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

IF 2.9 3区医学 Q1 SURGERY

Obesity Surgery Pub 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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引用次数: 0

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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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.