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Does Losing Weight Help Sleep Apnea

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Endo 2019 News: Cpap Machine Improves Weight Loss In Dieting Adults With Obesity Sleep Apnea

  • Mar 2019

When trying to lose weight by cutting calories, people who have obstructive sleep apnea in addition to obesity can lose more weight if they treat their sleep disorder with an overnight CPAP, or continuous positive airway pressure, machine. This finding of a new study was at ENDO 2019 in New Orleans, La.

“Some people may think if they lost weight, they may not need the CPAP machine,” says lead investigator Yuanjie Mao, MD, PhD, an endocrinology fellow physician at the University of Arkansas for Medical Sciences , in Little Rock, Ark. “However, our study finds the opposite for people with obesity and OSA who try to lose weight by restricting calories: CPAP treatment can actually result in more weight loss.”

OSA, most often caused by obesity in adults, is a common sleep disturbance in which breathing repeatedly stops and starts during sleep. Wearing a CPAP mask during sleep is the first-line treatment of OSA and is widely recommended with weight loss for patients with obesity, despite a lack of scientific evidence to support this strategy, Mao says.

A total of 89 patients reported no symptoms of OSA and therefore had no OSA treatment. Another 164 patients had OSA symptoms but did not receive a CPAP machine, whereas 47 patients had OSA symptoms and received treatment with a CPAP machine. Because not all the patients had a sleep study, the researchers could not determine their OSA severity, said senior investigator Peter Goulden, MD, FRCP, an endocrinologist at UAMS.

Q: If I Think My Sleep Apnea Symptoms Have Been Reduced By Weight Loss Can I Skip Cpap

A: Maintaining a healthy weight can reduce your risk of developing many health conditions, 4 but it hasn’t been proven to cure sleep apnea. You should not stop your CPAP therapy without first talking to your doctor. CPAP is the gold standard for sleep apnea treatment and has been shown to effectively minimize sleep apnea symptoms.

New Research Shows Sleep Apnea Treatment With Cpap Therapy May Help With Weight Loss

A recent study conducted at the University of Arkansas looked at the effects of CPAP sleep apnea treatment on weight loss. The study involved three groups: one non-sleep apnea group, one sleep apnea group who received CPAP, and one sleep apnea group who didn’t receive CPAP. Everyone involved in the study was also obese at the beginning of the study.

Each participant started on a weight loss program to help lose weight. This included restricting calories to 800 per day and an exercise program, as well as weekly counseling and cognitive behavior therapy. The researchers followed their progress over 16 weeks to determine the results. 

The CPAP therapy group lost an average of 5.7 pounds more than any other group. At the end of the study, the CPAP group lost an average of 26.7 pounds. The sleep apnea group who didn’t receive sleep apnea treatment lost an average of 21 pounds and the non sleep apnea group lost an average of 19.

Researchers in the study concluded that CPAP therapy was correlated with better weight loss on the weight loss program. They noted that this could be because CPAP may help improve sleep quality, which may have a major impact on weight management. 

In addition, other studies have found that sleep apnea treatment with CPAP can help reduce belly fat, also known as visceral fat, even without significant weight loss. Visceral fat is a concern because it increases your risk for serious conditions like diabetes and heart disease. 

Cpap Therapy May Still Be Needed To Treat Severe Sleep Apnea Even After Weight Loss

It’s important to remember that extra weight is not the only cause of sleep apnea. A small jaw, a large neck, large tonsils and adenoids, genetic predisposition, and other factors could be contributing to this sleep disorder. In all likelihood, a case of severe sleep apnea is caused by a combination of these factors–so weight loss alone may not completely eliminate the problem. CPAP therapy is the gold-standard therapy for sleep apnea and is the only treatment that is 100% effective when used properly every night .

Weight Loss Reduces But Does Not Eliminate Sleep Apnea In Patients With Severe Osa

Can Sleep Apnea Cause You To Gain Weight?

Another study3 investigated weight loss in patients with severe obstructive sleep apnea. After losing on average 20+ pounds, the subjects’ AHIs decreased by about 25 events per hour! Plus, their sleep patterns improved, as the patients spent more time in deeper, more restorative sleep stages. However, the patients’ AHI was still around 30 episodes per hour–which meets the criteria for moderate to severe sleep apnea . 

A similar result was observed when sleep apnea patients underwent weight-loss surgery4. Though the frequency of their apnea events decreased significantly, the mean AHI post-surgery was still consistent with moderately severe OSA. 

