Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea
Publication Date: October 2, 2018
Last Updated: December 15, 2022
Treatment
The ATS recommends participation in a comprehensive lifestyle intervention program that includes a reduced-calorie diet, exercise/increased physical activity, and behavioral counseling rather than no program. (S, VL)
620
The ATS suggests participation in a comprehensive lifestyle intervention program that includes a reduced-calorie diet, exercise/increased physical activity, and behavioral counseling rather than a program that includes only a reduced-calorie diet, with or without exercise/increased physical activity. (C, VL)
620
The ATS suggests participation in a reduced-calorie diet (with or without exercise/increased physical activity) rather than no diet. (C, VL)
620
The ATS suggests exercise/increased physical activity rather than no exercise or increased physical activity. (C, VL)
620
For patients with OSA with a BMI2 ≥27 kg/m, whose weight has not improved despite participating in a comprehensive weight loss lifestyle program, and who have no contraindications including no active cardiovascular disease, the ATS suggests an evaluation for antiobesity pharmacotherapy. (C, VL)
620
For patients with OSA with a BMI2 ≥35 kg/m, whose weight has not improved despite participating in a comprehensive weight-loss lifestyle intervention program, and who have no contraindications, the ATS suggests referral for bariatric surgery evaluation. (C, VL)
620
Recommendation Grading
Overview
Title
Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea
Authoring Organization
American Thoracic Society
Publication Month/Year
October 2, 2018
Last Updated Month/Year
March 13, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management, Treatment
Keywords
obesity, bariatric surgery, obstructive sleep apnea, overweight, OSA