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PREVALENCE OF OBSTRUCTIVE SLEEP APNEIA SYNDROME AND THE PROFILE OF PACIENTS FROM THE OBESE GROUP
Obstructive sleep apnea syndrome (OSAS) is a disorder that occurs with frequent airway closure during sleep, causing hypoxia and, consequently, hypercapnia, leading to frequent awakenings and a fragmented sleep. OSAS and obesity have an important association, since obese individuals have a higher risk of having apnea and the reverse is also valid: sleep fragmentation impairs the production of satiety and appetite-relate hormones, making weight loss more difficult and aggravating weight gain. Sometimes, weight loss needed to improve both conditions is only achieved through bariatric surgery.
This study describes the clinical profile, identifies the prevalence of OSAS and excessive daytime sleepiness and verifies the presence of comorbidities in obese patients scheduled for bariatric surgery.
The individuals are men and women over 18 years of age. They will be submitted to the Berlin Questionnaire (QB), for the diagnosis of OSAS, and to the Epworth Sleepiness Scale (ESS).
Fifty patients were evaluated, of which 42 are women and 8 are men. The studied group had a mean age of 41.16 ± 11.9 years and a mean BMI of 47.10 ± 6.9 kg/m², being the majority (90%) classified as grade III obesity (above 40 kg/m²). About the comorbidities, 62% of the participants affirmed to have hypertension, 18% mellitus diabetes II and 18% both. According to BQ, 90% presented a high risk for OSAS and 31 of them obtained positivity for excessive daytime sleepiness through the ESS.
The evaluated individuals can be considered, for the most part, apneic and with excessive daytime sleepiness.
Obesity. Obstructive sleep apnea. OSAS. Bariatric. Apnea.
FERNANDA BUTURA BROETTO, CAROLINA FERRAZ DE PAULA SOARES, MARCELO TAGLIETTI, MICHELI SIGNOR, VANESSA CARLA TRENTIM, ANDRESSA PIRES ALVES, PATRICIA FREITAG FERREIRA, LUCIANE LOPES, LARISSA COCCO, SILVIA BALDISSERA