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Changes in Daytime Sleepiness and Depressive Symptoms Among Women Undergoing Bariatric Surgery: Implications for Endometrial Cancer Risk

Welburn, Sharon (2013) Changes in Daytime Sleepiness and Depressive Symptoms Among Women Undergoing Bariatric Surgery: Implications for Endometrial Cancer Risk. Master Essay, University of Pittsburgh.

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Abstract

Background: Obesity, a prominent risk factor for endometrial cancer development and public health issue, affects nearly one-third of the US population; bariatric surgery is an alternative weight loss option. Little is known of how bariatric surgery-related weight loss affects other obesity-aggravating factors, such as daytime sleepiness and depression. This study is among the first to look at the effects of bariatric surgery-related BMI reduction on daytime sleepiness and depressive symptoms among women. Objective: To gauge the effect of bariatric surgery on daytime sleepiness, depressive symptoms, and BMI. Methods: As part of a larger study ("Effects of weight loss on biomarkers of immunity and inflammation: Implications for endometrial cancer risk" Linkov, PI), 51 women completed the Epworth Sleepiness Scale and Center for Epidemiologic Studies Depression Scale and had anthropometric measurements recorded pre- and post-bariatric surgery at Magee-Womens Hospital. Paired sample t-tests analyzed changes between baseline (before surgery) and post-surgery follow-up (mean follow-up time=7.18 months, SD=2.40). Participants were then separated into groups based on BMI lost, using median BMI lost (median=12.20). Linear regression was used to test the significance of relationships pre-/post-surgery between BMI and depressive symptoms and daytime sleepiness, as well as relationships between daytime sleepiness and depressive symptoms. Results: Our sample consisted of 51 obese women (85.7% white, mean age=43.51±11.94 years, mean BMI=46.35±5.58). Improvements were seen between baseline and post-surgery follow-up in: daytime sleepiness (m=-1.21±3.39, p=0.014), total CES-D score (m=-3.00±8.57, p=0.016), likelihood of meeting CES-D score criteria for clinical depression (p=0.031), and BMI (m=-11.94±4.46, p


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Welburn, Sharonscw42@pitt.eduSCW42
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairSonger, Thomastjs@pitt.eduTJSUNSPECIFIED
Committee MemberLinkov, Fainafaina.linkov@gmail.comUNSPECIFIEDUNSPECIFIED
Committee MemberBovbjerg, Danabovbjergdh@upmc.eduDHB15UNSPECIFIED
Date: 2013
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: No
Date Deposited: 11 Feb 2014 21:26
Last Modified: 28 Mar 2024 11:55
URI: http://d-scholarship.pitt.edu/id/eprint/20250

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  • Changes in Daytime Sleepiness and Depressive Symptoms Among Women Undergoing Bariatric Surgery: Implications for Endometrial Cancer Risk. (deposited 11 Feb 2014 21:26) [Currently Displayed]

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