Will I Lose Weight If I Treat My Sleep Apnea
Maybe, but CPAP is not a weight-loss therapy in and of itself. It may take some time to achieve weight loss following a sleep apnea diagnosis. Focusing on getting better sleep first by way of regular CPAP use will help you find the willpower, daytime energy, and focus necessary to achieve your weight loss goals.
At Sound Sleep Health, we work in concert with Sound Medical Weight Loss to help those struggling with the sleep-weight connection. If you are challenged to lose those unwanted pounds, you may wish to consider working with a knowledgeable, trained physician who can help you lose weight and reclaim your health in a safe, healthy way.
What Is Obstructive Sleep Apnea
Obstructive sleep apnea is an increasingly common condition affecting approximately 20 to 30% of men and 10 to 15% of women in North America. OSA is a potentially life-threatening sleep disorder in which breathing significantly decreases or stops during sleep usually due to a collapse of the airway. OSA is medically defined as having either 15 or more events when a person stops breathing during sleep or 5 or more events per hour in addition to daytime symptoms such as daytime sleepiness.
Sleep Better Get Your Life Back
Its time to get the sleep you deserve. You dont have to keep on living with the constant daytime sleepiness and other effects of sleep apnea. Schedule a consultation with our sleep apnea specialists today and start getting your life back.
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What To Think About
If you are thinking about having surgery to treat sleep apnea, talk with your doctor about having a sleep study done first.
Experts typically suggest that you try continuous positive airway pressure before considering surgery.
Laser-assisted uvulopalatoplasty uses a laser to perform surgery. It is sometimes used to treat mild to moderate sleep apnea, although not all people benefit. This surgery is not recommended by the American Academy of Sleep Medicine to treat sleep apnea.footnote 15
How Sleep Apnea Impacts Your Life
The majority of people with sleep apnea experience these effects:.
- Disrupted sleep and daytime tiredness.
- Increased risk of heart attack, stroke, and type 2 diabetes.
- Hazardous driving and workplace mishaps.
And they can result in:
- Depression. Depression can trigger a wide variety of symptoms. Among the most typical symptoms is extreme sleepiness, connected to sleep apnea, lack of oxygen or snoring.
- Poor memory and intellectual function. Sleep apnea and its effect on memory and smart function is a prevalent problem..
- Higher danger of losing a task or getting fired. Sleeping well is among the most crucial aspects of maintaining mental and physical health. Research studies reveal that people who support a healthy sleep schedule are less most likely to lose their tasks or get fired due to lacks. Sleep apnea, identified by irregular stops briefly in breathing or shallow breaths during sleep, can cause sufferers to feel tired the next day and make them more susceptible to getting fired.
- It is typical for relationships to suffer when one or both partners suffer from sleep apnea. It is essential to get treatment for your partner if they are suffering from sleep apnea.
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Symptoms You May Notice Include:
- Excessive daytime sleepiness.
- Waking with an unrefreshed feeling after sleep, having problems with memory and concentration, feeling tired, and experiencing personality changes.
- Morning or night headaches. About half of all people with sleep apnea report headaches.footnote 1
- Heartburn or a sour taste in the mouth at night.
- Swelling of the legs.
- Getting up often during the night to urinate.
- Sweating and chest pain while you are sleeping.
Sleep Apnea And Obesity: Are They Related
Are sleep apnea and obesity related?
Current statistics indicate that 70% of U.S. citizens are medically classified as having overweight or obesity . Overweight is categorized as a body mass index of 25 or greater, with obesity being a BMI of 30 or greater. Approximately one in three adults in the U.S. have obesity. Twenty-five million Americans, or one in five, are estimated to be affected by sleep apnea.
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How Sleep Apnea Can Cause Weight Gain
While most people regard weight gain as a cause of sleep apnea, weight gain can also be an effect of sleep apnea. When you dont sleep well, youre more likely to make poor food choices and lack the motivation to exercise. Plus, sleep deprivation messes with many of your hormones, including stress hormones like cortisol and epinephrine, as well as weight-regulating hormones, like thyroid-stimulating hormone.
Together, all those factors can certainly lead to weight gain, especially if you experience sleep deprivation over an extended period of time. Then, excess body weight youve gained can lead to sleep apnea or worsen existing sleep apnea.
How Is It Treated
You may be able to treat mild sleep apnea by making changes in how you live and the way you sleep. For example:
- Lose weight if you are overweight.
- Sleep on your side and not your back.
- Avoid alcohol and medicines such as sedatives before bed.
If lifestyle changes don’t help sleep apnea, you may be able to use an oral breathing device or other types of devices. These devices help keep your airway open while you sleep.
Sleep apnea is often treated with a machine that helps you breathe while you sleep. This treatment is called continuous positive airway pressure, or CPAP . Sometimes medicine that helps you stay awake during the day may be used along with CPAP. If your tonsils, adenoids, uvula, or other tissues are blocking your airway, your doctor may suggest surgery to open your airway.
