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Obstructive sleep apnea in extremely overweight adolescents undergoing bariatric surgery
Maninder Kalra1, Thomas Inge, Victor Garcia
1Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. maninder.kalra@cchmc.org
Obesity Research
|August 4, 2005
Summary
Obstructive sleep apnea (OSA) is common in extremely overweight adolescents. Significant weight loss following bariatric surgery markedly reduced OSA severity in these patients.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Bariatric Surgery
Background:
- Obstructive sleep apnea (OSA) is a significant comorbidity in extremely overweight individuals.
- Adolescent obesity rates continue to rise, necessitating investigation into associated health risks.
Purpose of the Study:
- To determine the prevalence of obstructive sleep apnea (OSA) in extremely overweight adolescents.
- To evaluate the impact of substantial weight loss post-bariatric surgery on OSA severity.
Main Methods:
- Retrospective review of anthropometric and polysomnographic data from extremely overweight adolescents undergoing laparoscopic Roux en Y gastric bypass.
- Comparison of pre- and postoperative polysomnographic data following significant weight loss.
Main Results:
- Obstructive sleep apnea (OSA) was diagnosed in 55% (19 of 34) of extremely overweight adolescents.
- Following bariatric surgery and a mean weight loss of 58 kg, OSA severity significantly decreased (median apnea-hypopnea index reduced from 9.1 to 0.65).
Conclusions:
- Obstructive sleep apnea (OSA) is highly prevalent in extremely overweight adolescents eligible for bariatric surgery.
- Significant weight loss achieved through gastric bypass surgery is associated with a marked reduction in OSA severity.