Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Olga Rodrigues
Data de Publicação: 2020
Outros Autores: Carmo, Isabel do, Paiva, Teresa, Figueira, Maria Luísa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/44493
Resumo: © This work is licensed under a Creative Commons Attribution-Non Commercial-NoDerivatives 4.0 International License
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spelling Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obeseBody mass indexEmotionsCognitionObesityMorbidSleep apneaObstructive© This work is licensed under a Creative Commons Attribution-Non Commercial-NoDerivatives 4.0 International LicenseObjective: Obstructive sleep apnoea (OSA) is the most common sleep disorder and its prevalence has increased with the obesity pandemic. We aimed to explore the presence of OSA in severe obesity and to evaluate the association of body mass index (BMI) with sleep architecture, cognition, emotional distress and comorbidities in OSA versus non-OSA patients. Methods: A sample of 61 patients performed a neuropsychological battery that included tasks of attention, memory, perceptual/visuospatial ability, vocabulary, inhibition, cognitive flexibility and distress symptomatology, before overnight polysomnography. Results: More than half of the sample had OSA. Excessive daytime sleepiness was not a prominent complaint. Sleep architecture was worse in the OSA than in the non-OSA group, and hypertension was increased with OSA, especially in the severe OSA group. A higher BMI was associated with cognitive distress and sleep variables and with type 2 diabetes. The apnoea-hypopnoea index (AHI) was correlated with gender and cognitive measurements. Cognitive complaints were associated with enhanced distress in both OSA and nonOSA patients. Discussion: OSA is considerably present in severely obese patients. The BMI was strongly associated with other important anthropometric measurements along with worsening sleep architecture and lower executive functioning, both of which may contribute to weight gain. The AHI was significantly higher in men and affected memory and maintaining sets on the Wisconsin Card Sorting Test which may represent a barrier to treatment adherence for this disorder. The substantial presence of cognitive complaints in OSA and non-OSA patients suggests the need for psychological intervention focused on adaptive coping strategies, mostly for depressive symptoms. Given the current obesity epidemic, these results support the need for routine sleep investigation in obese people, particularly in primary care settings. BMI, neuropsychological and emotional screening can provide crucial information about asymptomatic and high-risk patients who require prompt sleep intervention and obesity treatment.Brazilian Sleep SocietyRepositório da Universidade de LisboaRibeiro, Olga RodriguesCarmo, Isabel doPaiva, TeresaFigueira, Maria Luísa2020-10-01T13:14:15Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44493engSleep Sci.0;0(0):1-9, 20201984-065910.5935/1984-0063.202000301984-0063info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:45:35Zoai:repositorio.ul.pt:10451/44493Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:57:03.704493Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
title Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
spellingShingle Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
Ribeiro, Olga Rodrigues
Body mass index
Emotions
Cognition
Obesity
Morbid
Sleep apnea
Obstructive
title_short Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
title_full Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
title_fullStr Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
title_full_unstemmed Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
title_sort Body mass index and neuropsychological and emotional variables : joint contribution for the screening of sleep apnoea syndrome in obese
author Ribeiro, Olga Rodrigues
author_facet Ribeiro, Olga Rodrigues
Carmo, Isabel do
Paiva, Teresa
Figueira, Maria Luísa
author_role author
author2 Carmo, Isabel do
Paiva, Teresa
Figueira, Maria Luísa
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Ribeiro, Olga Rodrigues
Carmo, Isabel do
Paiva, Teresa
Figueira, Maria Luísa
dc.subject.por.fl_str_mv Body mass index
Emotions
Cognition
Obesity
Morbid
Sleep apnea
Obstructive
topic Body mass index
Emotions
Cognition
Obesity
Morbid
Sleep apnea
Obstructive
description © This work is licensed under a Creative Commons Attribution-Non Commercial-NoDerivatives 4.0 International License
publishDate 2020
dc.date.none.fl_str_mv 2020-10-01T13:14:15Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/44493
url http://hdl.handle.net/10451/44493
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Sleep Sci.0;0(0):1-9, 2020
1984-0659
10.5935/1984-0063.20200030
1984-0063
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Brazilian Sleep Society
publisher.none.fl_str_mv Brazilian Sleep Society
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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