Key result
Weight management interventions like bariatric surgery target cardiopulmonary morbidity driven by obesity-linked sleep disordered breathing.
Why the study?
Obesity and obesity-related respiratory disease, particularly sleep-disordered breathing, are increasingly prevalent and associated with cardiopulmonary morbidity, necessitating a review of recent trends, management guidelines, and future care approaches.
Obesity-related sleep disordered breathing is an increasingly prevalent condition that requires appropriate recognition and management, including weight management interventions like bariatric surgery.
Highlights rising SDB burden in obesity; leaves open optimal bariatric integration pending prospective trials.
PURPOSE OF REVIEW: The 'obesity epidemic' is a growing concern globally, and obesity trends are projected to continue increasing in both prevalence and overall mean BMI. Cardiovascular and metabolic comorbidities have historically been well described; however, obesity-related respiratory disease is now increasingly prevalent, in particular, sleep disordered breathing. The surge in clinically significant obstructive sleep apnoea and obesity hypoventilation syndrome is associated with increased cardiopulmonary morbidity, quality-of-life impairment, and a potential rise in the frequency of road traffic accidents. RECENT FINDINGS: We discuss recent trends in obesity and obesity-related sleep disordered breathing. We also discuss recently published international guidelines regarding the diagnosis and management of sleep disordered breathing, and in particular, the role of weight management interventions, such as bariatric surgery, in this area. We discuss possible approaches to meet the growing demand for sleep assessment and management in the future. SUMMARY: Obesity-related respiratory disease reflects an increasing proportion of patients in both inpatient and outpatient settings. It is important to recognize the impact of obesity on pulmonary physiology in order to appropriately care for this population, as well as plan for the future.
No takes yet. Share an insight, caveat, or question.
Meurling et al. (2019) conducted a review in Obesity and sleep disordered breathing. Obesity was evaluated. Obesity is increasingly associated with sleep disordered breathing, leading to increased cardiopulmonary morbidity and necessitating weight management interventions like bariatric surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: