Sleep disorders in morbid obesity

Akinnusi, Morohunfolu E.; Saliba, Ranime; Porhomayon, Jahan; El-Solh, Ali

doi:10.1016/j.ejim.2011.10.016

Cited by 51 publications

(34 citation statements)

References 127 publications

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“…A 50% (±15) decrease in overweight, a 61.6% (±34) to 13.4% (±13) decrease in AHI, and improvement in sleep quality and diurnal somnolence were reported by Dixon et al [16] at 17 months after obesity surgery [14,15]. Our subjects also experienced significant weight loss.…”

Section: Discussionsupporting

confidence: 58%

“…A 10% increase in weight is associated with a 32% increase in the RDI, and a 10% decrease in weight is associated with a 26% decrease in RDI [15]. A 50% (±15) decrease in overweight, a 61.6% (±34) to 13.4% (±13) decrease in AHI, and improvement in sleep quality and diurnal somnolence were reported by Dixon et al [16] at 17 months after obesity surgery [14,15].…”

Section: Discussionmentioning

confidence: 75%

“…Given that only 5%-10% of patients who lose weight through a diet program maintain their reduced body weight for several years, obesity surgery is an effective method in the long term. Bariatric surgery is recommended for morbidly obese patients with OSAS who fail to lose weight and should be used in conjunction with treatments, such as NIMV [14,15,17,18]. Patients who did not undergo the control PSG had similar baseline sleep parameters and BMI as the study group.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of OSAS in obese people is 40%-70% [12,14,15]. The incidence of sleep problems likely increases with increasing BMI.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Bariatric Surgery in Obstructive Sleep Apnea Syndrome

Karaköse¹,

Bozkurt²,

Akkoyunlu³

et al. 2014

Tur Toraks Der

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OBJECTIVES:Obesity is a chronic disease that impacts all age groups worldwide and leads to serious health problems, such as obstructive sleep apnea syndrome (OSAS). Bariatric surgery is a treatment option for patients with both OSAS and obesity who fail to lose weight. The efficacy of bariatric surgery in morbidly obese patients with OSAS was evaluated. MATERIAL AND METHODS:Twenty-six patients for whom obesity surgery was planned were enrolled. All subjects underwent overnight polysomnography (PSG) preoperatively and postoperatively within 8.35 (±2.31) months. OSAS symptoms and sleep parameters were evaluated. RESULTS:Symptoms were evaluated preoperatively and postoperatively in patients with (17, 65.4%) and without (9, 34.6%) OSAS. PSG results and sleep parameters were evaluated preoperatively and postoperatively in patients with OSAS (17/26) and those who completed the follow-up. All sleep parameter values for respiratory disturbance index (RDI), rapid eye movement (REM) RDI, non-REM RDI, apnea index (AI), and 3% oxyhemoglobin desaturation index were improved significantly (p<0.05). CONCLUSION:Bariatric surgery may be another treatment option for morbidly obese patients with OSAS that is to be used together with other treatments, such as non-invasive mechanical ventilation. KEY WORDS:Sleep apnea syndrome, bariatric surgery, morbid obesity INTRODUCTIONObesity is a chronic disease with an impact on all age groups and an increasing incidence. The World Health Organization defines obesity as having a body mass index (BMI) >30 kg/m 2 , and according to 2008 data, >500 million adults are obese worldwide [1]. A BMI ≥40 kg/m 2 defined as morbid obesity.Obesity may lead to serious health problems. The association between obesity and obstructive sleep apnea syndrome (OSAS) is well known. Although OSAS affects 2%-4% of the adult population, the prevalence increases to 40%-70% in obese patients. This risk increases tremendously in morbidly obese cases [2,3].Recurrent collapse of the upper airway results in OSAS signs and symptoms (sleep fragmentation, excessive daytime sleepiness (EDS), witnessed apnea) [3]. As BMI increases, the surrounding excess fat tissue increases airway collapsibility, and OSAS symptoms become more evident.Non-invasive mechanical ventilation (NIMV), oral appliances, and upper respiratory tract surgery are treatment options for OSAS to maintain the airway open. In addition to these modalities, bariatric surgery is another effective treatment option (gastric band, tube, sleeve gastrectomy, gastric by-pass, and gastric balloon) in obese patients with a BMI >40 kg/m 2 whose diet program is unsuccessful or those with a BMI >35 kg/m 2 with co-morbid diseases. Gastric surgery may lead to significant weight loss and eventual improvement in OSAS severity or decrease NIMV pressure.Gastric by-pass and sleeve gastrectomy are the most frequently used methods. The overall mortality rate is <1%, and that of morbidity is 5% [2,[4][5][6].The primary objective of the study was to evaluate the effect of bariatric surg...

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

“…The prevalence of OSAS in obese people is 40%-70% [12,14,15]. The incidence of sleep problems likely increases with increasing BMI.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Bariatric Surgery in Obstructive Sleep Apnea Syndrome

Karaköse¹,

Bozkurt²,

Akkoyunlu³

et al. 2014

Tur Toraks Der

View full text Add to dashboard Cite

show abstract

“…Obesity and OSA are tightly related, 15,16 as about 70% of people with OSA are obese. Conversely, more than one-third of obese people have OSA, the prevalence of which increases with increasing BMI.…”

Section: Potential Causes Of Bone Loss In Men With Osamentioning

confidence: 99%

Bone Loss in Obesity and Obstructive Sleep Apnea: A Review of Literature

Chakhtoura

Nasrallah

Chami

2015

Journal of Clinical Sleep Medicine

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The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

Young

Hong

Lewis

et al. 2022

Obesity

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Objective This study examined the association of weight loss following bariatric surgery with self‐reported sleep quality after accounting for other sleep‐related factors. Methods Participants were from the Bariatric Experience Long Term (BELONG) study. Participants completed a survey up to 6 months before surgery and approximately 1 year after surgery. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality. One‐year percentage total weight loss (%TWL) was determined from electronic medical records. Covariates included demographics, Charlson Comorbidity Index, geocoded variables to assess neighborhood quality, and physical activity. The authors assessed the association between %TWL at 1 year and PSQI component scores with separate cumulative logit models. Results There were 997 participants in the analytic cohort. Participants were 86.2% women, 37.0% Hispanic, and 13.7% Black adults. Mean one‐year %TWL was 26.3 (SD 8.7). Each 1% increase in %TWL was associated with a 3% better daytime dysfunction score (odds ratio = 1.03; 95% CI: 1.02‐1.05) and a 2% better sleep quality score (odds ratio = 1.02; 95% CI: 1.00‐1.03). No significant differences were found for the other PSQI components. Conclusions Weight loss from bariatric surgery was associated with better self‐reported sleep at 1 year. For people undergoing bariatric surgery, there may be an added benefit of better sleep.

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Sleep disorders in morbid obesity

Cited by 51 publications

References 127 publications

The Role of Bariatric Surgery in Obstructive Sleep Apnea Syndrome

The Role of Bariatric Surgery in Obstructive Sleep Apnea Syndrome

Bone Loss in Obesity and Obstructive Sleep Apnea: A Review of Literature

The association of 1‐year weight loss from bariatric surgery and self‐reported sleep: a prospective cohort

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