{"id":1989,"date":"2020-04-07T12:17:37","date_gmt":"2020-04-07T10:17:37","guid":{"rendered":"https:\/\/dieticiansatwork.co.za\/blog\/?p=1989"},"modified":"2020-04-07T12:21:07","modified_gmt":"2020-04-07T10:21:07","slug":"obstructive-sleep-apnoea-weight","status":"publish","type":"post","link":"https:\/\/dieticiansatwork.co.za\/blog\/obstructive-sleep-apnoea-weight\/","title":{"rendered":"Obstructive Sleep Apnoea &#038; Weight"},"content":{"rendered":"\n<p>Obstructive sleep apnea (OSA) is a potentially serious sleep\ndisorder that causes breathing to repeatedly stop and start during sleep.&nbsp; It is caused when the throat muscles\nintermittently relax and block the airway during sleep.&nbsp; The airway can be blocked for 10 seconds or\nlonger and this causes a reduction in oxygen levels in the blood. The brain\nthen rouses the patient so that the airway can be re-opened, but the awakening\nis brief and the patient won\u2019t necessarily remember it.&nbsp; This pattern can repeat itself 5 to 30 times\nor more during the night and impairs restful sleep leading to excessive\ntiredness in the day. OSA needs to be treated as sufferers are at a higher risk\nfor a cardiovascular event.<\/p>\n\n\n\n<p>The most common symptom is loud snoring. <\/p>\n\n\n\n<p>Other symptoms include <\/p>\n\n\n\n<ul><li>excessive daytime sleepiness;<\/li><li>&nbsp;a dry\nmouth in the morning; <\/li><li>Abrupt awakenings including gasping or choking<\/li><li>High blood pressure<\/li><li>Observed episodes of stopped breathing during\nsleep<\/li><li>A morning headache<\/li><\/ul>\n\n\n\n<p>OSA is common in obese males over the age of 50; type 2\ndiabetics and patients with resistant hypertension.<\/p>\n\n\n\n<p>Treatment options for mild OSA include treating the\nobstruction and losing weight.&nbsp; A\nreduction of 10% of body weight leads to a significant reduction in\nsymptoms.&nbsp; <\/p>\n\n\n\n<p>In moderate to severe cases continuous positive airway pressure\n(CPAP) is recommended. This involves a machine which delivers air pressure\nthrough a mask or nose piece whilst the patient sleeps.&nbsp; CPAP reduces the number of respiratory events\nthat occur during sleep.&nbsp; Some patients\ndo find the mask cumbersome, but there are many different types available and\nthey need to find one that is most comfortable.&nbsp;\nThe benefits of the treatment including the increased daytime energy\nlevels should help with compliance.<\/p>\n\n\n\n<p>Dieticians can help the treatment process by implementing a\nweight-loss diet as most OSA patients are overweight.&nbsp; One needs to remember that these patients are\noften exhausted during the day and this will lead to excessive snacking or the\nseeking out of calorie-dense foods and drinks resulting in more weight gain and\na worsening of the apnea.&nbsp; These patients\nare often too tired to exercise which also make the weight-loss more\ndifficult.&nbsp; The dietician needs to work\nwith the doctor and the patient to ensure that the patient is using the CPAP\nmask as this will result in the patient feeling more energised during the day\nleading to better appetite control and improved compliance when it come to\nexercise and healthy food choices.&nbsp; The\ninitial goal in mild cases should be a ten percent reduction in bodyweight\nwhich should reduce the frequency of the apnea attacks, and help improve the\npatient\u2019s quality of life.<\/p>\n\n\n\n<p>Reference:&nbsp; <\/p>\n\n\n\n<p>Patil S, Ayappa I, Caples&nbsp;\net al. Treatment of Adult Obstructive Sleep Apnea with Positive Airway\nPressure:&nbsp; An American Academy of Sleep\nMedicine Systematic Review, Meta-Analysis, and GRADE Assessment. Clin Sleep\nMed. 2019; 15(2): 301-334<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Obstructive sleep apnea (OSA) is a potentially serious sleep disorder that causes breathing to repeatedly stop and start during sleep.&nbsp; It is caused when the throat muscles intermittently relax and block the airway during sleep.&nbsp; The airway can be blocked for 10 seconds or longer and this causes a reduction in oxygen levels in the [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"footnotes":""},"categories":[6],"tags":[81],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p4CNFS-w5","_links":{"self":[{"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/posts\/1989"}],"collection":[{"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/comments?post=1989"}],"version-history":[{"count":3,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/posts\/1989\/revisions"}],"predecessor-version":[{"id":1993,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/posts\/1989\/revisions\/1993"}],"wp:attachment":[{"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/media?parent=1989"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/categories?post=1989"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dieticiansatwork.co.za\/blog\/wp-json\/wp\/v2\/tags?post=1989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}