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Losing weight.


My wife has sleep apnea and her BMI is 19. So, not necessarily.


Congrats I guess? Your wife is an exception to a very well established norm. Losing weight is a treatment so good (as in, effective, safe, cheap) that most doctors will recommend it as the number 1 step in treating sleep apnea.

"What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals."

https://jcsm.aasm.org/doi/10.5664/jcsm.8384


Saying "congrats", whether ironic or not, comes off as insensitive at best.


That's only if your weight is the cause.


"Some 60–90% of adults with OSA are overweight"

https://diabetesjournals.org/care/article/31/Supplement_2/S3...


I don't see your point. Obviously, some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help even though most of us picture obesity when looking at this. And that still leaves 10-40% that aren't and still have OSA.


> some of those folks are just technically overweight - BMI at 25 - and aren't going to get as much help

Citation needed. They are absolutely going to be benefited from weight loss.

"What is becoming increasingly clear is that we need to continue to strongly advocate weight loss for all our patients, regardless of the severity of their OSA or adherence to our other therapies. The benefits of weight loss are, to a degree, unquestionable. This study highlights that tangible benefits can be obtained with weight-loss interventions. The challenge, as always, lies in the implementation of our lofty goals."

https://jcsm.aasm.org/doi/10.5664/jcsm.8384

"Results: Relative to stable weight, a 10% weight gain predicted an approximate 32% (95% confidence interval [CI], 20%-45%) increase in the AHI. A 10% weight loss predicted a 26% (95% CI, 18%-34%) decrease in the AHI. A 10% increase in weight predicted a 6-fold (95% CI, 2.2-17.0) increase in the odds of developing moderate-to-severe SDB. "

https://pubmed.ncbi.nlm.nih.gov/11122588/




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