Interactions Between Obesity and Obstructive Sleep Apnea

Mar 6, 2010Chest

How Obesity and Sleep Apnea Affect Each Other and What This Means for Treatment

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Abstract

Obstructive sleep apnea (OSA) is associated with multiple cardiovascular risks, including high blood pressure and insulin resistance.

OSA adversely affects various organs and systems, particularly the cardiovascular system.
Conditions like high blood pressure, insulin resistance, and systemic inflammation are frequently observed in individuals with OSA.
Weight loss may improve both OSA severity and related cardiovascular issues.
Bariatric surgery has shown promising results in reducing sleep apnea severity and improving cardiometabolic health.
An effective treatment for OSA requires a multidisciplinary approach, addressing the complexity of the condition.

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Obstructive sleep apnea (OSA) adversely affects multiple organs and systems, with particular relevance to cardiovascular disease. Several conditions associated with OSA, such as high BP, insulin resistance, systemic inflammation, visceral fat deposition, and dyslipidemia, are also present in other conditions closely related to OSA, such as obesity and reduced sleep duration. Weight loss has been accompanied by improvement in characteristics related not only to obesity but to OSA as well, suggesting that weight loss might be a cornerstone of the treatment of both conditions. This review seeks to explore recent developments in understanding the interactions between body weight and OSA. Weight loss helps reduce OSA severity and attenuates the cardiometabolic abnormalities common to both diseases. Nevertheless, weight loss has been hard to achieve and maintain using conservative strategies. Since bariatric surgery has emerged as an alternative treatment of severe or complicated obesity, impressive results have often been seen with respect to sleep apnea severity and cardiometabolic disturbances. However, OSA is a complex condition, and treatment cannot be limited to any single symptom or feature of the disease. Rather, a multidisciplinary and integrated strategy is required to achieve effective and long-lasting therapeutic success.

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Interactions Between Obesity and Obstructive Sleep Apnea

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