作者
David W Hudgel, Sanjay R Patel, Amy M Ahasic, Susan J Bartlett, Daniel H Bessesen, Melisa A Coaker, P Michelle Fiander, Ronald R Grunstein, Indira Gurubhagavatula, Vishesh K Kapur, Christopher J Lettieri, Matthew T Naughton, Robert L Owens, Jean-Louis D Pepin, Henri Tuomilehto, Kevin C Wilson
发表日期
2018/9/15
期刊
American journal of respiratory and critical care medicine
卷号
198
期号
6
页码范围
e70-e87
出版商
American Thoracic Society
简介
Background: Overweight/obesity is a common, reversible risk factor for obstructive sleep apnea severity (OSA). The purpose of this guideline is to provide evidence-based recommendations for the management of overweight/obesity in patients with OSA.
Methods: The Grading of Recommendations, Assessment, Development and Evaluation approach was used to evaluate the literature. Clinical recommendations were formulated by a panel of pulmonary, sleep medicine, weight management, and behavioral science specialists.
Results: Behavioral, pharmacological, and surgical treatments promote weight loss and can reduce OSA severity, reverse common comorbidities, and improve quality of life, although published studies have methodological limitations. After considering the quality of evidence, feasibility, and acceptability of these interventions, the panel made a strong recommendation that patients with OSA …
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DW Hudgel, SR Patel, AM Ahasic, SJ Bartlett… - American journal of respiratory and critical care …, 2018