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      Longitudinal Study of Moderate Weight Change and Sleep-Disordered Breathing

      JAMA
      American Medical Association (AMA)

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          Abstract

          Excess body weight is positively associated with sleep-disordered breathing (SDB), a prevalent condition in the US general population. No large study has been conducted of the longitudinal association between SDB and change in weight. To measure the independent longitudinal association between weight change and change in SDB severity. Population-based, prospective cohort study conducted from July 1989 to January 2000. Six hundred ninety randomly selected employed Wisconsin residents (mean age at baseline, 46 years; 56% male) who were evaluated twice at 4-year intervals for SDB. Percentage change in the apnea-hypopnea index (AHI; apnea events + hypopnea events per hour of sleep) and odds of developing moderate-to-severe SDB (defined by an AHI > or =15 events per hour of sleep), with respect to change in weight. Relative to stable weight, a 10% weight gain predicted an approximate 32% (95% confidence interval [CI], 20%-45%) increase in the AHI. A 10% weight loss predicted a 26% (95% CI, 18%-34%) decrease in the AHI. A 10% increase in weight predicted a 6-fold (95% CI, 2.2-17.0) increase in the odds of developing moderate-to-severe SDB. Our data indicate that clinical and public health programs that result in even modest weight control are likely to be effective in managing SDB and reducing new occurrence of SDB.

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          Author and article information

          Journal
          JAMA
          JAMA
          American Medical Association (AMA)
          0098-7484
          December 20 2000
          December 20 2000
          : 284
          : 23
          : 3015
          Article
          10.1001/jama.284.23.3015
          11122588
          ca67a936-1a69-4d61-9dd2-a53d6a8f7fb7
          © 2000
          History

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