Tonsillectomy May Spur Weight Gain in Kids, But Won't Cause Obesity: Study

Tonsillectomy May Spur Weight Gain in Kids, But Won't Cause Obesity: Study

THURSDAY, April 17, 2014 (HealthDay News) -- Some children gain weight after having their tonsils removed, but this weight gain is typically confined to younger, underweight children and doesn't seem to add to obesity rates, a new study finds.

Each year in the United States, about 500,000 children have their tonsils removed. In the new study, a team from Stanford University School of Medicine tracked outcomes for 815 children who underwent tonsillectomy.

Overall, the children's weight rose by an average of just over 6 percent within 18 months of their surgery and their body mass index (an estimate of body fat based on height and weight) rose an average of 8 percent.

The largest weight increases occurred in children who were smaller and younger than age 4 at the time of surgery. Children older than age 8 gained the least weight, and children who were already heavier before their surgery did not gain weight, according to the researchers.

One expert not connected to the study said the findings make sense.

"One possible interpretation of this clinical observation has been that some children with significant nighttime breathing issues -- like sleep apnea -- actually are underweight due to the increased work of breathing, or due to obstructive food aversions related to the size of the tonsils," said Dr. Michael Rothschild, clinical professor of otolaryngology and pediatrics at the Icahn School of Medicine at Mount Sinai in New York City.

"These children may move to a more appropriate weight for their age and height following the surgery with improved eating and sleeping, while children who are overweight might not have the same degree of weight gain," he said.

The study findings seem to bear that out -- even though many children gained weight after tonsil removal, there was only a small increase in the number of children who were obese: 14.5 percent before versus 16.3 percent after. This suggests that tonsil removal is not associated with higher obesity rates, the researchers concluded.

Two other experts not involved in the study said the findings may be useful for parents and physicians.

"This study provides helpful information to parents trying to weigh the risks and benefits of surgery for their child," said Dr. Aaron Bernard, clinical skills director at the Quinnipiac University School of Medicine in Hamden, Conn.

Dr. Lisa Liberatore, an ear, nose and throat specialist at Lenox Hill Hospital in New York City, agreed. She noted that the study "found that there is an increase in weight in some children after this surgery but it was in those children who were underweight and, in some cases, not thriving -- this would be a good thing in those children."

On the other hand, "in children who were obese before surgery, there was no gain in weight or no worsening of their obesity," Liberatore said. She believes that "parents and physicians should not avoid indicated reasons for removal of the tonsils and adenoids for fear of causing obesity."

The study was published online April 17 in JAMA Otolaryngology--Head & Neck Surgery.

-- Robert Preidt

Copyright © 2014 HealthDay. All rights reserved.

SOURCES: Michael Rothschild, M.D., clinical professor of otolaryngology and pediatrics, Icahn School of Medicine at Mount Sinai, New York City; Aaron Bernard, M.D., clinical skills director, Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, Conn.; Lisa Liberatore, M.D., ear, nose and throat specialist, Lenox Hill Hospital, New York City; JAMA Otolaryngology--Head & Neck Surgery, news release, April 17, 2014

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Tonsillectomy May Spur Weight Gain in Kids, But Won't Cause Obesity: Study

Tonsillectomy May Spur Weight Gain in Kids, But Won't Cause Obesity: Study

THURSDAY, April 17, 2014 (HealthDay News) -- Some children gain weight after having their tonsils removed, but this weight gain is typically confined to younger, underweight children and doesn't seem to add to obesity rates, a new study finds.

Each year in the United States, about 500,000 children have their tonsils removed. In the new study, a team from Stanford University School of Medicine tracked outcomes for 815 children who underwent tonsillectomy.

Overall, the children's weight rose by an average of just over 6 percent within 18 months of their surgery and their body mass index (an estimate of body fat based on height and weight) rose an average of 8 percent.

The largest weight increases occurred in children who were smaller and younger than age 4 at the time of surgery. Children older than age 8 gained the least weight, and children who were already heavier before their surgery did not gain weight, according to the researchers.

One expert not connected to the study said the findings make sense.

"One possible interpretation of this clinical observation has been that some children with significant nighttime breathing issues -- like sleep apnea -- actually are underweight due to the increased work of breathing, or due to obstructive food aversions related to the size of the tonsils," said Dr. Michael Rothschild, clinical professor of otolaryngology and pediatrics at the Icahn School of Medicine at Mount Sinai in New York City.

"These children may move to a more appropriate weight for their age and height following the surgery with improved eating and sleeping, while children who are overweight might not have the same degree of weight gain," he said.

The study findings seem to bear that out -- even though many children gained weight after tonsil removal, there was only a small increase in the number of children who were obese: 14.5 percent before versus 16.3 percent after. This suggests that tonsil removal is not associated with higher obesity rates, the researchers concluded.

Two other experts not involved in the study said the findings may be useful for parents and physicians.

"This study provides helpful information to parents trying to weigh the risks and benefits of surgery for their child," said Dr. Aaron Bernard, clinical skills director at the Quinnipiac University School of Medicine in Hamden, Conn.

Dr. Lisa Liberatore, an ear, nose and throat specialist at Lenox Hill Hospital in New York City, agreed. She noted that the study "found that there is an increase in weight in some children after this surgery but it was in those children who were underweight and, in some cases, not thriving -- this would be a good thing in those children."

