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Obesity Surgery
Published in: Obesity Surgery 7/2017

01-07-2017 | Original Contributions

Obesity, Hypersomnolence, and Quality of Sleep: the Impact of Bariatric Surgery

Authors: Thisciane Ferreira Pinto, Pedro Felipe Carvalhedo de Bruin, Veralice Meireles Sales de Bruin, Paulo Marcos Lopes, Francisco Ney Lemos

Published in: Obesity Surgery | Issue 7/2017

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Abstract

Purpose

Obesity is commonly associated with poor sleep, excessive daytime sleepiness (EDS) and depressive mood but the impact of bariatric surgery on these conditions is incompletely understood. This study aimed to investigate the course of EDS and sleep quality in bariatric surgery patients in relation with changes in body weight and depressive symptoms.

Methods

In patients consecutively submitted to bariatric surgery, baseline and postoperative sleep quality were evaluated by the Pittsburgh Sleep Quality Index (PSQI), excessive daytime sleepiness by the Epworth Sleepiness Scale (ESS), risk for OSA by the Berlin Questionnaire (BQ), and depressive symptoms by the Beck Depression Inventory–Short Form (BDI). Comorbidities were assessed by interview and chart review.

Results

Sixty patients (M/F = 9/51) with a mean (±SD) age of 34.7 ± 9.2 years and body mass index (BMI) of 46.04 ± 7.52 kg/m2 were studied. Bariatric surgery improved PSQI score (6.4 ± 3.8 versus 4.1 ± 2.8; p < 0.001), ESS score (8.1 ± 4.7 versus 6.0 ± 3.3; p < 0.001), BDI score (9.8 ± 7.0 versus 4.7 ± 4.6; p = 0.001), and risk for OSA (68.3 versus 5%). Twelve of the 18 subjects with baseline EDS (ESS ≥ 10) developed normal ESS score after surgery. In these subjects, significant postoperative improvement in depressive symptoms score was observed (12.0 ± 9.0 versus 5.5 ± 5.0; p = 0.041), in contrast to the remaining six cases with persistent EDS, who showed no significant change in these symptoms (5.5 ± 5.0 versus 3.2 ± 3.1; p = 0.416).

Conclusion

Bariatric surgery has a beneficial effect on sleep quality and EDS. Postoperative improvement in EDS can be related to a reduction in depressive symptoms.
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Metadata
Title
Obesity, Hypersomnolence, and Quality of Sleep: the Impact of Bariatric Surgery
Authors
Thisciane Ferreira Pinto
Pedro Felipe Carvalhedo de Bruin
Veralice Meireles Sales de Bruin
Paulo Marcos Lopes
Francisco Ney Lemos
Publication date
01-07-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2536-y

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