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Cure OSA Weith Weight Loss?
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GingerMan512 Offline

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Machine: ResMed Airsense 10 Auto
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Sex: Male
Location: Austin Texas

Post: #1
Cure OSA Weith Weight Loss?
Howdy hose noses!

I never had OSA until I started putting on weight about four years ago. I've lost 40lbs this year, another 60 to go. At what point may I want to go in for another sleep study to have my treatment reevaluated? After I lose enough weight and cure my OSA would I notice my AHI drop to zero or is a certain number of events considered normal?
08-09-2016 11:47 AM
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Possum Offline

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Other Comments: Innovo CMS-50F+ pulse oximeter

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Location: San Diego, California, USA

Post: #2
RE: Cure OSA Weith Weight Loss?
Certainly excess weight can cause or exacerbate OSA as the extra weight around the neck area can cause the airway to collapse easier; however, it is not the only culprit. I have a friend who is in excellent physical condition but still has OSA and requires treatment.

I would say if your machine regularly stays at or near the minimum pressure setting and your AHI's are always consistently low, you might consider reassessing with an updated sleep study. You can also purchase a recording oximeter to monitor your SPO2 levels with and without treatment. If treatment does not significantly impact your SPO2 levels during the night, then perhaps you don't need it. But, as always, you should avoid self diagnosis - if you think you don't need it, get data to support that hypothesis before taking drastic action, such as discontinuing treatment on your own.

For what it's worth, I've lost 35 lbs since Xmas, and I've noticed that my 95% Pressure is typically about 33% less than it was at that time, but I still have sleep apnea and will continue treatment as long as I do because I'm well aware of the benefits to my overall health.
(This post was last modified: 08-09-2016 12:02 PM by Possum.)
08-09-2016 12:00 PM
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nydiver Offline

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Joined: Jul 2016

Machine: ResMed Airsense 10 Autoset
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CPAP Software: ResScan SleepyHead

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Location: Syracuse, NY

Post: #3
RE: Cure OSA Weith Weight Loss?
A friend was quite obese, lost over 250lbs, and at 5'10" 190lbs I'd say he's in a good place. He now exercises almost daily with a 15-20 minute cardio to start the workout. He lost the weight over a year ago and has been maintaining for about 6 months now. He just went in for a new sleep study and was still at 27/hr. Just losing weight is no real indicator that you'll be able to get off CPAP, clearly it can help, and it will improve your lifestyle and longevity, but you shouldn't see it as a "miracle cure" for your sleep apnea.

Lose your weight, exercise as much as you're able, and do your own home test with a recording pulseox and no machine. If your dipping into the 80's at points then your going to want to continue therapy. Perhaps a dental appliance might be more to your liking, it could be that will work for you after weight loss.

Best of luck to you
08-09-2016 12:04 PM
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eseedhouse Online

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Location: Victoria, British Columbia

Post: #4
RE: Cure OSA Weith Weight Loss?
(08-09-2016 11:47 AM)GingerMan512 Wrote:  After I lose enough weight and cure my OSA would I notice my AHI drop to zero or is a certain number of events considered normal?

Anything below 5 is "normal". But it may not be normal for *you*.

I don't think losing weight will really "cure" OSA. Rather let's say it may well put it in remission and you may not need the mask for awhile. But there *are* thin people with OSA.

Unfortunately the vast majority of people who get in great shape and lose lots of weight cannot keep it up forever. I did it three times, but every time I found I could not keep it up and the weight came back on. There is some evidence, if I recall rightly, that such "yo-yo" situations may do you more harm than just staying "weighty".

Good luck in your endeavour - you may be an exception and I hope you are.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
(This post was last modified: 08-09-2016 12:13 PM by eseedhouse.)
08-09-2016 12:07 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
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Location: Missouri, USA

Post: #5
RE: Cure OSA Weith Weight Loss?
Hi GingerMan512,
CONGRATULATIONS on your weight loss.

trish6hundred
08-09-2016 06:05 PM
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PaulaO2 Offline
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Location: western NC, USA

Post: #6
RE: Cure OSA Weith Weight Loss?
Another member's wife lost a lot of weight and was able to go off the CPAP for about a year or so. But eventually had to go back on it at a much lower pressure. Even though she maintained the weight loss, her OSA just was not "cured" enough.

My bet is you have had OSA for a while but the weight gain made it bad enough it disrupted your sleep enough that you finally took notice.

PaulaO2
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-10-2016 10:31 PM
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