On the other hand, "in children who were obese before surgery, there was no gain in weight or no worsening of their obesity," Liberatore said. She believes that "parents and physicians should not avoid indicated reasons for removal of the tonsils and adenoids for fear of causing obesity."

The study was published online April 17 in JAMA Otolaryngology--Head & Neck Surgery.

-- Robert Preidt

Copyright © 2014 HealthDay. All rights reserved.

SOURCES: Michael Rothschild, M.D., clinical professor of otolaryngology and pediatrics, Icahn School of Medicine at Mount Sinai, New York City; Aaron Bernard, M.D., clinical skills director, Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, Conn.; Lisa Liberatore, M.D., ear, nose and throat specialist, Lenox Hill Hospital, New York City; JAMA Otolaryngology--Head & Neck Surgery, news release, April 17, 2014

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Low Birth Weight, Lack of Breast-Feeding Tied to Inflammation Risk in Adulthood

Low Birth Weight, Lack of Breast-Feeding Tied to Inflammation Risk in Adulthood

THURSDAY, April 17, 2014 (HealthDay News) -- Years later, people who were underweight at birth, and those who were breast-fed only a short time or not at all, could be at increased risk for chronic inflammation and related health problems, a new study suggests.

Researchers examined health data from 10,500 American adults and found that those with low birth weight and those who had little or no breast-feeding had higher levels of C-reactive protein (CRP), an indicator of inflammation.

Chronic inflammation is associated with health risks such as diabetes and heart attack, the study authors noted.

The study did not find a cause-and-effect relationship, however.

The researchers explained that it can be difficult to determine how birth weight and breast-feeding affect long-term health because these problems are more common among children whose parents have lower levels of education and income. This means it's unclear if other factors play a role.

But this study included a large number of siblings and the researchers found that even within the same family, birth weight and breast-feeding influenced the risk of inflammation in adulthood.

The findings will be published in the journal Proceedings of the Royal Society B.

"There were good reasons to hypothesize that breast-feeding was important to influencing levels of inflammation in adulthood," study author Thomas McDade, a Canadian Institute for Advanced Research Fellow in the child and brain development program at Northwestern University, said in an institute news release.

"[Breast-feeding] promotes development of the immune system. Children who are breast-fed get fewer infectious diseases and are less likely to become overweight," he noted.

-- Robert Preidt

Copyright © 2014 HealthDay. All rights reserved.

SOURCE: Canadian Institute for Advanced Research, news release, April 14, 2014

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16 Ways to Lose Weight Fast

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From Zumba to yoga to ditching junk food, these simple lifestyle changes will help you lose 10, 30, even 50 pounds!

Credit: Terry Doyle

1 of 18

Tweak your lifestyle

by Jessica Girdwain
From Health magazine

It's a familiar story: You pledge to honor a daily elliptical routine and count every last calorie. But soon, you're eating cupcakes at the office and grabbing happy hour mojitos, thinking, Oops, diet over.

There is a better way: Swap the all-or-nothing approach for one or two healthy switch-ups in your daily routine. "Doing this can lead to more weight loss than you ever imagined," says Marissa Lippert, RD, author of The Cheater's Diet.

In fact, we talked to readers who knocked off 10, 25, even 60 pounds with some easy tweaks. Borrow their slim-down secrets to transform your body the real-world way.

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Things you should not do to lose weight

Is never to do 7 things to lose weight

To poorly-run effort that can have serious health consequences ranging from to a sensible diet battle against the bulge.

"People ready, unproven and potentially dangerous things they have on the weight loss, which can backfire and cause serious health problems, so focused," says Michelle May, M.D., who teaches food deliberately.

Here are seven dangerous policies, which you should avoid if you are trying to lose weight.

Busted: Popular diet myths

Hunger, fasting, or very low calorie diet

Heavily, slashing calories can lead to weight loss, but the lost weight contains valuable muscles and lowers metabolism. Drastic calorie restriction causes also a shift towards a higher proportion of body fat, which increases the risk of metabolic syndrome and Type 2 diabetes.

If not medically supervised cut not calories under 1,200 per day. Otherwise, you will fight get to satisfy your hungerand your activities sufficient nutrients for the fuel pump. Thinking keep in mind that if you lose weight fast, you are on the packaging again--with more fat and less muscle-especially if you are over 50.

Supplements that make big promises

If it sounds too good to be true, it is likely.

In contrast to manufacturers of prescription drugscompanies, complemented must prove that their products are safe or effective, before you bring to the market. Also products that claim, of course not necessarily safe or good for you.

If you think about taking any weight-loss product, questions you your doctor first. It is what has been proven to reduce weight, including your diet to work best in the Center.

Cleanses or Detox plans

Best cause cleans weight weight loss of water and stool. But they can be dangerous. You bear the risk of dehydration, electrolyte imbalance, and much more.

"Losing much fluid, without medical supervision is risky and combined with fastingeven riskier", says may. "Your body to detoxify is uniquely tuned and elimination of toxins. So cleanses are unnecessary and can lead to serious complications, by the clutter with the body's system. "

Instead of detoxing, more careful what you eat. You want to clean or your body to detoxify, drink plenty of water and eat you lots of fiber-rich foods.

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