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Weight Loss As A Treatment Of Osa
Most studies assessing the effects of weight loss on OSA have had methodologic limitations, including lack of either randomization and/or a control group for comparisons, inadequate adjustment for potential confounders, and limited follow-up. Many of the more recent studies assessing weight loss on OSA severity and outcomes were in the context of bariatric surgery.
In the second trial, Lam et al randomized 101 patients with mild-to-moderate OSA to one of three treatment groups: conservative measures alone or with the addition of CPAP or with the addition of oral appliances. All overweight subjects were referred to a weight-reduction class. After 10 weeks, all three groups of patients lost an average of 1.5 kg. Only CPAP therapy was associated with improvements in OSA severity, daytime sleepiness, and quality-of-life measures. Firm conclusions cannot be drawn from these two studies, but they do highlight the problems of recidivism and limited efficacy that may diminish the value of some weight-loss programs.
Types And Distribution Of Adipose Tissue In Obesity
Adipose tissue exerts important endocrine functions involving multiple crosstalk with other organs and tissues . Adipocytes produce hormones, cytokines and many other proteins and peptides, collectively called adipokines, leading to fine tuning of fuel utilisation, energy homeostasis and cardiovascular function . In addition, pre-adipocytes, lymphocytes, macrophages and endothelial cells contribute to the secretory output of adipose tissue and play a key role for the endocrine activity of the different fat depots.
Obesity is characterised by the expansion of white adipose tissue, as a result of increased size , and, additionally, by an increased number of adipocytes . The number and size of adipocytes vary according to localisation of fat , diet , genetic factors , sympathetic innervation and sex . Visceral adiposity is generally associated with hypertrophy of adipocytes . A modest amount of brown adipose tissue is also present in humans, its main function being heat production rather than energy storage. The peculiar anatomical and functional characteristics of BAT have been recently summarised .
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Can Losing Weight Cure Sleep Apnea
Treating sleep apnea, like treating many diseases, starts with lifestyle and behavioral modifications. For most OSA sufferers, this includes working toward a healthy body weight. Weight loss reduces fatty deposits in the neck and tongue which can contribute to restricted airflow. This also reduces abdominal fat, which in turn increases lung volume and improves airway traction, making the airway less likely to collapse during sleep.
Losing weight can also significantly reduce many OSA related symptoms, such as daytime sleepiness. Irritability and other neuropsychiatric dysfunctions markedly improve as well. There is an overall improvement in cardiovascular health, high blood pressure, insulin resistance, type 2 diabetes, and in particular quality of life. Weight loss of just 10-15% can reduce the severity of OSA by 50% in moderately obese patients. Unfortunately, while weight loss can provide meaningful improvements in OSA, it usually does not lead to a complete cure, and many sleep apnea patients need additional therapies.
Connection Between Sleep Apnea And Obesity:
Sleep Apnea can be managed through a combination of weight loss and CPAP therapy. Before making any bold decisions, you should always consult your Doctor first.
CPAP therapy can help to improve the quality of sleep during the night and improve the energy level during the day. This helps you to gain the energy required to muster up some form of exercise.
The theory is that if you do a lot of exercise during the day resulting in weight loss, in turn helps in management of your sleep apnea condition. CPAP therapy helps to maintain the healthy living style, which help to treat apnea condition as well as reduce pressure settings.
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How Can We Help
At Elite Dental of Staten Island, we provide a range of treatments to our patients who suffer from obstructive sleep apnea. In the case of obese or overweight patients, we may recommend weight reduction. In fact, weight reduction is sometimes the only treatment that is required for obese patients and long-term results require behavior modification in order to maintain a reduced and stable body weight. Other lifestyle changes that we often recommend include smoking cessation, a reduction in the consumption of alcohol, avoiding heavy meals after 8pm, and limited use of sedatives and muscle relaxants. Sleep position training can also be helpful in many cases.
Besides behavior modification, we also offer oral appliance therapy. To find out more about the treatments that we offer, please have a look here.
To make an appointment, please dont hesitate to get in touch. We look forward to welcoming you to our practice and helping you to enjoy overall health and wellness.
What Sleep Concerns Are Common In People Who Are Overweight
Many health conditions can affect sleep, and some of them are found more often in individuals who are overweight or obese. The presence of one or more of the following conditions can compound insomnia and other sleep issues caused by obesity:
- Obstructive sleep apnea : OSA is a sleep disorder in which the airway partially or fully collapses, causing loud snoring and breathing issues at night. OSA is seven times more common in individuals who are obese. Weight not only affects ones risk for OSA, but being overweight can increase the severity of OSA symptoms.
