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Relationship between chronic otitis media with effusion and overweight or obesity in children

Published online by Cambridge University Press:  15 August 2017

S Kaya
Affiliation:
Department of Otolaryngology, Inonu University, Malatya, Turkey
E Selimoğlu*
Affiliation:
Department of Otolaryngology, Inonu University, Malatya, Turkey
S Cureoğlu
Affiliation:
Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota, USA
M A Selimoğlu
Affiliation:
Department of Pediatrics, Inonu University, Malatya, Turkey
*
Address for correspondence: Dr M A Selimoğlu, Department of Pediatrics, Faculty of Medicine, Inonu University, Malatya, Turkey E-mail: ayseselimoglu@hotmail.com

Abstract

Objectives:

Otitis media with effusion and obesity are both common in childhood and might share some immunological alterations. This study aimed to investigate the relationship between chronic otitis media with effusion and childhood overweight or obesity, including the potential effects of adenoid or tonsillar hypertrophy on that relationship.

Methods:

This study included 60 children with chronic otitis media with effusion and 86 healthy children aged from 2 to 10 years. Measures of height and weight were used to calculate the body mass index, weight for height and weight z score.

Results:

The prevalence of overweight or obesity was higher in children with chronic otitis media with effusion, according to the weight for height percentiles (p = 0.012). However, neither the presence of adenoid or tonsillar hypertrophy nor the degree of adenoid hypertrophy was associated with overweight or obesity.

Conclusion:

Overweight and obesity might be risk factors for developing chronic otitis media with effusion, or vice versa.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Gates, GA, Klein, JO, Lim, DJ, Mogi, G, Ogra, PL, Paparella, MM et al. Recent advances in otitis media, 1: definitions, terminology, and classification of otitis media. Ann Otol Rhinol Laryngol Suppl 2002;111:818 Google Scholar
2 Kim, JB, Park, DC, Cha, CI, Yeo, SG. Relationship between pediatric obesity and otitis media with effusion. Arch Otolaryngol Head Neck Surg 2007;133:379–82CrossRefGoogle ScholarPubMed
3 Kim, SH, Park, DC, Byun, JY, Park, MS, Cha, CI, Yeo, SG. The relationship between overweight and otitis media with effusion in children. Int J Obes (Lond) 2011;35:279–82CrossRefGoogle ScholarPubMed
4 Shin, IH, Park, DC, Kwon, C, Yeo, SG. Changes in taste function related to obesity and chronic otitis media with effusion. Arch Otolaryngol Head Neck Surg 2011;137:242–6CrossRefGoogle ScholarPubMed
5 Kuhle, S, Kirk, SF, Ohinmaa, A, Urschitz, MS, Veugelers, PJ. The association between childhood overweight and obesity and otitis media. Pediatr Obes 2012;7:151–7CrossRefGoogle ScholarPubMed
6 Friedman, M, Hwang, MS. Brodsky and Friedman scales and clinical tonsil size grading in children. JAMA Otolaryngol Head Neck Surg 2015;141:947–8Google ScholarPubMed
7 Lahti-Koski, M, Gill, T. Defining childhood obesity. In: Kiess, W, Marcus, C, Wabitsch, M, eds. Obesity in Childhood and Adolescence. Pediatr Adolesc Med. Basel, Karger, 2004;9:119 Google Scholar
8 Smirnova, MG, Kiselev, SL, Gnuchev, NV, Birchall, JP, Pearson, JP. Role of the pro-inflammatory cytokines tumor necrosis factor-alpha, interleukin-1 beta, interleukin-6 and interleukin-8 in the pathogenesis of the otitis media with effusion. Eur Cytokine Netw 2002;13:161–72Google ScholarPubMed
9 Xie, M, Zhou, L, Jin, X. Interleukin-6 and tumor necrosis factor-alpha in middle ear effusions [in Chinese]. Zhonghua Er Bi Yan Hou Ke Za Zhi 1997;32:280–2Google ScholarPubMed
10 Lin, G, Huang, W, Jiang, H, Wang, J. Nitric oxide and cytokines in otitis media with effusion [in Chinese]. Zhonghua Er Bi Yan Hou Ke Za Zhi 2000;35:23–5Google ScholarPubMed
11 Bastard, JP, Maachi, M, Lagathu, C, Kim, MJ, Caron, M, Vidal, H et al. Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 2006;17:412 Google ScholarPubMed
12 Idell, S, Zwieb, C, Kumar, A, Koenig, KB, Johnson, AR. Pathways of fibrin turnover of human pleural mesothelial cells in vitro. Am J Respir Cell Mol Biol 1992;7:414–26CrossRefGoogle ScholarPubMed
13 Whawell, SA, Thompson, JN. Cytokine-induced release of plasminogen activator inhibitor-1 by human mesothelial cells. Eur J Surg 1995;161:315–17Google ScholarPubMed
14 Skurk, T, Hauner, H. Obesity and impaired fibrinolysis: role of adipose production of plasminogen activator inhibitor-1. Int J Obes Relat Metab Disord 2004;28:1357–64CrossRefGoogle ScholarPubMed
15 Miura, MS, Mascaro, M, Rosenfeld, RM. Association between otitis media and gastroesophageal reflux: a systematic review. Otolaryngol Head Neck Surg 2012;146:345–52CrossRefGoogle ScholarPubMed
16 Pashankar, DS, Corbin, Z, Shah, SK, Caprio, S. Increased prevalence of gastroesophageal reflux symptoms in obese children evaluated in an academic medical center. J Clin Gastroenterol 2009;43:410–13CrossRefGoogle Scholar
17 Aoki, H, Sando, I, Takahashi, H. Anatomic relationships between Ostmann's fatty tissue and eustachian tube. Ann Otol Rhinol Laryngol 1994;103:211–14CrossRefGoogle ScholarPubMed
18 Lee, SK, Yeo, SG. Relationship between pediatric obesity and otitis media with effusion. Curr Allergy Asthma Rep 2009;9:465–72CrossRefGoogle ScholarPubMed
19 Choi, HG, Sim, S, Kim, SY, Lee, HJ. A high-fat diet is associated with otitis media with effusion. Int J Pediatr Otorhinolaryngol 2015;79:2327–31CrossRefGoogle ScholarPubMed
20 Marseglia, GL, Poddighe, D, Caimmi, D, Marseglia, A, Caimmi, S, Ciprandi, G et al. Role of adenoids and adenoiditis in children with allergy and otitis media. Curr Allergy Asthma Rep 2009;9:460–4CrossRefGoogle ScholarPubMed
21 Acharya, K, Bhusal, CL, Guragain, RP. Endoscopic grading of adenoid in otitis media with effusion. JNMA J Nepal Med Assoc 2010;49:4751 Google ScholarPubMed
22 Selimoğlu, E, Selimoğlu, MA, Orbak, Z. Does adenotonsillectomy improve growth in children with obstructive adenotonsillar hypertrophy? J Int Med Res 2003;31:84–7CrossRefGoogle ScholarPubMed