The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Change in weight and central obesity by positive airway pressure treatment in obstructive sleep apnea patients: longitudinal data from the ESADA cohort
Open accessAbstract
Summary: The effect of positive airway pressure treatment on weight and markers of central obesity in patients with obstructive sleep apnea remains unclear. We studied the change in body weight and anthropometric measures following positive airway pressure treatment in a large clinical cohort. Patients with obstructive sleep apnea with positive airway pressure treatment from the European Sleep Apnea Database registry (n = 1,415, 77% male, age 54 ± 11 [mean ± SD] years, body mass index 31.7 ± 6.4 kg/m 2, apnea–hypopnea index 37 ± 24 n per hr, Epworth Sleepiness Scale 10.2 ± 5.0) were selected. Changes in body mass index and neck/waist/hip circumferences at baseline and at follow‐up visit were analysed. Overall, body mass index (0.0 [95% confidence interval, −0.1 to 0.2] kg/m 2) and neck circumference (0.0 (95% confidence interval, −0.1 to 0.1] cm) were unchanged after positive airway pressure treatment compared with baseline (follow‐up duration 1.1 ± 1.0 years and compliance 5.2 ± 2.1 hr per day). However, in non‐obese (body mass index <30 kg/m 2) patients, positive airway pressure treatment was associated with an increased body mass index and waist circumference (0.4 [0.3–0.5] kg/m 2 and 0.8 [0.4–1.2] cm, respectively, all p < 0.05), and weight gain was significantly associated with higher positive airway pressure compliance and longer positive airway pressure treatment duration. In the obese subgroup, body mass index was reduced after positive airway pressure treatment (−0.3 [−0.5 to −0.1] kg/m 2, p < 0.05) mainly in patients with a strong reduction in Epworth Sleepiness Scale. In conclusion, positive airway pressure therapy was not found to systematically change body mass index in the European Sleep Apnea Database cohort, but the response was heterogeneous. Our findings suggest that weight gain may be restricted to an obstructive sleep apnea phenotype without established obesity. Lifestyle intervention needs to be considered in both lean and obese patients with obstructive sleep apnea receiving positive airway pressure treatment.
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Untreated obstructive sleep apnea is associated with weight gain.
“Although untreated OSA is associated with weight gain”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [791]
The Discussion (section 4) reports weight gain in a predominantly non-obese subgroup receiving PAP therapy, not in untreated OSA patients. The Introduction (section 1) says weight gain can worsen sleep-disordered breathing, but does not establish the claimed association in the other direction. (LLM, conf=0.83)
Experimental — accuracy not yet measuredCPAP adherence has not been associated with weight loss and may even lead to weight gain.
“CPAP adherence has not been associated with weight loss and may even lead to weight gain.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [791]
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Citations
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International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Metadata
- Authors
- Basoglu, O. K., Zou, D., Tasbakan, M. S., Hedner, J., Ryan, S., Verbraecken, J., Escourrou, P., Antalainen, U., Kvamme, J. A., Bonsignore, M. R., Schiza, S., Grote, L., & ESADA Study Group
- Affiliations
- Department of Chest Diseases Ege University Izmir Turkey
- Sahlgrenska University Hospital (SE)
- University College Dublin (IE)
- University of Antwerp (BE)
- Assistance Publique – Hôpitaux de Paris (FR)
- Division of Medicine Department of Pulmonary Diseases Turku University Hospital and Sleep Research Centre Department of Pulmonary Diseases and Clinical Allergology, University of Turku Turku Finland
- Helse Førde (NO)
- Istituto di Biomedicina e di Immunologia Molecolare Alberto Monroy (IT)
- University of Crete (GR)
- ORCID
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2018-05-24
- Volume
- 27
- Issue
- 6
- Pages
- e12705-e12705
- ISSN
- 0962-1105 (ISSN-L)
- 1365-2869
- OpenAlex
- W2804610933
- Semantic Scholar
- ed1bdb6395f6c86e7c4d2d427cf5b223b7dac715
- Cited by
- 12
- References
- 27
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 3
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Sleep Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
- Lithuanian University of Health Sciences (submittedVersion)
- Funders
- European Respiratory Society
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pharmacology (medical) › Apelin-related biomedical research
- Keywords
- obstructive sleep apnea, positive airway pressure, continuous positive airway pressure, body mass index, weight gain, abdominal obesity, waist circumference, neck circumference, CPAP adherence, obesity, sleepiness, lifestyle intervention
- MeSH terms
- Data Analysis, Adult, Aged, Body Weight, Europe, Female, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Time Factors, Cohort Studies, Weight Gain, Body Mass Index, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure, Waist Circumference, Obesity, Abdominal
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