Effect of Laparoscopic Roux-en-Y Gastric Bypass Surgery on Obstructive Sleep Apnea in a Chinese Population with Obesity and T2DM

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• 作者：Jianyin Zou ; Pin Zhang ; Haoyong Yu ; Jianzhong Di ; Xiaodong Han…
• 关键词：Obstructive sleep apnea ; Bariatric surgery ; Diabetes mellitus ; Obesity ; Prediction model
• 刊名：Obesity Surgery
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：25
• 期：8
• 页码：1446-1453
• 全文大小：367 KB
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• 作者单位：Jianyin Zou (1)
  Pin Zhang (2)
  Haoyong Yu (3) (4)
  Jianzhong Di (2)
  Xiaodong Han (2)
  Shankai Yin (1)
  Hongliang Yi (1)
  
  1. Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Otolaryngology Institute of Shanghai Jiao Tong University, 600 Yishan Road, Shanghai, 200233, China
  2. Department of General Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, 200233, China
  3. Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Clinical Center for Diabetes, Shanghai, 200233, China
  4. Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Key Clinical Center for Metabolic Disease, Shanghai, 200233, China
  
• 刊物主题：Surgery;
• 出版者：Springer US
• ISSN：1708-0428

文摘

Background Bariatric surgery has been reported to be an effective treatment for obstructive sleep apnea (OSA). However, this evidence was not enough for different populations. Thus, we conducted a follow-up study to evaluate the effect of bariatric surgery on OSA in a Chinese population with obesity and type 2 diabetes mellitus (T2DM). Methods From May 2011 to March 2014, 72 consecutive subjects with obesity and T2DM were recruited for this study. Before and at least 6?months after the laparoscopic Roux-en-Y gastric bypass (LYGB) surgery, all subjects were asked to undergo a polysomnography test. During the sleep center visit, anthropometric characteristic data, blood samples, and sleep questionnaires were collected. Results In total, 44 Chinese participants with OSA were included in the study. Compared with baseline data, the postoperative anthropometric characteristics, blood measurements, and sleep recording data, such as weight, apnea hypopnea index (AHI), and insulin resistance index, differed significantly (p-lt;-.001). The change in AHI was correlated significantly with preoperative weight (r--.298, p-lt;-.05), preoperative AHI (r--.729, p-lt;-.001), preoperative waist circumference (r--.307, p-lt;-.05), and preoperative insulin resistance (IR) index (r-??0.301, p-lt;-.05). Postoperative AHI was correlated significantly with age (r--.039, p--.039) and preoperative AHI (r--.445, p--.002), and the following prediction model was generated: log10 (postoperative AHI)--.626?×?log10 (preoperative AHI) +0.010?×?age ?.581. Conclusions Our findings indicate that LYGB could be an effective therapeutic intervention in the management of OSA for patients with both obesity and T2DM, and the preoperative AHI and age might be important factors that influence the effort of LYGB.