Gece yeme bozukluğu ve uyku kalitesini ameliyat ile tedavi etmek mümkün mü? Obezite cerrahisinin faydaları

Year 2022, Volume: 3 Issue: 2, 87 - 91, 28.06.2022

Ferhat Çay , Merve Şahin Can

https://doi.org/10.47582/jompac.1102420

Abstract

Amaç: Bu çalışma, bariatrik cerrahi sonrası morbid obezitesi olan hastalarda uyku kalitesi ve gece yeme sendromunun değerlendirilmesi amacıyla yapılmıştır.
Gereç ve Yöntem: Morbid obezitesi olan ve tüp mide ameliyatı yapılan hastalar değerlendirildi. Vücut Kitle İndeksi (BKİ), Hamilton Depresyon Derecelendirme Ölçeği (HAM-D), Hamilton Anksiyete Derecelendirme Ölçeği (HAM-A), Gece Yeme Anketi (NEQ), Pittsburgh Uyku Kalitesi İndeksi (PSQI) ve ameliyat öncesi ve sonrası değerleri Berlin Uyku Anketi (BSQ) karşılaştırıldı.
Bulgular: Çalışmamıza 18-65 yaşları arasında (36,36±10,37) obezite cerrahisi planlanan toplam 82 cerrahi adayı katıldı. Hastalardan 5’i ameliyat sonrası 6. ay kontrollerine çeşitli nedenlerle gelmediği için 77 hasta ile çalışmamızı tamamladık. Adayların ameliyat öncesi ve sonrası standart psikiyatrik muayeneleri yapıldı ve çalışma hakkında bilgilendirildikten sonra yazılı onamları alındı. Ameliyat öncesi ortalama VKİ değeri 44,53±4,33, HAM-A değeri 4,96±6,14, HAM-D değeri 3,82±3,84, PUKİ değeri 4,69±3,64 ve NEQ puanı 15,94±7,94 olarak bulundu. Ameliyat sonrası 6. ay değerlendirmelerinde ortalama VKİ değeri 30,74±3,55, HAM-A değeri 2,39±3,47, HAM-D değeri 1,57±2,39, PUKİ değeri 1,48±1,42 ve NEQ puanı 5,58±5 olarak bulundu. 3.06. Ortalama EWL değeri 61,71±10,58 olarak bulundu.
Sonuç: Sonuç olarak, morbid obezite anksiyete, depresyon ve gece yeme sendromuna neden olabilir ve bunlara paralel olarak uyku kalitesini bozabilir. Bariatrik cerrahi sonrası bu klinik durumların düzeldiğini gözlemledik.

Keywords

Uyku, gece yeme sendromu, obezite cerrahisi

Is it possible to treat night eating disorder and sleep quality with surgery? Benefits of obesity surgery

Abstract

Aim: This study was conducted to assess sleep quality and night eating syndrome in patients with morbid obesity after bariatric surgery.
Material and Method: Patients with morbid obesity who underwent sleeve gastrectomy were evaluated. The preoperative and postoperative values of Body Mass Index (BMI), Hamilton Rating Scale for Depression (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Night Eating Questionnaire (NEQ), Pittsburgh Sleep Quality Index (PSQI), and Berlin Sleep Questionnaire (BSQ) were compared.
Results: A total of 82 surgery candidates who were aged between 18 and 65 (36.36±10.37) were planned for bariatric surgery participated in our study. We completed our study with 77 patients since 5 of the patients did not come to their postoperative 6th-month controls for various reasons. Standard psychiatric examinations of the candidates were performed before and after the surgery, and their written consent was obtained after they had been informed about the study. Mean preoperative BMI value was found as 44.53±4.33, HAM-A value as 4.96±6.14, HAM-D value as 3.82±3.84, PSQI value as 4.69±3.64, and NEQ score as 15.94±7.94. In the 6th month evaluations after surgery, the mean BMI value was found as 30.74±3.55, HAM-A value as 2.39±3.47, HAM-D value as 1.57±2.39, PSQI value as 1.48±1.42, and NEQ score as 5.58±3.06. The mean EWL value was found as 61.71±10.58.
Conclusion: In conclusion, morbid obesity may cause anxiety, depression, and night eating syndrome and may impair sleep quality in parallel to them. We observed that these clinical conditions improved after bariatric surgery.

