Obstructive sleep apnea and weight loss treatment outcome among adults with metabolic syndrome.
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.



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.



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.



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
Department of Psychology.
Matthew C
MC
Whited
Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School.
Effie
E
Olendzki
Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School.
Yunsheng
Y
Ma
Department of Quantitative Health Sciences.
Molly E
0000-0002-9884-9824
ME
Waring
Department of Psychology, Rosalind Franklin University of Medicine and Science.
Kristin L
KL
Schneider
Department of Preventive Medicine, Rush University Medical Center.
Bradley M
BM
Appelhans
Miriam Hospital, Centers for Behavioral and Preventive Medicine.
Andrew M
AM
Busch
Department of Medicine/Cardiovascular Disease, University of Massachusetts Medical School.
James
J
Chesebro
Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School.
Sherry L
SL
Pagoto
D000328:Adult; D015992:Body Mass Index; D003376:Counseling; D005260:Female; D006266:Health Education; D006801:Humans; D016015:Logistic Models; D008297:Male; D024821:Metabolic Syndrome / Q000628:therapy*; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D016896:Treatment Outcome; D015431:Weight Loss