OBESITY & SLEEP DISTRBANCE

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Sleep disturbance and obesity

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There was a high prevalence of significantly disturbed sleep in men (59%) and women (45%), Observed sleep apnea was more common in men, but daytime sleepiness was not affected by sex. Waist circumference was the best clinical measure predicting observed sleep apnea. The group lost an average of 48% of excess weight by 12 months.

There was a significant improvement in the responses to all questions at follow-up, with habitual snoring reduced to 14% (preoperative value, 82%), observed sleep apnea to 2% (preoperative value, 33%), abnormal daytime sleepiness to 4% (preoperative value, 39%), and poor sleep quality to 2% (preoperative value, 39%).

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 CONCLUSIONS: Obesity-related sleep disorders improve markedly with weight loss. Sustainable weight loss should be a primary aim in the management of severely obese patients with significant sleep disturbance, including sleep apnea.

Low-risk laparoscopic obesity surgery should be considered for selected patients with this important co-morbidity.

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About Obesity

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