Impact of CPAP treatment for obstructive sleep apnea on visceral adipose tissue: a meta-analysis of randomized controlled trials

Chen, Qingshi; Lin, Guang-Tan; Chen, Yongfa; Wu, Chunchun; Li, Chaowei; Huang, Jiefeng

doi:10.1007/s11325-020-02181-3

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…In a meta-analysis on five studies that analyzed changes in abdominal visceral fat after CPAP treatment (169 patients), no change in abdominal visceral fat was observed after CPAP treatment (standardized mean difference: 0.00, 95% CI: -0.21-0.21). The result is not different by the CPAP treatment duration, patients' ages, or their body mass indexes [39].…”

Section: Limitations Of Cpapmentioning

confidence: 82%

A Review of a Recent Meta-Analysis Study on Obstructive Sleep Apnea

2022

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This paper summarizes a recent meta-analysis of various topics in obstructive sleep apnea (OSA). In addition to cardiovascular disease and neurocognitive dysfunction, a wide variety of diseases have been associated with OSA, and associations with cancer have also been reported. Although continuous positive airway pressure is a very effective treatment, the results have shown that it does not reduce the incidence of various complications. It has been reported that uvulopalatopharyngoplasty was effective, and robotic surgery for the tongue root and hypoglossal nerve stimulation were also effective. The effectiveness of various medications to reduce daytime sleepiness has also been demonstrated. Although exercise lowered the apnea-hypopnea index, it was not related to changes in body composition, and it was also reported that exercise combined with weight control were effective. Additionally, interesting and clinically meaningful meta-analysis results were summarized and presented.

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Section: Limitations Of Cpapmentioning

confidence: 82%

A Review of a Recent Meta-Analysis Study on Obstructive Sleep Apnea

2022

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“…This is resolved by interrogation of the effect of OSA and CPAP on body composition. Recent metanalyses have shown no relationship between the use of CPAP and either subcutaneous ( 26 , 27 ) or visceral adipose tissue ( 28 , 29 ) volume. OSA is associated with reduced bone mass ( 30 ) but not skeletal muscle despite morphological and functional changes ( 31 , 32 ).…”

Section: Pathophysiology and Associations Of Osa With Other Disordersmentioning

confidence: 99%

Approach the Patient With Obstructive Sleep Apnea and Obesity

Meyer,

Wittert

2023

The Journal of Clinical Endocrinology &Amp; Metabolism

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Obstructive sleep apnoea (OSA) and obesity are highly prevalent and bidirectionally associated. OSA is however underrecognized, particularly in women. By mechanisms that overlap with those of obesity, OSA increases the risk of developing, or having poor outcomes from, comorbid chronic disorders and impairs quality of life. Using two illustrative cases we discuss the relationships between OSA and obesity with type 2 diabetes, dyslipidemia, cardiovascular disease, cognitive disturbance, mood disorders, lower urinary tract symptoms, sexual function, and reproductive disorders. The differences in OSA between men and women, the phenotypic variability of OSA, and co-morbid sleep disorders are highlighted. When the probability of OSA is high due to consistent symptoms, comorbidities, or both, a diagnostic sleep study is advisable. Continuous positive airway pressure or mandibular advancement splints improve symptoms. Benefits for comorbidities are variable depending on nightly duration of use. By contrast weight loss and optimization of lifestyle behaviors are consistently beneficial.

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Impact of CPAP treatment for obstructive sleep apnea on visceral adipose tissue: a meta-analysis of randomized controlled trials

Cited by 2 publications

References 29 publications

A Review of a Recent Meta-Analysis Study on Obstructive Sleep Apnea

A Review of a Recent Meta-Analysis Study on Obstructive Sleep Apnea

Approach the Patient With Obstructive Sleep Apnea and Obesity

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