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05.05.2023 | Sleep Breathing Physiology and Disorders • Original Article

Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis

verfasst von: Khaled Al Oweidat, Ahmad A. Toubasi, Raya B. Abu Tawileh, Hind B. Abu Tawileh, Manar M. Hasuneh

Erschienen in: Sleep and Breathing | Ausgabe 6/2023

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Abstract

Background

Several studies evaluated the effect of bariatric surgery on obstructive sleep apnea (OSA) but findings have been inconsistent. The aim of this study was to conduct an updated systematic review and meta-analysis to investigate the effect of bariatric surgery on OSA.

Methods

The databases for PubMed, CENTRAL, and Scopus were searched up to the 1st of December, 2021. Studies were included if they were cohort or case–control in design, included patients with diagnosis of OSA, the patients underwent any bariatric surgery, and the study performed postoperative polysomnography.

Results

The total number of the included patients was 2310 patients with OSA from 32 studies. Our analysis showed that bariatric surgery was associated with significant reduction in BMI (WMD = − 11.9, 95%CI: − 13.4, − 10.4), apnea–hypopnea index (AHI) (WMD = − 19.3, 95%CI: − 23.9, − 14.6), and respiratory disturbance index (RDI) (WMD = − 33.9, 95%CI: − 42.1, − 25.7). The rate of OSA remission after the surgery was 65% (95%CI: 0.54, 0.76).

Conclusion

Our results suggest that bariatric surgeries are effective in reducing obesity among patients with OSA in addition to OSA severity measures. However, the low rate of OSA remission suggests that the main etiology of OSA is not only obesity but also includes other important variables such as the anatomy of the jaw.

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Titel: Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis
verfasst von: Khaled Al Oweidat
Ahmad A. Toubasi
Raya B. Abu Tawileh
Hind B. Abu Tawileh
Manar M. Hasuneh
Publikationsdatum: 05.05.2023
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 6/2023
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-023-02840-1

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Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis