August 30, 2022
1 minute read
Source/Disclosure
Disclosure: Murase has not reported any related financial disclosures. See research for relevant financial disclosures of all other authors.
Multimodal telemonitoring may aid weight loss efforts in patients with obstructive sleep apnea and obesity, according to a published study. chest.
“This study shows that in obese patients with obstructive sleep apnea, implementing a remote feedback program on multimodal self-monitoring data can promote weight loss compared to feedback on CPAP adherence alone. .” Kimihiko MuraseMD, From the Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Tokyo, and written by a colleague.
The researchers compared OSA with obesity (mean BMI, 31.7 kg/m2) from 16 sleep centers in Japan. CPAP telemonitoring implementations have been enhanced with electronic scales, blood pressure monitors, and pedometers that transmit data wirelessly from the device. Participants were randomly assigned to the multimodal telemonitoring group (n = 84) or the usual her CPAP telemonitoring group (n = 84) and followed for 6 months.
The attending physician completed a monthly telephone feedback call to the regular CPAP telemonitoring group on remotely acquired CPAP data, and the physician presented the remotely acquired weight, blood pressure, and step count data, followed by a multimodal telemonitoring. I advised the monitoring group to lose weight.
The primary outcome was weight loss of 3% or more from baseline.
Weight loss of 3% or more occurred in 39.3% of participants in the multimodal telemonitoring group and 25% of participants in the usual CPAP telemonitoring group (P. = .047).
Researchers reported more daily steps taken by participants in the multimodal telemonitoring group compared to participants in the regular CPAP telemonitoring group (4,767 vs. 3,592 steps per day; P. = .02).
The researchers found no significant differences between both office and home blood pressure groups.
“To examine whether behavioral changes induced by remote monitoring and feedback lead to more effective weight loss, whether this strategy is long-lasting and cost-effective, and whether current results can be replicated. Further research is needed for different ethnic cohorts and health care systems,” the researchers wrote.
