The relationship between eating psychopathology and obstructive sleep apnea in bariatric surgery candidates: A retrospective study.

Abstract

OBJECTIVE:

Obstructive sleep apnea (OSA), eating psychopathology, and major depressive disorder (MDD) are highly prevalent in patients with severe obesity. Our study aimed to identify differences in binge-eating disorder (BED) prevalence in bariatric surgery candidates with and without OSA.

METHODS:

In this retrospective study, demographic data, psychiatric diagnoses, OSA diagnosis, binge eating, depressive and quality of life (QOL) symptoms were collected from 1,099 bariatric surgery candidates from a Canadian setting. Analysis of variance was used to identify differences in psychopathology and QOL between groups with OSA and BED, BED alone, OSA alone or neither BED or OSA.

RESULTS:

Study participants' mean body mass index was 49.3 kg/m2 and 52.6% had a diagnosis of OSA. Patients with OSA were significantly more likely to have a diagnosis of past BED (χ2  = 6.848, p = .009) and current MDD (χ2  = 5.165, p = .023). Binge-eating (p < .001) and depressive symptoms (p < .001) were significantly higher in patients with co-morbid BED and OSA compared to patients with OSA alone or patients with no diagnosis of BED or OSA. Patients with co-morbid BED and OSA only had significantly lower physical (p < .001) and mental QOL (p = .007) compared to patients with no diagnosis of BED or OSA.

DISCUSSION:

Our findings suggest that patients with a history of BED should be reassessed for OSA. Research is needed to examine whether BED may predispose individuals to developing obesity and OSA.

• Authors: Sanjeev Sockalingam, Hedieh Tehrani, Marlene Taube-Schiff, Jessica Van Exan, Vincent Santiago, Raed Hawa
• Journal: The International journal of eating disorders (Int J Eat Disord) Vol. 50 Issue 7 Pg. 801-807 (07 2017) ISSN: 1098-108X [Electronic] United States
• PMID: 28334442 (Publication Type: Journal Article)
• Copyright: © 2017 Wiley Periodicals, Inc.

Topics

• Adult
• Bariatric Surgery (adverse effects, psychology)
• Depressive Disorder, Major (etiology, pathology)
• Female
• Humans
• Male
• Middle Aged
• Obesity, Morbid (complications, surgery)
• Psychopathology (methods)
• Quality of Life (psychology)
• Retrospective Studies
• Sleep Apnea, Obstructive (etiology, pathology)