Losing Weight Can Cure Obstructive Sleep Apnea In Overweight Patients Study Shows

Date:
American Thoracic Society
Summary:
For sufferers of obstructive sleep apnea , a new study shows that losing weight is perhaps the single most effective way to reduce OSA symptoms and associated disorders, according to a new study.

For sufferers of obstructive sleep apnea , a new study shows that losing weight is perhaps the single most effective way to reduce OSA symptoms and associated disorders, according to a new study in the American Journal of Respiratory and Critical Care Medicine.

Weight loss may not be a new miracle pill or a fancy high-tech treatment, but it is an exciting therapy for sufferers of OSA both because of its short- and long-term effectiveness and for its relatively modest price tag. Surgery doesn’t last, continuous positive airway pressure machines are only as effective as the patient’s adherence, and most other devices have had disappointing outcomes, in addition to being expensive, unwieldy and having poor patient compliance. Furthermore, OSA is generally only treated when it has progressed to a moderate to severe state.

“Very low calorie diet combined with active lifestyle counseling resulting in marked weight reduction is a feasible and effective treatment for the majority of patients with mild OSA, and the achieved beneficial outcomes are maintained at 1-year follow-up,” wrote Henri P.I. Tuomilehto, M.D., Ph.D., of the department of Otorhinolaryngology at the Kuopio University Hospital in Finland.

Story Source:

Weight Loss Breathing Devices Still Best For Treating Obstructive Sleep Apnea

    Experts continue to emphasize the importance of lifestyle modifications—especially weight loss—for treating obstructive sleep apnea.

    Obstructive sleep apnea is a disorder in which the airway becomes blocked during sleep, interrupting breathing—sometimes dozens of times during a single night. Having obstructive sleep apnea puts you at risk for a number of other conditions, including high blood pressure and stroke.

    Weight Gain And Sleep Apnea: How 2 Patients Beat The Vicious Cycle

    Mark’s apnea all but disappeared with the help of weight lifting and biking.Being overweight or obese is one of the main risk factors for obstructive sleep apnea, but the connection doesn’t stop there. Most sleep apnea patients carry at least a few extra pounds, and doctors stress diet and exercise as part of their treatment, but getting back to a healthy weight can be difficult.

    Gaining weight can bring on sleep apnea …After the birth of his daughter and a hectic year of studying for the California bar exam, Mark Yanis let exercise and nutrition fall by the wayside. Soon he had gained about 20 pounds, always felt run-down, and was having trouble sleeping through the night.

    Mark before his weight loss.”My body was jolting me awake and I was starving for air,” says Yanis, 49, of Huntington Beach, Calif. He snored so loudly that his wife often slept in another room. He had trouble moving around and catching his breath, and was tired all the time.

    Eventually Yanis was diagnosed with obstructive sleep apnea. Doctors told him that his high tongue and narrow airways were part of the problem and, at 5’10” and 220 pounds, that the extra weight he was carrying brought it to the surface.

    Overweight sleep apnea patients usually know that the extra pounds they carry are contributing to their problem, but with barely enough energy to stay awake even during simple conversation, exercise can seem like a foreign concept.

    Apnea and Obesity

    Can Obstructive Sleep Apnea Make It Harder For Me To Lose Weight

    Unfortunately, studies have shown that if you don’t get enough sleep at night, it is very hard to lose weight effectively. This is a classic chicken/egg relationship: if you don’t get enough rest, you can’t lose weight; if you don’t lose weight, you can’t get enough sleep.

    The good news is that at Johns Hopkins, our weight loss specialists can consult with experienced sleep disorders specialists. Working together, they can design a sleep hygiene program that will help you get the rest you need so that you can lose weight. Coupled with an effective weight loss and exercise regimen, you should be able to find relief from both conditions. Learn more about our weight loss services.

    Request an Appointment

    Overcome Sleep Apnea By Losing Weight With Diet And Exercise

    June 12, 2019

    Sleep apnea is a condition that affects your breathing while you are sleeping, causing disruptions in your normal breathing patterns. If you have this condition, then you may snore loudly, have restless sleep or experience health problems in the morning. Some of the problems associated with sleep apnea in the morning include having severe headaches, still feeling tired or having a dry mouth. You can visit a physician who specializes in diagnosing sleeping disorders, and you may need to use a special breathing machine to keep your airways open while you sleep.

