Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study
Background: Only a few studies in the published literature have assessed the well-being, and the sleep quality (SQ) in patients with obesity hypoventilation syndrome (OHS). The aim of this study was to evaluate well-being and SQ in patients with OHS and to compare these outcomes with those of patien...
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Elsevier
2025-06-01
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| Series: | Metabolism Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589936825000234 |
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| author | Vasiliki Epameinondas Georgakopoulou Athina Lazaridou Athanasios Voulgaris Kostas Archontogeorgis Maria Dalamaga Evangelia Nena Paschalis Steiropoulos |
| author_facet | Vasiliki Epameinondas Georgakopoulou Athina Lazaridou Athanasios Voulgaris Kostas Archontogeorgis Maria Dalamaga Evangelia Nena Paschalis Steiropoulos |
| author_sort | Vasiliki Epameinondas Georgakopoulou |
| collection | DOAJ |
| description | Background: Only a few studies in the published literature have assessed the well-being, and the sleep quality (SQ) in patients with obesity hypoventilation syndrome (OHS). The aim of this study was to evaluate well-being and SQ in patients with OHS and to compare these outcomes with those of patients with obstructive sleep apnea (OSA) and obesity. Methods: Consecutive subjects being referred for evaluation of sleep disordered breathing were enrolled in the study. Patients were divided into two groups: Group A: OSA patients with BMI ≥30 kg/m2 and 2) Group B: OHS patients. Well-being was assessed using the World Health Organization-Five Well-Being Index (WHO-5), while sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Results: In total 1010 participants (OHS, n = 203) were included in the study. No difference was observed between groups in mean scores of Epworth Sleepiness Scale (ESS), Fatigue Severity Scale (FSS), WHO-5, and PSQI questionnaires. In patients with OHS, WHO-5 score was negatively correlated with neck circumference (r = −0.703, p = 0.016) and waist circumference (r = −0.728, p = 0.011). Moreover, PSQI scores in this group were significantly correlated with BMI (r = 0.410, p = 0.038). A lower WHO-5 score was observed in OHS patients with diabetes mellitus compared to non-diabetic patients with OHS (p = 0.049). Conclusions: Patients with OSA and OHS reported similarly poor well-being and SQ. In patients with OHS, both high neck - and waist circumference were associated with poor well-being, while higher BMI was associated with worse sleep quality. Additionally, the well-being of OHS patients with concomitant diabetes mellitus was worse compared to OHS patients without diabetes mellitus. |
| format | Article |
| id | doaj-art-0e0a565998754d28b8bc9f812df7b022 |
| institution | Kabale University |
| issn | 2589-9368 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Metabolism Open |
| spelling | doaj-art-0e0a565998754d28b8bc9f812df7b0222025-08-20T03:45:11ZengElsevierMetabolism Open2589-93682025-06-012610036710.1016/j.metop.2025.100367Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative studyVasiliki Epameinondas Georgakopoulou0Athina Lazaridou1Athanasios Voulgaris2Kostas Archontogeorgis3Maria Dalamaga4Evangelia Nena5Paschalis Steiropoulos6Medical School, Democritus University of Thrace, 68100, Alexandroupolis, Greece; Department of Pathophysiology, Laiko General Hospital, National and Kapodistrian University of Athens, 11527, Athens, Greece; Corresponding author. Department of Pathophysiology, Laiko General Hospital, Medical School of National and Kapodistrian University of Athens, 17 Agiou Thoma Street, 11527, Athens, Greece.Medical School, Democritus University of Thrace, 68100, Alexandroupolis, GreeceMedical School, Democritus University of Thrace, 68100, Alexandroupolis, GreeceMedical School, Democritus University of Thrace, 68100, Alexandroupolis, GreeceDepartment of Biological Chemistry, National and Kapodistrian University of Athens, 11527, Athens, GreeceLaboratory of Social Medicine, Medical School, Democritus University of Thrace, 68100, Alexandroupolis, GreeceMedical School, Democritus University of Thrace, 68100, Alexandroupolis, Greece; Department of Pneumonology, Medical School, Democritus University of Thrace, 68100, Alexandroupolis, GreeceBackground: Only a few studies in the published literature have assessed the well-being, and the sleep quality (SQ) in patients with obesity hypoventilation syndrome (OHS). The aim of this study was to evaluate well-being and SQ in patients with OHS and to compare these outcomes with those of patients with obstructive sleep apnea (OSA) and obesity. Methods: Consecutive subjects being referred for evaluation of sleep disordered breathing were enrolled in the study. Patients were divided into two groups: Group A: OSA patients with BMI ≥30 kg/m2 and 2) Group B: OHS patients. Well-being was assessed using the World Health Organization-Five Well-Being Index (WHO-5), while sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Results: In total 1010 participants (OHS, n = 203) were included in the study. No difference was observed between groups in mean scores of Epworth Sleepiness Scale (ESS), Fatigue Severity Scale (FSS), WHO-5, and PSQI questionnaires. In patients with OHS, WHO-5 score was negatively correlated with neck circumference (r = −0.703, p = 0.016) and waist circumference (r = −0.728, p = 0.011). Moreover, PSQI scores in this group were significantly correlated with BMI (r = 0.410, p = 0.038). A lower WHO-5 score was observed in OHS patients with diabetes mellitus compared to non-diabetic patients with OHS (p = 0.049). Conclusions: Patients with OSA and OHS reported similarly poor well-being and SQ. In patients with OHS, both high neck - and waist circumference were associated with poor well-being, while higher BMI was associated with worse sleep quality. Additionally, the well-being of OHS patients with concomitant diabetes mellitus was worse compared to OHS patients without diabetes mellitus.http://www.sciencedirect.com/science/article/pii/S2589936825000234Obesity hypoventilation syndromeObstructive sleep apneaSleep qualityWell-beingDiabetes mellitus |
| spellingShingle | Vasiliki Epameinondas Georgakopoulou Athina Lazaridou Athanasios Voulgaris Kostas Archontogeorgis Maria Dalamaga Evangelia Nena Paschalis Steiropoulos Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study Metabolism Open Obesity hypoventilation syndrome Obstructive sleep apnea Sleep quality Well-being Diabetes mellitus |
| title | Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study |
| title_full | Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study |
| title_fullStr | Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study |
| title_full_unstemmed | Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study |
| title_short | Sleep quality and well-being in obesity-hypoventilation syndrome versus obstructive sleep apnea with obesity: A comparative study |
| title_sort | sleep quality and well being in obesity hypoventilation syndrome versus obstructive sleep apnea with obesity a comparative study |
| topic | Obesity hypoventilation syndrome Obstructive sleep apnea Sleep quality Well-being Diabetes mellitus |
| url | http://www.sciencedirect.com/science/article/pii/S2589936825000234 |
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