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\rsurgery.\rMaterial and Method: Patients with morbid obesity who underwent sleeve gastrectomy were evaluated. The preoperative and\rpostoperative values of Body Mass Index (BMI), Hamilton Rating Scale for Depression (HAM-D), Hamilton Anxiety Rating Scale\r(HAM-A), Night Eating Questionnaire (NEQ), Pittsburgh Sleep Quality Index (PSQI), and Berlin Sleep Questionnaire (BSQ) were\rcompared.\rResults: A total of 82 surgery candidates who were aged between 18 and 65 (36.36±10.37) were planned for bariatric surgery\rparticipated in our study. We completed our study with 77 patients since 5 of the patients did not come to their postoperative\r6th-month controls for various reasons. Standard psychiatric examinations of the candidates were performed before and after\rthe surgery, and their written consent was obtained after they had been informed about the study. Mean preoperative BMI value\rwas 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\r15.94±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,\rHAM-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.\rConclusion: In conclusion, morbid obesity may cause anxiety, depression, and night eating syndrome and may impair sleep quality\rin parallel to them. We observed that these clinical conditions improved after bariatric surgery.