Weight Management in Obstructive Sleep Apnea

Feb 3, 2019Sleep medicine clinics

Medical and Surgical Ways to Manage Weight in Obstructive Sleep Apnea

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Abstract

Weight loss of 7% to 11% significantly improves obstructive sleep apnea (OSA).

Greater weight loss may lead to remission of OSA.
Weight loss is associated with improvements in other obesity-related metabolic conditions.
Reducing body weight could lower overall cardiovascular risk in individuals with OSA.
Effective weight loss interventions include lifestyle changes, medications, and bariatric surgery.

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Obesity plays a pivotal role in the pathogenesis of obstructive sleep apnea (OSA) and as an exacerbating factor of OSA. Given the interlinking relationship of obesity and OSA, treatment of obesity is fundamental in the management of OSA. Weight loss of 7% to 11% significantly improves OSA with remission seen with greater weight loss. Weight loss also ameliorates the constellation of other obesity-related metabolic conditions, reducing the overall cardiovascular risk in an obese person with OSA. This article discusses specific weight loss interventions effective in improving OSA, including lifestyle interventions with dietary modification and physical activity, pharmacotherapy, and bariatric surgery.

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Weight Management in Obstructive Sleep Apnea

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