Kim Yoonhong, Yang Ae Ri, Koh Kwangwook, Seo Kyung Won, Kim Ki Hyun
Department of Surgery, Kosin University, College of Medicine, Busan, Korea.
Department of Nursing, Kosin University Gospel Hospital, Busan, Korea.
J Metab Bariatr Surg. 2024 Dec;13(2):39-49. doi: 10.17476/jmbs.2024.13.2.39. Epub 2024 Dec 13.
Obesity is a major risk factor for obstructive sleep apnea (OSA), associated with conditions like type 2 diabetes, hypertension, stroke, cancer, and premature death. OSA involves sleep-breathing interruptions, with over 60% of obese individuals diagnosed through polysomnography. This study explores sleep issues in individuals considering bariatric surgery.
We retrospectively analyzed sleep study records and questionnaires of 137 obese patients undergoing metabolic surgery at Kosin University Gospel Hospital between January 1, 2019, and September 30, 2022. Statistical tests, including Student's t-test and logistic regression, assessed subjective and objective characteristics.
Most subjects, predominantly female with comorbidities, exhibited poor sleep quality. Positive correlations between polysomnography and subjective evaluation indicated poor results. Logistic regression revealed increased OSA likelihood with higher Apnea-Hypopnea Index, with associations to sex, age, and body mass index (BMI).
Regardless of BMI, most patients with a BMI ≥30 kg/m undergoing bariatric surgery were diagnosed with OSA, experiencing poor subjective and objective sleep quality. Correlations between subjective and objective evaluations were significant, with sex, advanced age, and high BMI identified as significant OSA risk factors.
肥胖是阻塞性睡眠呼吸暂停（OSA）的主要危险因素，与2型糖尿病、高血压、中风、癌症和过早死亡等疾病相关。OSA涉及睡眠呼吸中断，超过60%的肥胖个体通过多导睡眠图诊断。本研究探讨考虑进行减肥手术的个体的睡眠问题。
我们回顾性分析了2019年1月1日至2022年9月30日期间在釜山大学福音医院接受代谢手术的137例肥胖患者的睡眠研究记录和问卷。包括学生t检验和逻辑回归在内的统计测试评估了主观和客观特征。
大多数受试者主要为患有合并症的女性，睡眠质量较差。多导睡眠图与主观评估之间的正相关表明结果不佳。逻辑回归显示，呼吸暂停低通气指数越高，OSA的可能性增加，且与性别、年龄和体重指数（BMI）有关。
无论BMI如何，大多数BMI≥30 kg/m²接受减肥手术的患者被诊断为OSA，主观和客观睡眠质量均较差。主观和客观评估之间的相关性显著，性别、高龄和高BMI被确定为OSA的重要危险因素。
