Does Adenoid Removal Really Cause Weight Gain? The Truth Parents Must Know
-by ENT specialist doctor-Dr Sagar Rajkuwar, Nashik ,Maharashtra ,India -clinic website-
Table of contents-
- Introduction
- Reasons for weight gain may include:
- Things to consider:
- Following an adenotonsillectomy, does a child’s weight increase represent catch-up growth or an unhealthy gain?
- Adenotonsillectomy and Weight Gain in Children
- Summary
1)Introduction
Children who experience recurrent ear infections, nasal congestion, or breathing problems frequently undergo adenoid removal, sometimes referred to as an adenoidectomy. Many parents question the treatment’s consequences, particularly if it might cause weight gain, even though it frequently enhances sleep quality and general wellbeing. After surgery, some kids do have changes in their hunger and growth, but can adenoid removal be said to be the direct cause of weight gain?


This essay will examine the relationship between adenoidectomy and weight fluctuations, the reasons for this connection, and the things that parents need to be aware of in order to help their child recover well.
Although the causes are unknown, there is evidence that adenoid removal can be linked to weight gain in kids, especially in those with obstructive sleep apnea. are intricate and not completely understood. Increased appetite, improved ease of eating following surgery, decreased energy expenditure from less blocked breathing, or catch-up growth in underweight youngsters may contribute to this possible weight gain.
2)Reasons for weight gain may include:
Better Eating and Appetite: After surgery, youngsters who had trouble eating because their adenoids were enlarged may have an easier time eating and consuming more calories.
Lowered Energy Expenditure: Children with obstructive sleep apnea need more energy to breathe. Following surgery, the decreased effort required for breathing might result in less restlessness and a change in energy balance that encourages weight growth.
Catch-Up Growth: Weight gain after surgery in underweight children might be a positive kind of “catch-up growth” in which the body gains weight quickly and the height must be raised to a healthier level.
Changes in Hormones: It’s intriguing because, despite the fact that the children continue to gain weight, studies have revealed that the quantity of ghrelin, a hormone that increases appetite, can decline following adenotonsillectomy.
3)Things to consider:
Age: Children under the age of six may be more susceptible to gaining weight after the treatment.
Underlying Conditions: Adenoid removal is frequently done for obstructive sleep apnea, and changes in activity levels and weight may be brought about by an improvement in sleep quality.
Additional Considerations: The operation itself is not the only cause of weight gain following surgery. Other considerations, like parental care, eating habits, activity levels, and a child’s body mass index prior to surgery, are also important.
4)Following an adenotonsillectomy, does a child’s weight increase represent catch-up growth or an unhealthy gain?
Abstract
Objective/background: In the pediatric population, obesity and obstructive sleep apnea (OSA) are serious disorders with a considerable overlap. Initial studies indicated that underweight children underwent catch-up development following adenotonsillectomy, but later research indicated that even normal and overweight children might experience excessive weight gain after the procedure. To determine if an early adenotonsillectomy had any impact on unfavorable weight gain, we conducted a secondary analysis of data from the Childhood Adenotonsillectomy Trial (CHAT). characterized as a change from baseline normal or an increase in body mass index (BMI) Z score in a youngster who is already overweight or obese underweight with a subsequent BMI Z score that was deemed overweight.
Patients/methods: 398 children with moderate OSA and full anthropomorphic data were randomly assigned to either adenotonsillectomy or watchful waiting with supportive treatment. The demographic, behavioral, sleeping, and anthropomorphic traits of youngsters who gained unwanted weight throughout a seven-month period were compared to those who did not using Pearson’s χ2 and independent t tests. Using logistic regression, we looked for a link between adenotonsillectomy and undesirable weight gain, both before and after accounting for age, gender, Black race, and average socioeconomic status. average nightly sleep duration, mother’s body mass index, parent-reported weekly activity level, and either baseline or follow-up AHI (in different models).
Findings: 43% of participants (n = 172) gained an unhealthy amount of weight. Children in both arms had a comparable rate of undesirable weight increase (45% adenotonsillectomy vs 41% watchful waiting). Regression analysis, whether adjusted or unadjusted, did not show a significant impact of adenotonsillectomy on undesirable weight gain.