    Obstructive Sleep Apnea And Obesity Hypoventilation Syndrome

    People who have obstructive sleep apnea have periods of sleep that are interrupted by apneas, or pauses in breathing. The causes of this are as varied as the patients who have it, but there is a definite link between sleep apnea and having extra body fat. Physicians are positive that this link exists, because when patients with sleep apnea lose weight, their sleep apnea improves.

    In addition, some patients with obesity can develop a very rare form of sleep apnea called the obesity hypoventilation syndrome. These patients also have poor breathing while awake, which causes them to have low oxygen and high carbon dioxide.

    Health Effects Of Excess Weight With Untreated Sleep Apnea

    Untreated sleep apnea already comes with severe health risks, but so does gaining weight. Here are some of the health risks that increase when you’re overweight with untreated sleep apnea.

    • High blood pressure
    • Stroke
    • Transient ischemic attacks

    If you don’t want to increase your risk of the serious conditions listed above, your best bet is to lose weight and treat your sleep apnea.

    Sleep Apnea Symptoms Can Make It Hard To Shed Extra Pounds

    Does Sleep Help You Lose Weight?

    Though being overweight or obese can lead to developing sleep apnea, sleep apnea can actually make you gain weight! That can create a vicious cycle that can make it difficult to achieve and maintain a healthy weight. 

    There may be several reasons to explain this cycle, many of which come down to poor sleep quality from sleep apnea. This may help explain why sleep apnea treatment may help you lose more weight when following a diet and exercise regimen. 

    Sleep Apnea Affects Hunger Hormones

    Sleep apnea may also affect your appetite. Specifically, sleep deprivation from sleep apnea may impact how your body regulates hunger hormones like insulin, leptin, and ghrelin. Insulin helps your body regulate blood sugar levels. Leptin is the hormone that tells your body you’re full, while ghrelin tells your body you’re hungry. 

    Studies have found that even 30 minutes of lost sleep can affect how your body releases these hormones. In one study, researchers found that levels of ghrelin hormone was higher in those with sleep apnea than people who did not, even though the participants had the same body mass. However, after just two days of CPAP sleep apnea treatment, their ghrelin levels came down to be more equal to those who didn’t have sleep apnea. Therefore, CPAP therapy may help your body balance the hormones related to appetite. 

    Sleep Apnea Treatment for REM Sleep to Burn Calories

    Other Symptoms Make it Hard to Follow a Healthy Lifestyle

    Can Losing Weight Reduce Sleep Apnea Symptoms In Rochester

    Obesity has the potential to cause a host of different health conditions, including type 2 diabetes, heart disease and stroke. One obesity-related issue that doesn’t always get the same level of attention is sleep apnea. Anyone suffering from sleep apnea knows just how unsettling and disruptive it can be, but it also has the potential to be dangerous. Contact our weight loss clinic in Rochester to learn more.

    Sleep Apnea And Weight Loss: How It Can Help Your Symptoms

    Home

    Losing weight is often touted as a miracle cure for all ills, and this can be challenging. For people who struggle with their weight for reasons of genetics or a comorbid condition, it can be hard to hear “just lose weight!” as a treatment option. But in this case, what everyone says is true: the severity of sleep apnea and weight loss is directly related. Losing weight can help with symptoms. Here’s what you should know.

    What To Eat When You Have Sleep Apnea And Weight Problems

    There are types of food that you should avoid if you start the Sleep Apnea Weight Loss Plan, and eat only the healthy options. Here are the main categories of food with examples:

    Proteins:

    • Healthy Proteins: egg white, fish, tofu, skinless chicken breast, sea food.
    • Bad Proteins: sausages, salami, beacon, etc.

    Carbohydrates:

    Good carbs are essential for a healthy diet, because they are a very important source of fiber, vitamins B, C, potassium.

    Good carbohydrates can reduce the risk of high blood pressure, osteoporosis and heart disease. So include the healthy carbs in your diet, but in moderation and along with healthy proteins and fats.

    • Healthy Carbohydrates: vegetables, fruits, whole grains , low fat milk and yogurt.
    • Bad Carbohydrates: candies, cookies, soda

    Fats:

    • Healthy Fats: olive oil, nuts, avocado, nut butter.
    • Bad Fats: fried food.

