Department of Surgery, Faculty of Medicine, The National University of Malaysia, Selangor, Malaysia; Universiti Kebangsaan Malaysia Medical Centre, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Department of Surgery, Faculty of Medicine, The National University of Malaysia, Selangor, Malaysia; Universiti Kebangsaan Malaysia Medical Centre, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Surg Obes Relat Dis. 2020 Jun;16(6):778-783. doi: 10.1016/j.soard.2020.02.003. Epub 2020 Feb 19.
Obesity is a growing health problem that has become a global epidemic. Serial population studies have shown the same in Malaysia, where the prevalence of obesity increased rapidly in the last decade. Currently, bariatric surgery is the most effective treatment in patients with morbid obesity. Obstructive sleep apnea (OSA) is the most common type of sleep-related breathing disorder seen in obesity.
We aim to ascertain the prevalence and severity of OSA in Asian patients who underwent bariatric surgery and were seen in our center.
The study was conducted in our university hospital.
Study approval was obtained from our institutional review board for a retrospective chart review. A total of 226 patients were included in this review. OSA was noted as absent or present and graded from mild to severe. The patient population was stratified by body mass index according to the World Health Organization guidelines for Asian population.
The overall sample prevalence of OSA was 80.5%. Of these, 24.3% had mild OSA, 23.9% had moderate OSA, and 32.3% had severe OSA. Only 17.3% have been diagnosed with OSA before bariatric workup. Among men, the prevalence of OSA was 93.7% and 75.5% among women.
Based on these findings, Asian patients undergoing bariatric workup should be considered for routine polysomnography to enable treatment of OSA.
肥胖是一个日益严重的健康问题，已成为全球性的流行病。连续的人群研究表明，马来西亚也存在同样的情况，肥胖症的患病率在过去十年中迅速上升。目前，减重手术是治疗病态肥胖症患者最有效的方法。阻塞性睡眠呼吸暂停（OSA）是肥胖症患者中最常见的睡眠相关呼吸障碍类型。
我们旨在确定在我们中心接受减重手术的亚洲患者中 OSA 的患病率和严重程度。
这项研究在我们的大学医院进行。
我们的机构审查委员会批准了这项回顾性图表审查研究。共有 226 名患者纳入了本次审查。OSA 被记录为存在或不存在，并分为轻度至重度。患者人群根据世界卫生组织（WHO）针对亚洲人群的指南，按体重指数进行分层。
总体样本中 OSA 的患病率为 80.5%。其中，24.3%为轻度 OSA，23.9%为中度 OSA，32.3%为重度 OSA。仅有 17.3%的患者在接受减重手术前被诊断为 OSA。男性的 OSA 患病率为 93.7%，女性为 75.5%。
根据这些发现，接受减重手术评估的亚洲患者应考虑进行常规多导睡眠图检查，以治疗 OSA。
