Evidence map›Paper›PMID 30215551›Full record

GuidelineAmerican journal of respiratory and critical care medicine2018

The Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea. An Official American Thoracic Society Clinical Practice Guideline.

David W Hudgel, Sanjay R Patel, Amy M Ahasic, Susan J Bartlett, Daniel H Bessesen, Melisa A Coaker, P Michelle Fiander, Ronald R Grunstein, Indira Gurubhagavatula, Vishesh K Kapur and 7 more

2 registry-linked trialsAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 126 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 11 pooled it
12.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04262986 unknown statusnot on this mapstarted 2020, after this paper: background citation

A Brief Motivational Enhancement Lifestyle Modification Programme to Reduce Body Weight in Overweight Subjects With OSA: Needs Assessment

TypeobservationalSponsorThe University of Hong KongRan2020 to 2022Enrolled100ConditionsObstructive Sleep Apnoea, Overweight
NCT07082608 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Weight Loss From Endoscopic Sleeve Gastropathy (ESG) Plus Life Style Modification VS Life Style Modification Alone on Obstructive Sleep Apnea (OSA) Patients With Obesity - Randomized Controlled Trial

TypeinterventionalSponsorAsian Institute of Gastroenterology, IndiaRan2025 to 2029Enrolled74ConditionsOSA - Obstructive Sleep ApneaArmsEndoscopic Sleeve Gastropathy, Lifestyle Modification alone
3 · Its place in the literature

Who cites it

126 citing papers in PubMed, 11 syntheses or guidelines pooled it, 243 citations in OpenAlex.

  1. Guideline
  2. Effects of aerobic exercise and resistance training on obstructive sleep apnea: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  5. European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2021
    Guideline
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  10. Guideline
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  12. Association of tirzepatide with changes in OSA-related measures based on baseline characteristics - post hoc analyses of SURMOUNT-OSA.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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66 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

David W HudgelORCID 0000-0003-3148-723X
Sanjay R PatelORCID 0000-0002-9142-5172
Amy M Ahasic
Susan J BartlettORCID 0000-0001-9755-2490
Daniel H Bessesen
Melisa A Coaker
P Michelle FianderORCID 0000-0002-3579-9292
Ronald R GrunsteinORCID 0000-0001-6682-5812
Indira Gurubhagavatula
Vishesh K KapurORCID 0000-0002-5417-1097
Christopher J LettieriORCID 0000-0001-7950-2908
Matthew T NaughtonORCID 0000-0003-2734-0841
Robert L OwensORCID 0000-0002-6515-6204
Jean-Louis Pepin
Henri Tuomilehto
Kevin C WilsonORCID 0000-0003-4429-2263
American Thoracic Society Assembly on Sleep and Respiratory Neurobiology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverweight/obesity is a common, reversible risk factor for obstructive sleep apnea severity (OSA). The purpose of this guideline is to provide evidence-based recommendations for the management of overweight/obesity in patients with OSA.

methodsThe Grading of Recommendations, Assessment, Development and Evaluation approach was used to evaluate the literature. Clinical recommendations were formulated by a panel of pulmonary, sleep medicine, weight management, and behavioral science specialists.

resultsBehavioral, pharmacological, and surgical treatments promote weight loss and can reduce OSA severity, reverse common comorbidities, and improve quality of life, although published studies have methodological limitations. After considering the quality of evidence, feasibility, and acceptability of these interventions, the panel made a strong recommendation that patients with OSA who are overweight or obese be treated with comprehensive lifestyle intervention consisting of 1) a reduced-calorie diet, 2) exercise or increased physical activity, and 3) behavioral guidance. Conditional recommendations were made regarding reduced-calorie diet and exercise/increased physical activity as separate management tools. Pharmacological therapy and bariatric surgery are appropriate for selected patients who require further assistance with weight loss.

conclusionsWeight-loss interventions, especially comprehensive lifestyle interventions, are associated with improvements in OSA severity, cardiometabolic comorbidities, and quality of life. The American Thoracic Society recommends that clinicians regularly assess weight and incorporate weight management strategies that are tailored to individual patient preferences into the routine treatment of adult patients with OSA who are overweight or obese.

Indexed as

Weight Reduction ProgramsAdultDiet, ReducingHumansObesityOverweightSleep Apnea, ObstructiveSocieties, MedicalUnited Statesbariatric surgerycomprehensive lifestyle interventionobesityobstructive sleep apneaweight-loss medications

Identifiers

PMID30215551
OpenAlexW2889898238

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.