    Which Procedure Is Performed For Treatment Of Sleep Apnea

    With CPAP , the air pressure is somewhat greater than that of the surrounding air and is just enough to keep your upper airway passages open, preventing apnea and snoring. Although CPAP is the most common and reliable method of treating sleep apnea, some people find it cumbersome or uncomfortable.

    READ: What does it mean for eigenvectors to be orthogonal?

    Weight Loss Is Always Welcomed When You Have Sleep Apnea

    Because a minority of people cannot be cured of sleep apnea by weight loss, that doesn’t mean it can’t be done. It’s difficult, but you can cure sleep apnea with weight loss.

    The good news about weight loss therapy is that it’s good not only for sleep apnea but for your overall health. You will feel much better and feel your body sort of healing itself or happy that it does not have to carry so much weight.

    You will feel like when you see the difference between being heavy and not so heavy. It kind of feels like you can fly rather then feeling stuck to this world by a magnet.

    Connections Between Obesity And Chronic Health Problems

    Carrying extra weight can lead to a wide range of comorbidities: health problems that exist in addition to obesity. The chronic conditions most commonly associated with excessive weight are heart disease, stroke, and diabetes. Other issues include hypertension, inflammatory disorders, joint pain, mobility challenges, and, of course, obstructive sleep apnea.

    The OAC has produced a comprehensive article on the connections between sleep apnea and obesity that we happily recommend for further reading.

    They have also undertaken the considerable challenge of addressing how obesity is currently defined in this article discussing how metabolism is interconnected with other body processes that influence overall health.

    From this, we learn that human biology is affected by excess weight in a way that practically guarantees we’ll face comorbidities like sleep apnea unless we are proactive about keeping to a healthy weight.

    Q: Can Treating Sleep Apnea Improve My Type 2 Diabetes

    A: While quality sleep is extremely important, it cannot improve diabetes. However, untreated sleep apnea has been linked with poorer glucose control for type 2 diabetes, 3 so it’s important to continue on prescribed continuous positive airway pressure therapy. Talk to your doctor about the best way to manage your type 2 diabetes.

    How Are Obstructive Sleep Apnea And Weight Gain Linked

    Connecting Sleep Apnea & Weight Gain

    The link between Sleep Apnea and weight gain is not one of causality, that is to say: Sleep Apnea does not cause weight gain and, by the same token, weight loss does not ‘cure’ Sleep Apnea.

    However, Obstructive Sleep Apnea does reduce the amount of restful sleep a person gets every night, and some research2 studies have shown a link between insufficient sleep and weight gain. This link has been explained by the discovery that lack of sleep affects two key hormones, ghrelin and leptin, which regulate appetite and caloric intake.3

    Low levels of leptin, which tells your brain your body doesn’t need to eat, and high levels of ghrelin, a hormone that sends signals to the brain that you’re hungry and need to eat, have been shown in those with Sleep Apnea.

    The issue of the relationship between Sleep Apnea and body weight is one that continues to be studied4 and more research is required to determine how other external factors, such as physical activity, diet, gender, ethnicity, age, etc. influence this relationship.

    Visit Our Mens Health Clinic For Sleep Apnea Treatment

    If you’re feeling tired during the day, have issues sleeping or waking up at night, snore, or notice any other symptoms of sleep apnea, our team at Low T Center is here to help. Our men’s health clinic is one of the leading sleep apnea treatment providers in America. We assist with sleep apnea diagnosis, treatment, and monitoring to help you start the path toward better health. Make an appointment today or order a home sleep test online to learn if you have sleep apnea. 

    Cpap Has Also Been Shown To Be Linked To Weight Gain

    Something to also be aware of is the meta-analysis5 that was done on randomized trials to find the effects of body weight and CPAP therapy on Obstructive Sleep Apnea patients.

    The study looked at age, gender, BMI, baseline weight, OSA severity and more, to determine the impact Obstructive Sleep Apnea treatment with a CPAP had on weight. Their conclusions were that OSA treatment with CPAP promotes a significant increase in BMI and weight.

    A couple of reasons this may happen is because the treatment for Sleep Apnea6 may decrease the effort used for breathing during sleep thereby decreasing the amount of energy being burned while sleeping. Another reason is that changes in quality of sleep could also lead to changes in appetite and eating habits.

    Let’s face it! Sleep is a complex thing, and a lot of different factors go into it. If you notice you’re gaining weight while using your CPAP machine, it’s something to take note of and if it concerns you, you should discuss with your doctor.

