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  • A very low calorie diet plus lifestyle counselling improved mild obstructive sleep apnoea in overweight patientsCommentary

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A very low calorie diet plus lifestyle counselling improved mild obstructive sleep apnoea in overweight patients

http://dx.doi.org/10.1136/ebn.12.4.111

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    Question

    Does a very low calorie diet (VLCD) plus intensive lifestyle counselling improve mild obstructive sleep apnoea (OSA) in overweight patients?

    Methods

    Design:

    randomised controlled trial (RCT).

    Allocation:

    unclear allocation concealment.

    Blinding:

    blinded (outcome assessors).

    Follow-up period:

    1 year.

    Setting:

    Kuopio University Hospital, Kuopio, Finland.

    Patients:

    81 patients 18–65 years of age (mean age 51 y, 65% men) who had a body mass index of 28–40 kg/m2 and an apnoea-hypopnoea index (AHI) of 5–15 events/hour. Exclusion criteria were active treatment for OSA, pregnancy, and chronic kidney, thyroid, or liver disease.

    Intervention:

    a VLCD (600–800 kcal/d) for 12 weeks plus intensive lifestyle counselling for 1 year (n = 40) or general oral and written …

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    Footnotes

    • Sources of funding Juho Vainio Foundation; Yrjö Jahnsson Foundation; Jalmari and Rauha Ahokkaan Foundation; Finnish Anti-Tuberculosis Foundation.