In conclusion, adenotonsillectomy alone might not be a contributing factor to unhealthy weight gain in youngsters.
5)Adenotonsillectomy and Weight Gain in Children


Introduction
The adenoids are a mass of soft tissue located at the back of the throat. The adenoids are removed during an adenoidectomy. The palatine tonsils, which are located on either side of the neck, are removed during a tonsillectomy. As a component of the immune system, the tonsils and adenoids play a role. Adenotonsillectomy, sometimes known as T&A, is a surgical procedure that includes both an adenoidectomy and a tonsillectomy. They are routine operations in ear, nose, and throat (ENT) surgery.
What are the signs that an adenotonsillectomy is necessary?
Acute tonsillar inflammation (tonsillitis), peritonsillar (around the tonsils) abscess, tonsillar hypertrophy (increase in size), and obstructive sleep apnea (OSA, a sleep-disordered breathing) are all signs that a tonsillectomy is necessary. An adenoidectomy is performed to treat persistent middle ear infection (otitis media), chronic inflammation of the nose and sinuses (rhinosinusitis), nasal passage obstruction, and OSA.
What Are the Potential Consequences of Adenotonsillectomy?
Bleeding, infection, taste changes, respiratory difficulties, and dehydration are all potential side effects of adenotonsillectomy. But several studies have also seen that children gain weight after the procedure.
What causes kids to gain weight following an adenotonsillectomy?
Weight gain should not be exclusively attributed to T&A because it is complicated and multifaceted, according to the recommendation. The various causes of weight gain in youngsters following adenotonsillectomy have been proposed by scientists.
Diet: Children with severe tonsillitis or tonsillar hypertrophy are said to have reduced food intake. The discomfort associated with tonsillitis might be the reason. Food is extremely hard to swallow with tonsillitis. In addition, one of the symptoms of tonsillitis in many children is weight loss. Symptoms are relieved by having tonsils removed. Therefore, an increase in oral consumption may be the cause of weight gain following adenotonsillectomy.
- Preschool youngsters in Greece who had tonsillar hypertrophy had their tonsillectomies studied both before and after the procedure. The eating practices of thirty children between the ages of 4 and 6 were evaluated both before and after six months of surgery. They were compared to the behaviors of healthy children of the same age. Following surgery for tonsillar hypertrophy, children experienced a considerable weight gain. Their higher intake of soft drinks, sugary foods, and edible fats may be the cause. After a tonsillectomy, the authors advised parents to be mindful of the potential for weight gain caused by dietary changes.
Activity: OSA is found to be more severe in inactive youngsters. As a result, they experience decreased concentration, increased daytime sleep, irritability, and depression.
- The impact of T&A in children with OSA was investigated by Roemmich et al. They examined 54 youngsters between the ages of six and twelve both before and twelve months following the surgery. The children’s height, weight, and hyperactivity scores were measured by the authors. Following T&A, the weight percentage increased. Additionally, the overall motor activity and hyperactivity were reduced after the surgery. The authors determined that decreased physical activity and lower energy expenditure may be contributing factors to greater weight. Lower fidgeting (making rapid, anxious motions) is another factor. noticed following surgery that promotes energy conservation.
Factors Affecting Biochemistry and Growth: The impact of growth and metabolism on OSA patients is also hypothesized.
- Prior to and following T&A, a research was conducted to measure the circulating growth factors, such as insulin-like growth factor-1 (IGF-1) and growth hormone. IGF-1 Additionally, weight and development benefit from growth hormone. Six months following the operation, the authors assessed 70 youngsters who had adenotonsillar hypertrophy. They looked at body mass index (BMI, weight and height ratio), fat-free mass, and the body. During that time, fat mass rose. After the procedure, the authors noted an increase in IGF-1. According to the research, people with OSA have lower levels of growth hormone. Furthermore, weight increase and restored growth hormone release result from improved respiration following the operation.
Reduced Catecholamines: Catecholamines are neurotransmitters, or chemical messengers, that are released in the body. The procedure, according to one theory, lowers the amount of catecholamines in circulation. The body’s development is regulated by catecholamines.
