Abstract

The objective of this study was to assess treatment outcomes and compliance according to obesity among groups of patients with obstructive sleep apnea (OSA) receiving different treatments. A total of 297 patients with OSA treated between 2006 and 2009 underwent pre- and post-treatment polysomnography. One hundred and fifty-one patients were treated with continuous airway positive pressure (CPAP), 76 with mandible advancement device (MAD), and 70 with oropharyngeal surgery. All patients were classified according to obesity. Treatment success rate and compliance of CPAP were analyzed according to obesity. For each treatment modality, the overall treatment success rate was not significantly different between obese and non-obese patients. However, the oxygen desaturation index was different in patients who were treated with MAD and surgery. Additionally, obese patients with severe OSA showed an unfavorable response to CPAP treatment. For CPAP compliance, obese patients showed a tendency to be highly compliant with CPAP treatment at 12 months than non-obese patients. This study showed that obesity might be a factor in determining the success or failure of treatment. Additionally, obesity may be a predictive factor to determine CPAP compliance.

Original languageEnglish
Pages (from-to)2885-2890
Number of pages6
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume270
Issue number11
DOIs
StatePublished - 1 Nov 2013

Fingerprint

Obstructive Sleep Apnea
Compliance
Obesity
Therapeutics
Mandible
Equipment and Supplies
Continuous Positive Airway Pressure
Polysomnography
Treatment Failure
Oxygen

Keywords

  • Body mass index
  • Compliance
  • Sleep apnea
  • Treatment outcome

Cite this

@article{57f03a172da4455c97f7b050065625a4,
title = "Treatment outcomes and compliance according to obesity in patients with obstructive sleep apnea",
abstract = "The objective of this study was to assess treatment outcomes and compliance according to obesity among groups of patients with obstructive sleep apnea (OSA) receiving different treatments. A total of 297 patients with OSA treated between 2006 and 2009 underwent pre- and post-treatment polysomnography. One hundred and fifty-one patients were treated with continuous airway positive pressure (CPAP), 76 with mandible advancement device (MAD), and 70 with oropharyngeal surgery. All patients were classified according to obesity. Treatment success rate and compliance of CPAP were analyzed according to obesity. For each treatment modality, the overall treatment success rate was not significantly different between obese and non-obese patients. However, the oxygen desaturation index was different in patients who were treated with MAD and surgery. Additionally, obese patients with severe OSA showed an unfavorable response to CPAP treatment. For CPAP compliance, obese patients showed a tendency to be highly compliant with CPAP treatment at 12 months than non-obese patients. This study showed that obesity might be a factor in determining the success or failure of treatment. Additionally, obesity may be a predictive factor to determine CPAP compliance.",
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author = "Heejin Kim and Kim, {Min Su} and Lee, {Ji Eun} and Kim, {Jeong Whun} and Lee, {Chul Hee} and Yoon, {In Young} and Rhee, {Chae Seo}",
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Treatment outcomes and compliance according to obesity in patients with obstructive sleep apnea. / Kim, Heejin; Kim, Min Su; Lee, Ji Eun; Kim, Jeong Whun; Lee, Chul Hee; Yoon, In Young; Rhee, Chae Seo.

In: European Archives of Oto-Rhino-Laryngology, Vol. 270, No. 11, 01.11.2013, p. 2885-2890.

Research output: Contribution to journalArticle

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