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Sleep Quality Before and After Bariatric Surgery
Yentl Lodewijks1, Friso Schonck2, Simon Nienhuijs2
1Department of Obesity Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. Yentl.lodewijks@catharinaziekenhuis.nl.
Obesity Surgery
|December 3, 2022
Summary
Bariatric surgery improves sleep quality early on, but benefits may not persist long-term. Age and body mass index significantly impact sleep quality in these patients.
Area of Science:
- Metabolic and Bariatric Surgery
- Sleep Medicine
- Obesity Research
Background:
- Sleep deprivation is linked to hormonal imbalances (growth hormone deficiency, elevated cortisol) associated with obesity.
- Assessing sleep quality is often overlooked in peribariatric care programs.
- Bariatric surgery is a significant intervention for obesity with potential impacts on sleep.
Purpose of the Study:
- To evaluate sleep quality in patients seeking or undergoing bariatric surgery.
- To utilize the Pittsburgh Sleep Quality Index (PSQI) for quantitative sleep assessment.
- To understand the temporal changes in sleep quality post-bariatric surgery.
Main Methods:
- Observational study including 270 patients (preoperative, early, and late postoperative).
- Data collected: demographics, surgical techniques, and PSQI scores.
- Multivariate linear regression analysis to identify predictors of sleep quality.
Main Results:
- Sleep quality, measured by PSQI, significantly improved in the early postoperative group compared to the preoperative group (4.8 vs 6.1).
- This improvement in sleep quality was not sustained in the late postoperative group (6.1).
- Older age and higher body mass index were identified as predictors of poorer sleep quality.
Conclusions:
- Bariatric surgery leads to short-term improvements in sleep quality.
- The positive effects on sleep quality diminish over the long term, irrespective of weight.
- Further research is needed to explore factors beyond weight regain, such as comorbidities and socioeconomic status, influencing long-term sleep quality.
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