The Role of Age, Gender, and Daytime Sleepiness in Predicting CPAP Adherence Following Bariatric Surgery

Document Type

Conference Proceeding

Publication Date

5-19-2025

Publication Title

Sleep

Abstract

Introduction: Obstructive sleep apnea (OSA) is a common comorbidity in bariatric surgery patients, with continuous pos itive airway pressure (CPAP) serving as a primary treatment. While bariatric surgery often results in significant weight loss and improvement in apnea severity, the roles of age, gender, and baseline daytime sleepiness—measured by the Epworth Sleepiness Scale (ESS)—in predicting CPAP adherence remain unclear. Methods: This retrospective chart study reviewed 140 patients evaluated at the Henry Ford Bariatric Clinic and referred to the Henry Ford Sleep Disorders and Research Center for preoperative sleep testing between April and August 2023. CPAP adherence, defined as any reported usage, was analyzed in rela tion to ESS scores, age, and gender. Results: Preliminary analyses revealed positive correlation between ESS scores and CPAP adherence, suggesting patients with higher daytime sleepiness are more likely to adhere to CPAP therapy. Older patients demonstrated higher adherence rates. Significant differences in adherence were also observed between genders, with male patients showing consistently higher adherence across all follow-up points. Conclusion: Age, gender, and baseline ESS appear to play significant roles in predicting CPAP adherence following bariatric surgery. These findings highlight the importance of tailoring postoperative CPAP management to demographic factors, with particular attention to younger and female patients who may benefit from additional adherence support.

Volume

48

Issue

Supplement_1

First Page

A585

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