Keywords

Bariatric surgery, sleep, night eating syndrome

References

• Kirkil C, Aygen E, Korkmaz MF, Bozan MB. Quality of life after laparoscopic sleeve gastrectomy using BAROS system. Arq Bras Cir Dig 2018; 31: e1385.
• Karlsson J, Taft C, Rydén A, Sjöström L, Sullivan M. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 2007; 31: 1248–61.
• Bozan Mb, Kutluer N, Aksu A, Bozan Aa, Kanat Bh, Böyük A. Is body mass index and obesity surgery mortality score important in perioperative complications of laparoscopic sleeve gastrectomy before discharge? Abcd Arq Bras Cir Dig (São Paulo) 2021; 34: 2.
• Mosavat M, Mirsanjari M, Arabiat D, Smyth A, Whitehead L. The role of sleep curtailment on leptin levels in obesity and diabetes mellitus. Obes Facts 2021; 14: 214–21.
• Cortes-Telles A, Ortiz-Farias D, Pou-Aguilar Y, Almeida-de-la-Cruz L, Perez-Padilla J. Clinical impact of obesity on respiratory diseases: A real-life study. Lung India 2021; 38: 321–5.
• Bozan MB. Obstruktif uyku apne sendromu ve bariatrik cerrahi. In: Cingi C, Bayar Muluk N, Salcan İ, Susaman N, editors. 8 Solunum Zirvesi. Arhavi/Artvin: Sürekli Eğitim ve Bilimsel Araştırmalar Derneği; 2018. p. 30–4.
• Xie H, Doherty L, O’Boyle C. The positive impact of bariatric surgery on sleep. Ir Med J 2016; 109: 328–30.
• Sevinçer GM, Coşkun H, Konuk N, Bozkurt S. Violence in Schizophrenia. psikiyatr guncel yaklasimlar - Curr Approaches Psychiatry 2014; 6: 32–44.
• Wrzosek M, Wojnar M, Sawicka A, Tałałaj M, Nowicka G. Insomnia and depressive symptoms in relation to unhealthy eating behaviors in bariatric surgery candidates. BMC Psychiatry 2018; 18: 153.
• Akdemir A, Örsel SÖ, Dağ İ, Türkçapar MH, İşcan N, Özbay H. Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği-güvenirliliği ve klinikte kullanımı. Psikiyatr Psikol Psikofarmakol Derg 1996; 4: 251–9.
• Yazıcı MK, Demir B, Tanrıverdi N, Karaarğaoğlu E, Yolaç P. Hamilton Anxiety Rating Scale: Interrater reliability and validity study. Türk Psikiyatr Derg 1998; 9: 114–7.
• Allison KC, Lundgren JD, O’Reardon JP, et al. The night eating questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav 2008; 9: 62–72.
• Peker M, Oztora S, Caylan A, Dağdeviren HN. Internal reliability of turkish version of “Night Eating Questionnaire” in general adult population. Eurasian J Fam Med 2016; 5: 109–12.
• Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193–213.
• Ağargün M, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatr Derg 1996; 7: 107–15.
• Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999; 131: 485–91.
• Kalarchian MA, Marcus MD, Levine MD, et al. Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry 2007; 164: 328–34.
• Blasco BV, García-Jiménez J, Bodoano I, Gutiérrez-Rojas L. Obesity and depression: ıts prevalence and ınfluence as a prognostic factor: a systematic review. Psychiatry Investig 2020; 17: 715–24.
• Dilektasli E, Dilektasli AG. Laparoscopic Sleeve gastrectomy ımproves excessive daytime sleepiness and sleep quality 6 months following surgery: a prospective cohort study. Adv Ther 2016; 33: 774–85.
• Toor P, Kim K, Buffington CK. Sleep quality and duration before and after bariatric surgery. Obes Surg 2012; 22: 890–5.
• Ghiasi F, Bagheri Ghaleh A, Salami, et al. Effects of laparoscopic sleeve gastrectomy and roux-en-y gastric bypass on the ımprovement of sleep quality, daytime sleepiness, and obstructive sleep apnea in a six-month follow-up. Tanaffos 2020; 19: 50–9.
• Salwen-Deremer JK, Schreyer C, Hymowitz GF, Montanari A, Smith MT, Coughlin JW. Sleep disturbance and insomnia in individuals seeking bariatric surgery. Surg Obes Relat Dis 2020; 16: 940–7.
• Cai G-H, Theorell-Haglöw J, Janson C, et al. Insomnia symptoms and sleep duration and their combined effects in relation to associations with obesity and central obesity. Sleep Med 2018; 46: 81–7.
• Arlington V, editor. Feeding and Eating Disorders. In: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM-5TM. Five. American Psychiatric Association; 2013. p. 329–54.
• Howell MJ, Schenck CH, Crow SJ. A review of nighttime eating disorders. Sleep Med Rev 2009; 13: 23–34.
• Yeh S-SS, Brown RF. Disordered eating partly mediates the relationship between poor sleep quality and high body mass index. Eat Behav 2014; 15: 291–7.
• Chaput J-P, Després J-P, Bouchard C, Tremblay A. The association between short sleep duration and weight gain is dependent on disinhibited eating behavior in adults. Sleep 2011; 34: 1291–7.
• Lawson JL, Wiedemann AA, Carr MM, Ivezaj V, Duffy AJ, Grilo CM. Examining sleep quality following sleeve gastrectomy among patients with loss-of-control eating. Obes Surg 2019; 29: 3264–70.