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Prevalence of Obstructive Sleep Apnoea Among Patients Admitted for Bariatric Surgery. A Prospective Multicentre Trial

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Abstract

Background

Obesity has become one of the greatest public health concerns worldwide and is known to be the most important risk factor for obstructive sleep apnoea (OSA). Prevalence of OSA has increased over the last two decades, but it is estimated that the majority of cases still remain undiagnosed. The aim of this study was to investigate the prevalence of OSA in Finnish bariatric surgery candidates.

Methods

In this prospective multicentre study, standard overnight cardiorespiratory recording was conducted in 197 consecutive patients from three different hospitals. A sleep questionnaire was also administered. Anthropometric and demographic measurements included age, weight, body mass index (BMI) and waist and neck circumference.

Results

Altogether, 71 % of the patients were diagnosed with OSA. The prevalence was higher in males (90 %) than in females (60 %) (p < 0.001). In OSA patients’ group, the mean neck and waist circumference was larger (p < 0.001) and the body weight higher (p < 0.01) than in non-OSA group. When separating patients by gender, a significant difference remained only concerning neck circumference in female patients.

Conclusions

OSA is very common among bariatric surgery patients, especially in men. Considering this and the increased long-term morbidity and mortality generally related to OSA, a routine screening for OSA seems indicated in bariatric patients, particularly men.

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Acknowledgments

The authors cordially acknowledge Miia Artama, PhD, for her critical assistance with statistical analysis; Jaana Elberkennou, MD, MA, for her kind revision of the English language and the clinical research nurses Synnöve Liukku, Helinä Mäkipää, Taina Poutiainen, Matti Laitinen and Marjo Soini.

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Authors and Affiliations

  1. Department of Surgery, Hatanpää City Hospital, PL 437, FIN-33101, Tampere, Finland

    P. Peromaa-Haavisto

  2. Oivauni Sleep Clinic, Kuopio, Finland

    H. Tuomilehto

  3. Department of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland

    H. Tuomilehto & J. Pihlajamäki

  4. Kantahäme Central Hospital, Hämeenlinna, Finland

    J. Kössi

  5. Lahti Region Central Hospital, Lahti, Finland

    J. Virtanen & M. Luostarinen

  6. Clinical Nutrition and Obesity Center, Kuopio University Hospital, Kuopio, Finland

    P. Käkelä

  7. Vaasa Central Hospital, Vaasa, Finland

    M. Victorzon

  8. University of Turku, Turku, Finland

    J. Kössi & M. Victorzon

  9. Oivauni Sleep Clinic, Tampere, Finland

    H. Tuomilehto

Authors
  1. P. Peromaa-Haavisto
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Corresponding author

Correspondence to P. Peromaa-Haavisto.

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Conflict of Interest

The authors declare that they have no competing interests.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Peromaa-Haavisto, P., Tuomilehto, H., Kössi, J. et al. Prevalence of Obstructive Sleep Apnoea Among Patients Admitted for Bariatric Surgery. A Prospective Multicentre Trial. OBES SURG 26, 1384–1390 (2016). https://doi.org/10.1007/s11695-015-1953-7

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  • DOI: https://doi.org/10.1007/s11695-015-1953-7

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