low energy dietObese men with moderate to severe obstructive sleep apnea who followed a very low energy diet may maintain their initial improvements one year later.

Researchers at the Karolinska Institute in Stockholm, Sweden, assessed whether early improvements in obstructive sleep apnea after a very low energy diet were maintained one year later in 63 men, aged 30 to 65 years, with moderate to severe obstructive sleep apnea and body mass index of 30 to 40 kg/m². Participants were treated with continuous positive airway pressure and underwent a one-year weight loss program consisting of nine weeks of a very low energy diet followed by a weight loss maintenance program, which was completed by 44 men. The severity of sleep apnea was measured using the apnea hypopnea index.

The investigators found that, after the very low energy diet phase, there were significant reductions in the baseline mean apnea-hypopnea index and weight (?21 events/hour, ?18 kg, respectively). Compared to baseline, a significant reduction was seen in apnea-hypopnea index (?17 events/hour) and weight (?12 kg) after one year. Compared to patients with moderate disease, those with severe

obstructive sleep apnea at baseline showed significantly greater improvements in the apnea-hypopnea index. At one year, 10 percent of the participants had total remission, whereas 48 percent no longer needed continuous positive airway pressure. At follow-up, there was a significant dose-response correlation seen between weight loss and the apnea-hypopnea index. “Those who lost the most weight or have severe sleep apnea at baseline benefit most,” the researchers observed.

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Filed under: Clinical ResearchObstructive Sleep ApneaSleepSleep ApneaSleep Apnea AwarenessSleep Apnea EffectsSleep Apnea NewsSleep Apnea ResearchSleep Apnea StudySleep Apnea TreatmentSleep Disordered BreathingSleep DisordersSleep Problems

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