Impact of a brief dietary self-monitoring intervention on weight change and CPAP adherence in patients with obstructive sleep apnea

Feasibility and Potential Benefits of a Self-Monitoring Enhanced Lifestyle Intervention to Prevent Excessive Gestational Weight Gain in Women Who Are Overweight or Obese

“…In our study, the attrition rates were 27.3% by T2 and 40.9% by T3. Previous studies, which ranged from 6 weeks to 18 months of self-monitoring, reported attrition rates of 22% to 72% (Burke et al, 2012;Conroy et al, 2011;Donaldson et al, 2013;Hood et al, 2013;Kong et al, 2012;Steinberg et al, 2013;Wing et al, 2006). The longer a study, the higher the attrition rate was.…”

“…Information on how to conduct self-monitoring and self-monitoring adherence data was not reported. Previous selfmonitoring studies in non-pregnant overweight/obese adults reported compliance rates of 22% to 72%, ranging from 6 weeks to 18 months of self-monitoring (Burke et al, 2012;Conroy et al, 2011;Donaldson et al, 2013;Hood et al, 2013;Kong et al, 2012;Steinberg et al, 2013;Wing et al, 2006). Information on how pregnant women respond to and comply with performing selfmonitoring has not been well documented in the literature.…”

Weigh the Options before Starting CPAP

“…5 Most recently, in a study of 40 men with sleep apnea who were randomized to a brief self-management intervention or to usual care, those in the self-management group who were most adherent to CPAP lost the most weight over a 3-month period. 6 In this issue of JCSM, Quan et al report the results of a secondary analysis of the Apnea Positive Pressure Long-term Effi cacy Study (APPLES) study that addresses CPAP and weight change. 7 APPLES is large, double-blinded, randomized controlled trial which was primarily designed to look at the neurocognitive outcomes of CPAP treatment in patients with sleep apnea.…”

Sleeping Well Trial: Increasing the effectiveness of treatment with continuous positive airway pressure using a weight management program in overweight adults with obstructive sleep apnoea—A stepped wedge randomised trial protocol

“…We have highlighted the importance of actively addressing obesity alongside CPAP, but simultaneously commencing CPAP and making multiple complex changes to their diet and exercise regime concurrently (i.e. lose weight plus start CPAP) increases the risk of failure . Adherence to CPAP itself declines up to 83% over the first 3 months of treatment in some studies, indicating that more support is required on initiation to establish this new behaviour, particularly before moving forward with additional lifestyle changes .…”