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Impact of lifestyle modifications on snoring and mild sleep apnoea patients

Published online by Cambridge University Press:  10 August 2021

N Sahni ,
K Arora ,
S Bansal ,
G V N Reddy ,
S Malhotra  and
R S Virk
N Sahni
Affiliation:
Department of Dietetics, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
K Arora
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
S Bansal*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
G V N Reddy
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
S Malhotra
Affiliation:
Department of Dietetics, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
R S Virk
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post-Graduate Institute of Medical Education and Research (‘PGIMER’), Chandigarh, India
*
Author for correspondence: Dr Sandeep Bansal, Department of Otolaryngology and Head and Neck Surgery, PGIMER, Chandigarh, India E-mail: drsandeepb@rediffmail.com
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Abstract

Objective

Behavioural modification through increasing nutritional awareness, along with customised dietary changes and education about physical inactivity, for obese snorers and mildly sleep apnoeic patients would help improve their quality of life.

Methods

A one-year prospective interventional study enrolled snorers and/or mild obstructive sleep apnoea sufferers, with 36 patients each in the test group and control group. Nutritional information and tailor-made diet charts were given to the 36 test subjects. The severity of snoring and daytime sleepiness after 6 and 12 months was compared using the Epworth Sleepiness Scale and Thornton Snoring Scale as measures of quality of life.

Results

Subjective scores on both scales showed highly significant improvement (p ≤ 0.001) in the test group. No significant improvement was seen in the control group.

Conclusion

Awareness of basic nutrition and customised diet plans help to achieve behavioural modification in the long term, resulting in a better quality of life.

Keywords

SnoringObstructive Sleep ApneaLifestyleDiet
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 10 , October 2021 , pp. 892 - 896
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr S Bansal takes responsibility for the integrity of the content of the paper

References

Caples, SM, Gami, AS, Somers, VK. Obstructive sleep apnoea. Ann Intern Med 2005;142:187–97CrossRefGoogle Scholar
Berger, G, Berger, R, Oksenberg, A. Progression of snoring and obstructive sleep apnoea: the role of increasing weight and time. Eur Respir J 2009;33:338–45CrossRefGoogle ScholarPubMed
Abel, RC, Caples, SM, Lopez-Jimenez, F, Somers, VK. Inter-actions between obesity and obstructive sleep apnea - implications for treatment. Chest 2010;137:711–19Google Scholar
Dobrosielski, DA, Papandreou, C, Patil, SP, Salas-Salvadó, J. Diet and exercise in the management of obstructive sleep apnoea and cardiovascular disease risk. Eur Respir Rev 2017;26:160110CrossRefGoogle ScholarPubMed
Tuomilehto, HP, Seppä, JM, Partinen, MM, Peltonen, M, Gylling, H, Tuomilehto, JO et al. Lifestyle intervention with weight reduction: first-line treatment in mild obstructive sleep apnoea. Am J Respir Crit Care Med 2009;179:320–7CrossRefGoogle Scholar
Nerfeldt, P, Nilsson, BY, Mayor, L, Uddén, J, Friberg, D. A two-year weight reduction program in obese sleep apnea patients. J Clin Sleep Med 2010;6:479–86CrossRefGoogle ScholarPubMed
Longvah, T, Ananthan, R, Bhaskarchary, K, Venkaiah, K. Indian Food Composition Tables 2017. Hyderabad: National Institute of Nutrition, 2017;35–45Google Scholar
Eveleth, PB, Tanner, JM. Worldwide Variation in Human Growth. Cambridge: Cambridge University Press, 1990Google Scholar
Sahni, N, Bansal, S, Nagarjuna, GVK, Malhotra, S. Food perceptions of obstructive sleep apnea patients. Online J Health Allied Sci 2018;17:3Google Scholar
Johns, MW. A new perspective on sleepiness. Sleep Biol Rhythms 2010;8:170–9CrossRefGoogle Scholar
Sacchi, F, Oldani, A, Marelli, S. A dentist in a sleep medicine specialist team: first results for the treatment of obstructive sleep apnea patients with oral appliances. Sleep Med 2013;14:e37CrossRefGoogle Scholar
Sahni, N, Bansal, S. Impact of weight loss on sleep apnea. Int J Head Neck Surg 2019;10:86–91CrossRefGoogle Scholar
Chang, C, Marshall, N, Yee, B, Grunstein, R. Weight-loss treatment for OSA: medical and surgical options. Eur Respir Mon 2010;50:302–20Google Scholar
Westerterp, KR. Diet induced thermogenesis. Nutr Metab (Lond) 2004;1:5CrossRefGoogle ScholarPubMed
Barnes, M, Goldsworthy, UR, Cary, BA, Hill, CJ. A diet and exercise program to improve clinical outcomes in patients with obstructive sleep apnea--a feasibility study. J Clin Sleep Med 2009;5:409–15CrossRefGoogle ScholarPubMed