+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Asthma and sleep apnea in patients with morbid obesity: outcome after bariatric surgery

Asthma and sleep apnea in patients with morbid obesity: outcome after bariatric surgery

Obesity Surgery 14(10): 1381-1388

Asthma and sleep apnea syndrome (SAS) are frequently reported in obese patients. The authors determined the prevalence of asthma and SAS in morbidly obese patients and the effect of biliopancreatic diversion with duodenal switch (BPD-DS) on these conditions. 398 patients were evaluated for bariatric surgery in a university-affiliated tertiary care center. All patients completed a written questionnaire on asthma and SAS before BPD-DS. In addition, 139 patients also completed a questionnaire on their general health status, including asthma and SAS, 2 years after the procedure. For the cohort of 398 patients, the prevalence of self-reported asthma was 30.4% and that of SAS, 32.2%. No significant association was found between asthma and SAS diagnosis (P =0.10). Significant relationships were observed between the diagnosis of asthma and age, hip circumference, waist/hip ratio, weight and BMI of the patients as well as between a diagnosis of SAS and gender, waist circumference, hip circumference, waist/hip ratio, weight and BMI. 2 years after surgery (mean BMI was reduced from 51.4 to 30.5 kg/m(2)), asthma was reported improved in 79.3% of patients and SAS was improved in all but one with this condition; among 29 SAS patients using CPAP before surgery, only 4 were still using this treatment after 2 years. The prevalence of asthma and SAS is high in the morbidly obese population and is associated with markers of obesity. We found no association between the diagnosis of asthma and SAS diagnosis in this population. BPD-DS improved self-reported severity of asthma and SAS symptoms.

(PDF emailed within 0-6 h: $19.90)

Accession: 048327120

Download citation: RISBibTeXText

PMID: 15603655

DOI: 10.1381/0960892042584021

Related references

Decrease of Plasma Soluble (Pro)renin Receptor by Bariatric Surgery in Patients with Obstructive Sleep Apnea and Morbid Obesity. Metabolic Syndrome and Related Disorders, 2018

Impact of Bariatric Surgery on Heme Oxygenase-1, Inflammation, and Insulin Resistance in Morbid Obesity with Obstructive Sleep Apnea. Obesity Surgery 27(9): 2338-2346, 2017

Predictors of prolonged hospital stay following open and laparoscopic gastric bypass for morbid obesity: body mass index, length of surgery, sleep apnea, asthma, and the metabolic syndrome. Obesity Surgery 14(8): 1042-1050, 2004

Obstructive sleep apnea and pulmonary function in patients with severe obesity before and after bariatric surgery: a randomized clinical trial. Multidisciplinary Respiratory Medicine 9(1): 43-43, 2014

Evaluation of medical and health economic effectiveness of bariatric surgery (obesity surgery) versus conservative strategies in adult patients with morbid obesity. Gms Health Technology Assessment 4(): Doc06-Doc06, 2008

Ambulatory Surgery in the Adult Patient With Morbid Obesity and/or Sleep Apnea Syndrome. Asa Refresher Courses in Anesthesiology 40(1): 80-86, 2012

Obstructive sleep apnea, morbid obesity, and adenotonsillar surgery: a review of the literature. International Journal of Pediatric Otorhinolaryngology 69(11): 1475-1482, 2005

Obesity and obstructive sleep apnea-hypopnea syndrome: the impact of bariatric surgery. Obesity Surgery 17(1): 95-99, 2007

The impacts of super obesity versus morbid obesity on red blood cell aggregation and deformability among patients qualified for bariatric surgery. Clinical Hemorheology and Microcirculation 58(4): 543-550, 2015

Long-term effect of ileogastrostomy surgery for morbid obesity on diabetes mellitus and sleep apnea. Obesity Surgery 16(10): 1337-1341, 2006

Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea. Surgery 141(3): 354-358, 2007

Effect of bariatric surgery on obstructive sleep apnea hypopnea syndrome with obesity in China. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 30(6): 434-437, 2018

Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea. Yearbook of Surgery 2008: 272-274, 2008

Safety of a perioperative strategy for the management of obstructive sleep apnea in bariatric surgery patients: a single Bariatric Center of Excellence experience. Polskie Archiwum Medycyny Wewnetrznej 122(12): 641-643, 2014

Bariatric surgery. Surgery for weight control in patients with morbid obesity. Medical Clinics of North America 84(2): 477-489, 2000