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Article How Banding Helps With Sleep



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sleep Quality Improves after Lap Band Surgery

July 30, 2012

Nutrition & Lifestyle

sleep_study_lapband-150x150.jpgWeight loss induced through Lap-Band surgery improves obstructive sleep apnea (OSA) and sleep quality, according to a new study published by Dr. Mark Fusco, Medical Director of LifeShape Advanced Bariatric Center. The study’s findings were presented at the annual meeting of the Associated Professional Sleep Societies (APSS) and published in the Journal of Sleep and Sleep Disorders. Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times. This means that the brain may not get enough oxygen. People with sleep apnea have poor sleep quality and often experience daytime drowsiness. Carrying excess weight is a risk factor for sleep apnea. With obesity, fat deposits around the upper airway may obstruct breathing. Men are twice as likely to have sleep apnea, according to the mayo Clinic. However, women increase their risk if they’re overweight, and post-menopausal women are also at a higher risk.

The new research is a 2 year interim analysis of the APEX study, a 5 year on-going study of the Lap-Band AP system. At the beginning of the study, 117 patients (29.6%) had obstructive sleep apnea prior to surgery. At 2 years, there was sufficient OSA data available for 57 of these patients. Dr. Fusco found that after 1 year, 36% of the patients experienced resolution or improvement of OSA. At 2 years, this proportion increased to 86%, with the remaining 14% reporting no change. The average body mass index (BMI) at 2 years for those that experienced resolution or improvement was 35.7, representing a 20.2% loss of body weight. “Interestingly, the study showed that even patients that were not identified as having sleep apnea preoperatively experienced a significant improvement in their sleep related quality of life,” said Dr. Fusco. The overall study population also experienced improvement or resolution of other obesity-related co-morbidities, including type 2 diabetes (96%) and hypertension (91%).

At last year’s annual meeting of The Obesity Society, a study was presented showing that obese patients with type 2 diabetes lost significantly more weight with an intensive lifestyle intervention program than those in the control group. They also significantly reduced their apnea-hypopnea index or AHI (an index used to assess the severity of sleep apnea).

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I wish my sleep quality had improved. I still get up a gazillion times a night and often struggle to fall asleep. I don't think the band or anything else will ever fix it!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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