{"title":"Effect of Lifestyle Modifications on Polysomnography in Obstructive Sleep Apnea.","authors":"Reshma Raj, Sandeep Bansal, Nancy Sahni, Ramandeep Singh Virk, Naresh Kumar Panda, Otolaryngology Pgimer, Chandigarh India","doi":"10.1007/s12070-025-05434-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Lifestyle modifications (LSM) is an ignored but essential component for Obstructive sleep apnea (OSA) treatment. We aimed to assess the role of LSM in OSA with customized program and its effect on polysomnographic parameters and body mass index (BMI).</p><p><strong>Methods: </strong>Prospective study of fifty six OSA patients randomized into 2 groups after establishing the diagnosis by polysomnography (PSG). Both the groups were advised LSM which included weight loss and incorporating physical activity as first line of treatment. Group A had 28 OSA patients who were given a customized diet chart, counselled and kept on regular follow. Group B with 28 OSA patients were advised by the treating physician to lose weight with no specific tailor-made diet plan. Patients were reassessed at the end of 6 months and underwent a repeat PSG. BMI along with PSG parameters like Apnea hypopnea index (AHI), lowest saturation (LSAT), and time of SpO2 < 90% (cT90) were analysed.</p><p><strong>Results: </strong>We analysed 54 subjects (mean age 42.38, 92.9% men). In Group A, 89.28% of the subjects had a significant decrease in AHI (<i>p</i> < 0.001) and time of SpO2 < 90% (<i>p</i> < 0.001) with improvement in mean LSAT (<i>p</i> < 0.001) and % of time with saturation < 90% (<i>p</i> = 0.001) and but in Group B only LSAT (<i>p</i> = 0.008) and cT90 (<i>p</i> = 0.028) showed improvement.</p><p><strong>Conclusion: </strong>Lifestyle modifications in the form of a customised diet programme with proper diet plan, emphasis on incorporation of physical activity and periodic counselling has a better outcome which can act as an adjuvant for OSA treatment.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2227-2233"},"PeriodicalIF":0.4000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103422/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05434-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/2 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Lifestyle modifications (LSM) is an ignored but essential component for Obstructive sleep apnea (OSA) treatment. We aimed to assess the role of LSM in OSA with customized program and its effect on polysomnographic parameters and body mass index (BMI).
Methods: Prospective study of fifty six OSA patients randomized into 2 groups after establishing the diagnosis by polysomnography (PSG). Both the groups were advised LSM which included weight loss and incorporating physical activity as first line of treatment. Group A had 28 OSA patients who were given a customized diet chart, counselled and kept on regular follow. Group B with 28 OSA patients were advised by the treating physician to lose weight with no specific tailor-made diet plan. Patients were reassessed at the end of 6 months and underwent a repeat PSG. BMI along with PSG parameters like Apnea hypopnea index (AHI), lowest saturation (LSAT), and time of SpO2 < 90% (cT90) were analysed.
Results: We analysed 54 subjects (mean age 42.38, 92.9% men). In Group A, 89.28% of the subjects had a significant decrease in AHI (p < 0.001) and time of SpO2 < 90% (p < 0.001) with improvement in mean LSAT (p < 0.001) and % of time with saturation < 90% (p = 0.001) and but in Group B only LSAT (p = 0.008) and cT90 (p = 0.028) showed improvement.
Conclusion: Lifestyle modifications in the form of a customised diet programme with proper diet plan, emphasis on incorporation of physical activity and periodic counselling has a better outcome which can act as an adjuvant for OSA treatment.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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