Weight changes after initiation of CPAP in sleep apnea patients

Pocienė, Irina; Gauronskaitė, Rasa; Kogan, J.; Zablockis, Rolandas; Danila, Edvardas

doi:10.1183/13993003.congress-2019.pa4167

Cited by 2 publications

(2 citation statements)

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“…Furthermore, BMI may have been influenced by CPAP usage in the 42% of patients using that treatment. While there is one study showing weight loss in 119 patients starting CPAP (Pociene et al, 2019), most literature shows weight gain to be associated with CPAP use (Drager et al, 2015), including specifically in women (Redenius et al, 2008). Therefore, CPAP may have influenced BMI in some patients, with the direction usually being toward weight gain.…”

Section: Discussionmentioning

confidence: 99%

A first look at childhood abuse in women with obstructive sleep apnea

Pal,

Martinez,

Wagman

et al. 2024

Front. Sleep

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Study objectivesWomen who experienced childhood sexual abuse have higher rates of obesity, a risk factor for obstructive sleep apnea (OSA). We assessed if prior childhood sexual abuse was more common in women with OSA vs. those in the control group, with possible mediation by obesity.MethodsIn a secondary analysis of a larger project, we studied 21 women with OSA (age mean ± SD 59 ± 12 years, body mass index [BMI] 33 ± 8 kg/m2, respiratory event index [REI] 25 ± 16 events/hour, and Epworth Sleepiness Scale [ESS] score 8 ± 5) and 21 women without OSA (age 53 ± 9 years, BMI 25 ± 5 kg/m2, REI [in 7/21 women] 1 ± 1 events/hour, and ESS score, 5 ± 3). We evaluated four categories of trauma (general, physical, emotional, and sexual abuse) with the Early Trauma Inventory Self-Report–Short Form (ETISR-SF). We assessed group differences in trauma scores with independent samples t-tests and multiple regressions. Parametric Sobel tests were used to model BMI as a mediator for individual trauma scores predicting OSA in women.ResultsEarly childhood sexual abuse reported on the ETISR-SF was 2.4 times more common in women with vs. without OSA (p = 0.02 for group difference). Other trauma scores were not significantly different between women with and without OSA. However, BMI was a significant mediator (p = 0.02) in predicting OSA in women who experienced childhood physical abuse.ConclusionChildhood sexual abuse was more common in women with vs. without OSA. BMI was a mediator for OSA of childhood physical but not sexual abuse. This preliminary hypothesis-generating study suggests that there may be physiological impacts of childhood trauma in women that predispose them to OSA.

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Section: Discussionmentioning

confidence: 99%

A first look at childhood abuse in women with obstructive sleep apnea

Pal,

Martinez,

Wagman

et al. 2024

Front. Sleep

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“…There are also studies that have presented the opposite effect of CPAP therapy on body weight in obese patients. In a study by Pocienė et al in a group of 119 obese patients with a baseline BMI of 41 ± 8 kg/m 2 , significant weight loss was observed after 3 months in 34% of patients and after 9 months in 47% of patients, with no increase in body weight in 62% of patients after 3 months and 47% after 9 months [ 36 ]. Further research is needed to analyze the background for these different effects of CPAP therapy in selected subpopulations and to find an answer to whether CPAP-induced increases in body weight are due to an increase in body fat, lean body mass, or water compartments (Reviewer 1).…”

Section: Methodsmentioning

confidence: 99%

Obesity, Bariatric Surgery and Obstructive Sleep Apnea—A Narrative Literature Review

Wyszomirski

Różańska-Walędziak

2023

Medicina

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The purpose of this review was to analyze the available literature on the subject of obesity and obstructive sleep apnea. We searched for available articles for the time period from 2013 to 2023. Obesity is listed as one of the most important health issues. Complications of obesity, with obstructive sleep apnea (OSA) listed among them, are common problems in clinical practice. Obesity is a well-recognized risk factor for OSA, but OSA itself may contribute to worsening obesity. Bariatric surgery is a treatment of choice for severely obese patients, especially with present complications, and remains the only causative treatment for patients with OSA. Though improvement in OSA control in patients after bariatric surgery is well-established knowledge, the complete resolution of OSA is achieved in less than half of them. The determination of subpopulations of patients in whom bariatric surgery would be especially advantageous is an important issue of OSA management. Increasing the potential of non-invasive strategies in obesity treatment requires studies that assess the efficacy and safety of combined methods.

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Weight changes after initiation of CPAP in sleep apnea patients

Cited by 2 publications

References 0 publications

A first look at childhood abuse in women with obstructive sleep apnea

A first look at childhood abuse in women with obstructive sleep apnea

Obesity, Bariatric Surgery and Obstructive Sleep Apnea—A Narrative Literature Review

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