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admin | Depression Insomnia | 16.01.2016
Newswise — Surgical removal of the tonsils and adenoids in children suffering from sleep apnea is associated with decreased asthma severity, according to the first large study of the connection, published in the journal PLOS Medicine.
Children who did not have the surgery did not have significant reductions.“Several small studies have described a strong association between obstructive sleep apnea and asthma, two common inflammatory conditions that impair breathing in children.
But we wanted to test the strength of the connection when studied in a much larger population,” said the study’s lead author, Rakesh Bhattacharjee, MD, assistant professor of pediatrics at the University of Chicago and an authority on pediatric sleep medicine.
Obstructive sleep apnea also is common, affecting an estimated two to three percent of all children.

Surgical adenotonsillectomy—removal of the adenoids and tonsils—is the standard therapy.The study involved data on more than 40,000 children between the ages of 3 and 17, obtained from Truven Health’s MarketScan® databases. They also compared those results to 27,012 children with asthma—carefully matched in a 2:1 ratio for age, sex and location—who retained their tonsils and adenoids.
Nor is it clear from the available data why patients underwent adenotonsillectomy, although the vast majority of such procedures are performed for sleep apnea. Despite the limitations, they emphasize that the many plausible connections that link obstructive sleep apnea to asthma.

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