健康与保健指导可提高阻塞性睡眠呼吸暂停和肥胖症患者使用气道正压疗法的水平

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Lifestyle Medicine Pub Date : 2024-04-10 DOI:10.1177/15598276241244719
Michelle Alencar, Rachel Sauls, Kelly Johnson, Shreya Thakkar, Anthony Carmona, Aaron Morse, Sirish Nakka
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引用次数: 0

摘要

阻塞性睡眠呼吸暂停(OSA)与肥胖等慢性疾病有关。虽然持续气道正压(CPAP)装置是一种有效的治疗方法,但装置的不适感会影响治疗的坚持性。健康与保健指导(HWC)可以提高体重减轻(WL)和其他治疗类型的依从性。本研究旨在确定与对照组(CG)相比,接受 HWC 计划的参与者是否能改善 CPAP 设备的使用和 WL。参与者被随机选入 HWC 组,同时接受标准护理。HWC 参与者的性别、年龄、体重、CPAP 使用情况(如小时数、天数)和种族与仅接受标准护理的 CG 参与者相匹配。收集的变量包括四个时间点(基线、3 个月、6 个月和 9 个月)的人口统计学特征(即年龄、性别)、CPAP 设备使用情况和体重。研究人员进行了配对样本 t 检验和皮尔逊系数相关性检验,以确定组间结果的差异。在所研究的 232 名参与者中,HWC 组与 CG 组相比,CPAP 使用时间明显增加(P < .001)(分别为 6.5 ± 1.8 小时和 5.0 ± 2.3 小时)。在 9 个月的时间里,HWC 组的体重减轻幅度(11.0 ± 14.5 磅)明显高于 CG 组(5.7 ± 16.1 磅)(P < .001)。本研究提供了 HWC 可以提高 CPAP 依从性和减轻体重的证据。
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Health and Wellness Coaching Can Improve Usage of Positive Airway Pressure Therapy in Participants With Obstructive Sleep Apnea and Obesity
Obstructive sleep apnea (OSA) has been tied to chronic conditions, such as obesity. Although continuous positive airway pressure (CPAP) device is an effective treatment, device discomfort impacts treatment adherence. Health and wellness coaching (HWC) can increase weight loss (WL) and adherence across other treatment types. This study aims to determine whether participants undergoing an HWC program improve CPAP device usage and WL compared to control group (CG). Participants were randomly selected to participate in the HWC group in conjunction with standard care. The HWC participants were gender, age, weight, CPAP usage (e.g., hours, days), and race matched to CG participants receiving standard care only. Variables collected include demographics (i.e., age, gender), CPAP device usage, and weight across four time points (baseline, 3-, 6-, and 9-months). Paired samples t-test and Pearson’s coefficient correlation were conducted to determine how outcomes differ between groups. Of 232 participants studied, those in the HWC group significantly increased CPAP usage over time ( P < .001) vs CG (6.5 ± 1.8, and 5.0 ± 2.3 hours, respectively). The HWC group had significantly more weight loss (11.0 ± 14.5 lbs.) than CG (5.7 ± 16.1 lbs.) across the 9-month timeline ( P < .001). This study provides evidence that HWC can improve CPAP adherence and weight loss.
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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