitals, Cleveland, Ohio, USA
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Nosetti L, Gozal D. Exploring the bidirectional relationship between asthma and obstructive sleep apnea in Brazilian pediatric patients: one more piece to the Puzzle. J Pediatr (Rio J) 2023; 99:423-424. [PMID: 37253428 PMCID: PMC10492138 DOI: 10.1016/j.jped.2023.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Affiliation(s)
- Luana Nosetti
- Insubria University, F. Del Ponte Hospital, Department of Pediatrics, Pediatric Sleep Disorders Center, Varese, Italy
| | - David Gozal
- University of Missouri School of Medicine, Department of Child Health, Child Health Research Institute, Columbia, MO, USA.
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Witmans M, Tablizo MA. Current Concepts in Pediatric Obstructive Sleep Apnea. CHILDREN 2023; 10:children10030480. [PMID: 36980038 PMCID: PMC10046964 DOI: 10.3390/children10030480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/18/2023] [Indexed: 03/05/2023]
Abstract
Obstructive sleep apnea (OSA) is described as intermittent partial or complete upper airway obstruction that can disrupt respiratory and ventilatory patterns during sleep [...]
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Affiliation(s)
- Manisha Witmans
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada
- Correspondence:
| | - Mary Anne Tablizo
- Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA
- Department of Pediatrics, Valley Children’s Hospital, Madera, CA 93636, USA
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