    OSA is a condition that can be brought on by several factors, and treatment with CPAP, while it can be completely effective, is best when combined with an overall healthier lifestyle. The right quality and quantity of sleep, diet, exercise, not smoking, and taking care of yourself is always the right way to go.

    –Dr. Barone

    Living with sleep apnea isn’t just about CPAP therapy, it’s also about taking care of your health as Doctor Barone has said.

    Live long and Prosper!

     

    More About Dr. Barone:

    What Type Of Patient Can Be Treated With Weight Loss

    Which people can be helped with weight loss to cure their sleep apnea? Well, that should be very simple to figure out. If your main cause of obstructive sleep apnea is weight gain, then you can cure sleep apnea.

    However, I know many people with apnea who were never obese or even slightly overweight. They all have obstructive sleep apnea due to jaw and tongue issues, or they have central apnea. They need other methods of treatments.

    The topic about sleep apnea and weight loss should interest every person with weight problems. Everyone should know that weight loss is the best treatment for weight-related obstructive sleep apnea.

    But because weight loss takes time and can be very hard to achieve and maintain, other treatments are often required, such as positive airway pressure or weight loss surgery.

    Weight Loss Surgery for Sleep Apnea

    What is your opinion about surgery for weight loss? Many patients with obstructive sleep apnea are motivated by the results people are getting from gastric band surgery.

    The side effect from their surgery is a complete cure of obstructive sleep apnea. They went into the surgery for their health not for the cure of OSA.

    It is one of those incidentally medical things that happens when someone gets cured of one thing as a result of a treatment for another condition.

    Gastric Band is a simple surgery and many people are having it done. It is a real revelation for the once theory of weight loss curing obstructive sleep apnea.

    Why Is Weight Gain Common In People With Sleep Apnea

    Weight gain is common among sleep apnea sufferers. There are good reasons for this. Like so many people, I spent a long time before I was diagnosed struggling with anxiety and depression, , headaches, and irritability. All these symptoms are not the best recipe for eating salad.

    Feeling really tired during the day sends most people on the hunt for something sugary to send a hit of alertness to their brains. I was no different. I would follow a restrictive eating plan for a short period and see some weight loss, followed by periods of pizza, cupcakes, and ice cream. As the parent to small children with a multitude of kids’ birthday parties to attend, I was constantly surrounded by these foods and exhausted. It was a brutal combination.

    What Happens If Youor Your Childneeds To Lose Weight

    You’re not alone if your doctor suggests weight loss. It might be for better overall health, to address pain or mobility problems, to relieve behavioral problems, or as a path to alleviate chronic health problems. These can include sleep disorders like sleep apnea or insomnia.

    While weight loss may not “cure” other health conditions like OSA, healthy weight loss and management can lead to better sleep, ease of mobility, higher energy levels, a more positive mood, and less pain and discomfort.

    The ASAA applauds the efforts of the OAC to empower individuals and families to start their journeys to better health through weight awareness and management, as we know first-hand how weight loss can lead to improved sleep and relief for its disorders.

    How Sleep Apnea Treatment Can Help With Weight Loss

    Is Hair Loss Inevitable as I Get Older?

    Obesity is a major contributor to sleep apnea. Unfortunately, many of the health impacts from sleep apnea make it harder for an individual suffering from the condition to lose weight. However, adequate sleep apnea treatment not only improves your sleep and breathing, but when combined with weight loss strategies, can also help with success in losing weight.

    The Impact of Sleep Apnea on HealthSleep apnea poses many risks to a patient’s health. While patients often discover a sleep apnea diagnosis because of snoring, the condition impacts many other areas of one’s health, such as:• Interrupted breathing during sleep• Poor quality of sleep or restlessness while sleeping• Problems with memory or concentration• Irritability and mood swings• Reduced cognitive function

    How Sleep Apnea Limits Weight LossAccording to the American Thoracic Society, losing 5% to 10% of an obese person’s body weight can improve or resolve obstructive sleep apnea. Yet, the poor sleep associated with sleep apnea makes it much harder to lose weight.

    Symptoms like fatigue and reduced cognitive function inhibit the focus needed to implement healthy eating and exercise changes. In addition, interrupted or less sleep creates changes in metabolism and hormones, which tie directly to weight gain. Plus, research shows that people are more likely to overeat when tired.

    Altogether, sleep disruption not only makes losing weight harder, but also makes weight gain more likely.


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