e weight loss significantly obstructive sleep apnea in obese patients with type 2 diabetes, the results of the study in the Archives of Internal Medicine for 28 improved September published.
Although weight loss is often recommended as a means of improving the obstructive sleep apnea, the few studies that have addressed this subject small samples used short follow-up, and cohorts to be male dominated, and there was no comparison group without weight loss, said lead author Dr. Gary D . Foster from Temple University in Philadelphia and colleagues.
The current study presented 264 patients with type 2 diabetes, a mean BMI of 36.7 and an index of apnea-hypopnea index of 23.2 events per hour. The subjects were randomly assigned to receive behavioral program lost weight suitable for diabetics or obese, get the support of the diabetes and control program of training. A weight loss program year, the measure is significantly higher than the control program: 10.8 vs. 0.6 kg (p <0.001). In addition to the program at the index of the apnea-hypopnea index decreased activity by 9.7 events per hour (p <0.001).
A 1-year follow-up was complete remission of sleep apnea in 13.6% of patients in the intervention group, compared with 3.5% in the control group. In addition, severe sleep apnea were less frequent in the intervention group: 18.4% versus 37.9%.
The index of apnea-hypopnea index at baseline and weight loss were the most important predictors for the improvement of sleep apnea than 1 year, the report said. In particular, patients who lost 10 kg or more had the greatest reduction in the apnea-hypopnea index.
"Doctors and patients can expect that weight loss will lead to a significant improvement in clinically significant obstructive sleep apnea and conclude in overweight patients with type 2 diabetes," the authors
Although weight loss is often recommended as a means of improving the obstructive sleep apnea, the few studies that have addressed this subject small samples used short follow-up, and cohorts to be male dominated, and there was no comparison group without weight loss, said lead author Dr. Gary D . Foster from Temple University in Philadelphia and colleagues.
The current study presented 264 patients with type 2 diabetes, a mean BMI of 36.7 and an index of apnea-hypopnea index of 23.2 events per hour. The subjects were randomly assigned to receive behavioral program lost weight suitable for diabetics or obese, get the support of the diabetes and control program of training. A weight loss program year, the measure is significantly higher than the control program: 10.8 vs. 0.6 kg (p <0.001). In addition to the program at the index of the apnea-hypopnea index decreased activity by 9.7 events per hour (p <0.001).
A 1-year follow-up was complete remission of sleep apnea in 13.6% of patients in the intervention group, compared with 3.5% in the control group. In addition, severe sleep apnea were less frequent in the intervention group: 18.4% versus 37.9%.
The index of apnea-hypopnea index at baseline and weight loss were the most important predictors for the improvement of sleep apnea than 1 year, the report said. In particular, patients who lost 10 kg or more had the greatest reduction in the apnea-hypopnea index.
"Doctors and patients can expect that weight loss will lead to a significant improvement in clinically significant obstructive sleep apnea and conclude in overweight patients with type 2 diabetes," the authors
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