Demographic Factors: Demographic factors are features of a given community. Age is one of the key determinants. After T&A, children under the age of six are more likely to gain weight. It may be the result of ‘catch-up growth.’ Catch-up growth is used to make up for the rapid weight and height gain in underweight children. Catch-up development occurs most frequently between the ages of three and six.
- In the US, a case series was conducted for three years. Children in the study experienced a weight gain that was comparable to that of earlier research, according to the authors. But youngsters under the age of six gained more weight than the others. Therefore, the authors identified an age under six as a major factor in weight gain. Additionally, the writers recommended studies on weight gain following T&A, paying particular attention to demographic characteristics like age.
- The 398 children who participated in a recent randomized controlled trial conducted in 2021 both before and after their T&A procedure. Approximately 45% of the youngsters who had the operation said that they had gained weight in a way that they didn’t like. But the authors claimed that gaining weight is not caused by any one risk factor, such as T&A. Additional factors include physical activity, the mother’s body mass index, the typical length of sleep at night, and dietary practices.
One possible risk factor for obesity in children is tonsillectomy. The study was conducted at a children’s hospital to look at weight gain and an elevated chance of obesity in youngsters following tonsillectomy. The research compared the BMI of 200 kids between the ages of two and twelve who were having tonsillectomies to that of healthy people. Prior to and following the treatment, the authors measured the children’s BMIs. Before and after the operation, the BMI remained constant. The children, though, gained a lot of weight, as the writers noted.
In another clinical investigation, researchers evaluated how children’s weight changed after having a tonsillectomy. The study included 240 kids. Before, one month, and six months following the procedure, the height, weight, and BMI were determined. According to the results, people gain weight six months following a tonsillectomy. The authors recommend that more research be done to identify the additional risk factors for weight gain after surgery.
DISCLAIMER-Some patients go to net and directly take treatment from there which can lead to catastrophic consequences-Then- Many people ask then why to read all this text -the reason is that it helps you to understand the pathology better ,you can cooperate with treatment better ,your treating physician is already busy with his patients and he does not have sufficient time to explain you all the things right from ABCD ,so it is always better to have some knowledge of the disease /disorder you are suffering from.
Conclusion
Obesity or excessive weight gain has become a worldwide epidemic. The precise cause of weight gain following T&A is unknown. Even though the weight increase in youngsters after T&A should be known to the parents and doctors, it should still be kept in mind. Children with obesity and sleep problems need interprofessional treatment to have better long-term results. Before and after the operation, focus should be on nutrition, positive lifestyle adjustments, and weight management.
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6)Summary
Adenoid removal, which is frequently done along with tonsillectomy, is a frequent treatment for children who have sleep-related respiratory difficulties or repeated illnesses. One question that parents have is if the treatment results in weight increase. The study shows that, although some children do gain weight after adenoidectomy, the procedure itself is not the only reason.
Weight gain might be caused by a variety of things, such as increased appetite and food comfort following surgery, decreased energy usage once breathing becomes simpler, and catch-up growth in underweight individuals. hormonal shifts that impact growth and metabolism, as well as children. Younger children, particularly those under the age of six, are more prone to this transition.
According to studies, weight gain following surgery is not always an adverse result; rather, it can be a normal component of rehabilitation and development. By promoting a balanced diet, keeping an eye on exercise habits, and seeking medical advice for long-term weight management, parents may help their children.
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-FOR INFORMATION IN GREAT DETAIL ✨ How to Prevent Adenoid Problems in Your Child: Expert Tips Every Parent Should Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Are Adenoids Linked to Allergies? Surprising Facts Every Parent Should Know PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL What to Avoid After Adenoid Surgery: Essential Recovery Tips for Parents PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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-FOR INFORMATION IN GREAT DETAIL Adenoids vs. Allergies: What Doctors Want You to Understand PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION-
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References-
This article is written as per the clinical experience of ENT Specialist doctor –Dr Sagar Rajkuwar(MS-ENT) ,Nashik Maharashtra -Clinic website-www.entspecialistinnashik.com References taken from-
https://pubmed.ncbi.nlm.nih.gov/34329898/