Obesity

Obstructive Sleep Apnea Following Bariatric Surgery: 20 Year Outcomes From the Swedish Obese Subjects Study

Obesity (Silver Spring)Published Nonrandomized controlled intervention study

Main finding · Prevalence of OSA in participants with baseline OSAResult — go to the resultDifference 32.1 percentage points 95% CI −36.9 to −27.2

Authors' conclusion

Bariatric surgery was associated with durable OSA benefits, including higher remission and lower long-term new onset of OSA compared to usual obesity care.

Study context

Population
Participants of the Swedish Obese Subjects (SOS) study; Obstructive sleep apnea (OSA) status by questionnaire at baseline and 1, 2, 3, 4, 6, 8, 10, 15 and 20 years
Participants
4,047 participants
Comparison
Bariatric surgery vs usual obesity care
  • Bariatric surgeryn = 2,010
  • Usual obesity caren = 2,037reference
Outcome
Remission (prevalence of OSA among those with baseline OSA) and new onset of OSA (among those without baseline OSA)
Follow-up
Average over 20 years

Main finding

As reported in the abstract

Prevalence of OSA in participants with baseline OSA

Difference

32.1 percentage points

95% CI −36.9 to −27.2

P < 0.001

Further findings

OutcomeDifference (percentage points) (95% CI)P value
Prevalence of new-onset OSA in participants without baseline OSA · average over 20 yearsLower with Bariatric surgery5.8 (−7.1 to −4.6)P < 0.001

Original publication

Obstructive Sleep Apnea Following Bariatric Surgery: 20 Year Outcomes From the Swedish Obese Subjects Study. Obesity (Silver Spring). Published 25 February 2026. doi:10.1002/oby.70154

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