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October 7, 2011
In Today's Issue
- The "secret" to losing belly fat...
- Losing Weight Has Long Term Benefits For This Sleep Disorder...
- Overweight? Shocking Proof that it may not be your fault
The "secret" to losing belly fat...
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Losing Weight Has Long Term Benefits For This Sleep Disorder...
Dear Reader,
If you have sleep apnea, listen up. Weight loss has been shown to be an effective long term treatment approach for overweight or obese people who have this condition according to a follow up study that appears in BMJ Online First.
Doctors know that obesity is a major risk for obstructive sleep apnea, a serious disorder that causes patients to actually stop breathing for short times, sometimes hundreds of times, during the night.
The challenge with sleep apnea is that it often goes undiagnosed... there aren't any blood tests and the condition can't be identified during a routine physical exam. And since the interruptions to breathing happen only during sleep, most patients don't even know they have it, until a family member or sleeping partner mentions something.
In 2009 a team of Swedish researchers from the Karolinska Institute found that men who were overweight or obese who lost weight due to a very calorie restricted eating plan over a nine week period had major improvements in the symptoms of sleep apnea they had.
Now in the newly published follow up, the team reports that the improvements stuck around for the next year, even though some of the subjects regained a good deal of the weight they lost.
The initial research included almost 60 overweight or obese males who had moderate to severe sleep apnea symptoms. They lost an average of 40 pounds over nine weeks following a specially formulated mostly liquid diet that gave them almost 500 calories a day.
While this sounds extreme, medically supervised calorie restriction is often used in Europe, and there's no reason to believe that weight loss achieved with a less strict diet plan wouldn't work just as well in terms of sleep apnea symptoms.
By the end of the nine weeks, a 58% improvement in symptoms had been seen overall. Sleep apnea events went down to an average 21 per hour, and those who had the most severe symptoms saw the best improvements. What's more, those who lost the most weight improved the most.
Continues below...
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Losing Weight Has Long Term Benefits For This Sleep Disorder... Continued...
Despite the findings, there had been criticism of the first study by other experts
who feared that patients would not maintain either the weight loss or the symptom
improvement, yet this follow up work shows that the benefits do stick around.
The one-year maintenance phase of the study included group therapy each month
and regular meetings with both a nurse and dietitian. The subjects, on average,
gained back about 14 pounds over the year, but collectively they continued to
have a 47% improvement in sleep apnea symptoms. In fact, 10% of the subjects
stopped needing continuous positive airway pressure (CPAP) masks.
Interesting that just as with other diseases related to carrying too much weight
(type 2 diabetes comes to mind), dropping even a few pounds does appear to improve
symptoms. Losing as little as 10% of your total body weight can bring improvements
- on the opposite side, it doesn't take a lot of weight gain to take you from
lifelong snorer to full blown sleep apnea.
To your good health,
Kirsten Whittaker
Daily Health Bulletin Editor
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Sources:
http://www.m.webmd.com/a-to-z-guides/news/20110601/weight-loss-may-improve-sleep-apnea?src=RSS_PUBLIC
National Institute of Health info on sleep apnea: http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/
WebMD info on healthy eating and diet: http://www.webmd.com/diet/default.htm
Mayo Clinic weight loss basics: http://www.mayoclinic.com/health/weight-loss/MY00432
Study abstract, Johansson, K. BMJ Online First, June 1, 2011: http://www.bmj.com/content/342/bmj.d3017
News release, BMJ Online First, June 1, 2011: http://www.bmj.com/content/342/7809.press-release.html
Martin Neovius, PhD, associate professor, Karolinska Institute, Stockholm, Sweden: http://ki.se/ki/jsp/polopoly.jsp?d=35138&a=113882&l=sv
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