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posted in the Apnea Weight Loss Group: Is there such a thing as a "sub catagory" of Apnea that might be called something like 'obesity induced apnea'? For example a normal weight person without apnea who for some reason (maybe steroid treatments or something) gains 100 pounds in 3 months and then develops apnea. They get a fatty throat/neck with weight gain resulting in obstruction. Then they lose the weight, fat is gone, and apnea is resolved. They are back to no apnea just like prior to their weight gain....... seems logical to me. Just because they gained fat at neck does not mean the neck structures under fat changed. Hummm... maybe they need to add another diagnostic option?

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this question was prompted by the assertion in this week's episode of the Biggest Loser reality show that the finalist Jerry cured his severe sleep apnea (AHI of +70) by losing 100+ lbs. It was just an assertion without any mention of a sleep study to prove it. Could it be true?
I don't know anything about the BIGGEST LOSER show, but by far the most common factor among OSA patients seen in our practice is extra poundage. The most common OSA treatment we & I assume most other sleep medicine programs employ is PAP, & that's what I know best. I'm convinced, though, that the best restorative treatment for OSA is healthy body mass management.
I have seen people get better from losing weight. In my short experience with this disorder I have never seen anyone get rid of it completely. Even when weight gain is the catalyst it is because the potential was already there. Rapid weight gain just brought the apnea about faster. I believe that even in the rare case someone was able to control apnea with weight loss it would only be for a few years. I tell all my patients that we all have apnea to a degree. Some of us get it at 19, others at 91, but the chances of you making it through your entire life without it affecting you in some way is a matter of lifestyle and anatomy.

I did see Jerry's story. It is amazing! I would definatley get a sleep study to verify it. However even if the AHI is low now I believe that jerry is going to have to fight for the reest of his life to keep it that way.

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