Chest
Selected ReportsObstructive Sleep Apnea and Body Weight
Section snippets
CASE REPORT
A 52-year-old white man was referred for evaluation of uncontrolled daytime sleepiness. The patient reported a 19-year history of hypersomnia and falling asleep at inappropriate times. Symptoms were reported as relatively stable over the past ten years. The patient noted loud snoring and excessive sweating during sleep. Although he denied cataplexy, hypnagogic hallucinations and sleep paralysis, narcolepsy was diagnosed two years prior to our evaluation based solely on the reported hypersomnia.
COMMENTS
Diet manipulation and a subsequent reduction in weight is associated with a decrease in the number of obstructive apneas during sleep for the patient. The findings suggest the relation between apnea and body weight is best described as a logarithmic function. Beyond some critical weight, there is a rapid increase in the rate of apneas. The initial loss of weight thus provides the greatest reversal of this syndrome. Apparently ideal body weight need not be achieved to resolve the sleep apnea.
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A computed tomographic evaluation of effect of mandibular advancement device at two different horizontal jaw positions in patients with obstructive sleep apnea
2023, Journal of Oral Biology and Craniofacial ResearchAn obstructive sleep apnea primer: What the practicing allergist needs to know
2017, Annals of Allergy, Asthma and ImmunologyCitation Excerpt :Persistent lack of adherence may result in repossession of the machine by insurance. In overweight or obese patients with OSA, weight loss improves symptoms of daytime sleepiness and the severity of OSA but normalization of the AHI is rare.65,66 All overweight or obese patients should be provided information on weight loss, including referrals to medical weight loss programs or bariatric surgery as clinically indicated.
Screening for obstructive sleep apnea among individuals with severe mental illness at a primary care clinic
2012, General Hospital PsychiatryCitation Excerpt :Fortunately, both obesity and smoking are modifiable risk factors, and now there is considerable clinical attention addressing poor dietary choices, improving physical exercise and encouraging smoking cessation in the mentally ill [32,35,36]. Weight loss is associated with fewer respiratory events (apnea or hypopnea) and also decreases daytime sedation and improves quality of life in patients with OSA[37,38]. Antipsychotic-induced, obesity-associated sleep apnea has been reported [39], suggesting that a switch to weight-neutral agents (if appropriate) may be a treatment option.
Medical and surgical treatment of obstructive sleep apnea syndrome, including dental appliances
2011, Handbook of Clinical NeurologyCitation Excerpt :Some patients are motivated by the prospect that weight loss may allow them eventually to be free of nasal CPAP therapy. Finally, the potentially favorable impact of weight loss on comorbid conditions such as systemic hypertension, diabetes, and dyslipidemia, and their interactions with OSAS in the premature development of vascular disease should be impressed upon the patient (Browman et al., 1984). Weight loss should be encouraged in all overweight patients with OSAS; however, attempts to lose weight should not delay the initiation of additional treatment if indicated.
Medical Therapy for Obstructive Sleep Apnea
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