- Gastroesophageal reflux disease : GERD is a chronic condition in which the contents of the stomach leak into the esophagus, causing symptoms such as heartburn. Obesity is a known risk factor for GERD. Symptoms are often worse when lying down, and GERD may be associated with disturbed sleep.
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Does Obesity Cause Central Sleep Apnea
As of today it can be stated that obesity causes obstructive sleep apnea, but no proof exists to state that it also causes central apnea. With more research in the future a connection may be found, but as of now it cannot be said that obesity causes central sleep apnea.
I hope you found this article helpful, feel free to check out our other articles on central sleep apnea .
Weight Gain Can Increase Your Chances Of Sleep Apnea
Additionally, being obese can put you at a higher risk of developing sleep apnea.
âAs the body gains weight, more tissue can be found on or around the throat. This makes apnea events more common. Because the extra weight makes it more likely, the tissues in the soft palate will collapse, causing an apnea event,â Chadwick Denman, DDS, a sleep specialist at Sleep Cycle Center, tells WebMD Connect to Care.
According to a 2017 article published in Anesthesia and Analgesia, weight gain can cause an increase in fat distribution in the neck and waist specifically, which can subsequently contribute to the development of sleep apnea. In addition, Mayo Clinic observes that an increased neck circumference can narrow the airway, which can cause snoring and sleep apnea.
How Untreated Sleep Apnea Can Lead To Obesity
Sleep apnea and obesity together share common health risks that should not be ignored. Both contribute to hypertension, heart disease, diabetes, stroke, and other chronic health conditions. And sleep apnea leads to sleep deprivation, which may be the way it connects the dots with so many other chronic health problems.
Sleep apnea can lead to obesity because of sleep deprivation. Chronic poor, insufficient sleep leads to chemistry imbalances that make it difficult for the body to maintain a healthy metabolism. Even 30 minutes of lost sleep every night can compromise your metabolism, which is critical to balancing key hormones related to weight management: insulin to balance blood sugar, and two appetite regulators, leptin and ghrelin.
Management Of Sleep Apnea Associated With Obesity:
Among all people with sleep apnea, more than 95% are obese. There can be a lot of different ways to help in managing weight to improve sleep quality of sleep and relieve sleep apnea episodes, these include:
- Start changing unhealthy foods, with healthy ones. Avoid foods high in carbohydrates and fats.
- Start following a regular exercise routine. However, avoid exercising at night, since it can cause insomnia.
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Does Cpap Help All Obese People
On the other hand CPAP therapy can worsen the condition if there is high pressure in the body. In fact, some obese people abandon CPAP therapy all together due to high pressure, which can lead to decrease in their overall health.
To manage this condition as an obese person, you must lose the excess weight to reduce pressure required to prevent tissues from collapsing into the airflow. Once the weight is reduced, the patient can use CPAP therapy to manage the condition better.
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 well face comorbidities like sleep apnea unless we are proactive about keeping to a healthy weight.
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Interactions Among Obesity Osas And Metabolic Syndrome
Metabolic syndrome is an important manifestation of obesity in children and includes elements of hypertriglyceridemia, reduced HDL-cholesterol, fasting hyperglycemia, insulin resistance, diabetes mellitus , abdominal obesity, hypertension, and the presence of prothrombotic and proinflammatory state . Metabolic syndrome was initially defined with an emphasis on insulin resistance as the most important link in this above cluster of metabolic abnormalities. However, today, insulin resistance is considered an important component and not the sole mediator of the syndrome. Insulin resistance is a precursor to DM, but this progression is thought to occur only in a subset of individuals who have an inherent predisposition to DM . Insulin resistance is usually estimated by the homeostasis assessment model or by the gold standard euglycemic clamp method. HOMA is easily estimated from fasting plasma insulin and glucose levels, whereas the clamp test is more cumbersome, requiring the infusion of glucose with a standardized insulin infusion . The prevalence of metabolic syndrome increases with the severity of obesity and may reach 50% in severely obese children .
The Intermittent Hypoxia Mouse Model
To better dissect the mechanisms by which OSA may affect metabolism, a mouse model of intermittent hypoxia has been developed which reproduces some of the effects of human OSA . The main advantage is the possibility to study the response to intermittent hypoxia in lean and fat animals in several tissues by mimicking the intermittent hypoxia pattern that occurs during sleep in humans with OSA. The model also has some disadvantages, such as absence of intermittent hypercapnia and occurrence of sleep disruption, characterised by a deficit in rapid eye movement sleep and decreased delta power during non-rapid eye movement sleep . To overcome these limitations, a model of OSA in rats was recently developed but, to date, has been used only in short-term studies.
In lean mice, acute intermittent hypoxia caused IR , but intermittent hypoxia for several days did not , possibly because prolonged exposure to intermittent hypoxia was associated with failure to gain weight, which exerted positive effects on insulin sensitivity. In contrast, in mice with genetic or diet-induced obesity, chronic intermittent hypoxia worsened IR .
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