SYDNEY—Weight loss reduces obstructive sleep apnea in obese men, with the greatest effect seen in patients with severe disease, according to new research published online at BMJ.com. The study involved 63 obese men (BMI 30-40) aged 30 to 65 years with moderate to severe obstructive sleep apnoea who were being treated with continuous positive airway pressure (a mask designed to help breathing during sleep). Thirty men received a liquid very low-energy diet for seven weeks to promote weight loss, followed by two weeks of gradual introduction of normal food. The remaining men acted as a control group by adhering to their usual diet over the nine weeks.Both groups attended regular clinical examinations throughout the study to measure weight, waist circumference and body fat, and to test dietary compliance. For the diet group, each visit also included a one hour group session to build group support and provide motivation.
At the start of the study, both groups had a mean apnoea hypopnoea index (AHI) of 37 apnoeas per hour. At week nine, the diet group had a mean AHI of 12 events per hour compared with 35 events per hour in the control group.
The diet group also lost an average of 18.7 kg in weight compared with 1.1 kg in the control group over the nine-week period. Twenty-two out of 30 (73 percent) patients in the diet group were no longer obese at the end of the study, whereas all control patients remained obese.Five out of 30 (17 percent) patients in the diet group were also disease-free by the end of the study, and half had only mild disease, whereas all patients in the control group except one still had moderate to severe disease.
Treatment with a low-energy diet improved obstructive sleep apnoea in obese men, with the greatest effect in patients with severe disease, concluded the authors.