Skip to main content
Article
Obstructive sleep apnea and weight loss treatment outcome among adults with metabolic syndrome
University of Massachusetts Medical School Faculty Publications
  • Matthew Whited, University of Massachusetts Medical School
  • Effie Olendzki, University of Massachusetts Medical School
  • Yunsheng Ma, University of Massachusetts Medical School
  • Molly E. Waring, University of Massachusetts Medical School
  • Kristin L. Schneider, Rosalind Franklin University of Medicine and Science
  • Brad M. Appelhans, Rush University
  • Andrew M. Busch, Miriam Hospital
  • James Chesebro, University of Massachusetts Medical School
  • Sherry L. Pagoto, University of Massachusetts Medical School
UMMS Affiliation
Department of Medicine, Division of Preventative and Behavioral Medicine; Department of Quantitative Health Sciences
Date
12-1-2016
Document Type
Article
Abstract
OBJECTIVE: The purpose of this study was to examine whether adults with obesity and metabolic syndrome who screen as high risk for obstructive sleep apnea (OSA) lose less weight as part of a weight loss intervention than those who screen as low risk. METHOD: We conducted a secondary analysis of a randomized trial comparing 2 weight loss interventions consisting of dietary counseling for adults with obesity and metabolic syndrome. Participants were screened for sleep apnea using a validated screening questionnaire. Percent weight loss was calculated from weight measured at baseline and intervention end (12 months). Weight loss of 5% or greater was considered clinically significant. Multivariate linear and logistic regression models estimated the association between OSA screening status (high vs. low risk) and percent weight loss and clinically significant weight loss, adjusting for relevant covariates including body mass index and sleep duration. RESULTS: Nearly half of participants (45.8%) screened as high risk for OSA. Participants who screened as high risk for OSA lost less weight (1.2% +/- 4.2% vs. 4.2% +/- 5.3%) and were less likely to lose 5% or greater (24.4% vs. 75.6%) than participants without OSA. CONCLUSION: Among adults with obesity and metabolic syndrome, those at high risk for OSA lost less weight in response to a dietary counseling intervention than adults with low risk of OSA. Routine OSA screening should be considered as part of weight loss treatment programs. Additional research is needed to determine how to tailor weight loss treatment for those with high risk for OSA. (PsycINFO Database Record
Rights and Permissions
Citation: Health Psychol. 2016 Dec;35(12):1316-1319. Epub 2016 Jun 13. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
27294597
Citation Information
Matthew Whited, Effie Olendzki, Yunsheng Ma, Molly E. Waring, et al.. "Obstructive sleep apnea and weight loss treatment outcome among adults with metabolic syndrome" Vol. 35 Iss. 12 (2016) ISSN: 0278-6133 (Linking)
Available at: http://works.bepress.com/sherry_pagoto/145/