Effects of Bariatric Surgery on Sleep Architecture and Quality: A Systematic Review and Meta-Analysis.

IF 3.1 3区医学 Q1 SURGERY Obesity Surgery Pub Date : 2025-03-01 Epub Date: 2025-02-18 DOI:10.1007/s11695-025-07690-2

Guiyou Wang, Zhenpeng Wu, Bingsheng Guan, Lvjia Cheng, Haoran Ou, Yi Hu, Lin Xiang, Yunsong Jiang, Shifang Huang, Jingge Yang

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Abstract

Background: Despite the growing body of literature on the effects of bariatric surgery on sleep structure and quality in obese patients, there remains a paucity of comprehensive assessments. The objective of this study was to systematically analyze the changes in sleep structure and quality after bariatric surgery in obese patients.

Methods: By searching the three major databases, PubMed, Embase, and Cochrane, eligible studies that provided indicators of Epworth sleepiness scale (ESS) or Pittsburgh sleep quality index (PSQI) outcomes after bariatric surgery will be included in the final analysis.

Results: A total of 1570 weight loss patients from 31 studies were included, with a mean preoperative age of 30.3-56.8 years and a mean body mass index (BMI) of 31.1-62.0 kg/m². Twenty-six of these studies provided ESS data, and seven provided PSQI data. The results of the meta-analysis showed that compared to the preoperative period, postoperative weight loss Excessive daytime sleepiness (EDS) decreased by - 4.604 (I² = 92.9%, P = 0.000) and sleep quality improved by 3.276 (I² = 19.3%, P = 0.282) compared to preoperative.

Conclusions: Bariatric surgery corrects EDS and significantly improves sleep quality in obese patients.

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减肥手术对睡眠结构和质量的影响：系统回顾和荟萃分析。

背景：尽管关于减肥手术对肥胖患者睡眠结构和质量影响的文献越来越多，但仍缺乏全面的评估。本研究的目的是系统分析肥胖患者减肥手术后睡眠结构和质量的变化。方法：通过检索PubMed、Embase和Cochrane三大数据库，将提供Epworth嗜睡量表（ESS）或匹兹堡睡眠质量指数（PSQI）减肥手术后结局指标的符合条件的研究纳入最终分析。结果：共纳入31项研究的1570例减肥患者，术前平均年龄为30.3 ~ 56.8岁，平均体重指数（BMI）为31.1 ~ 62.0 kg/m2。其中26项研究提供ESS数据，7项提供PSQI数据。meta分析结果显示，与术前相比，术后患者体重减轻。与术前相比，患者日间过度嗜睡（EDS）减少了- 4.604 (I2 = 92.9%, P = 0.000)，睡眠质量改善了3.276 （I2 = 19.3%, P = 0.282）。结论：减肥手术矫正了肥胖患者的EDS，显著改善了患者的睡眠质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Surgery 医学-外科

CiteScore

5.80

自引率

24.10%

发文量

567

审稿时长

3-6 weeks

期刊介绍： Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.