metabolically healthy obesity: and if the key was the quality of sleep?

R. Ben Othman*^a (Dr), O. Berriche^a (Dr), A. Gamoudi^a (Dr), R. Mizouri^a (Dr), D. Jerab^a (Ms), A. Amorri^a (Dr), F. Mahjoub^a (Dr), H. Jamoussi^a (Dr)

^a innta, Tunis, TUNISIA

* benothmanr@gmail.com

introduction: there are obese people who do not develop metabolic complications. they are called metabolically healthy obese whose pathophysiology remains uncertain

materiel and methods: 2 groups were chosen: 47 obese with metabolic syndrome and 37 obese without metabolic syndrome. the two groups were matched for age, sex and BMI. we studied their quality of sleep via an interrogation and the validated epworth scale.

results: mean age of both group was 48 year old. mean BMI was 41Kg/m². obeses with metabolic syndrom had more sleep onset insomnia 66% vs 43% p=0.04 and complete insomnia 29.8% vs 10.2% p=0.05. normal epworth scale was found in 57% of obeses with metabolic syndrom against 75% of obeses without metabolic syndrom but diffrence wasn't significantely different p=0.3.

conclusion: it is well established that to prevent the occurrence of metabolic complications in obese patients they should adopt a healthier lifestyle but also a better quality of sleep as demonstrated in our study.

The author has declared no conflict of interest.