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Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

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Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#21

Post by astockwell »

AnIdiotOnTheNet wrote: post #10
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

Thanks for your comment, how long have you been at it?

Edit: Saw your note below > "150+ lbs, the past decade"

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#22

Post by john_moscow »

AnIdiotOnTheNet wrote: post #13
john_moscow wrote: post #8

Earlier quoted context omitted.

>In reaction to that, it is important to understand that for many people weight loss is neither practical nor maintainable and for that reason it is critical that we continue to advance our treatment of things like sleep apnea. Sorry, but I have to call BS on that. Having lost ~50 lbs last year (after my blood pressure started getting scary), I can tell you it's all about planning and self-discipline. You plan a diet…

> Having lost ~50 lbs last year Trust me, it's too soon to say what you're saying. Source: lost >150lbs and kept it off for the past decade.

Maybe. I've actually implemented a rather complex set of rules to maintain my weight and it has been working so far. I keep a rough estimate of the calorie intake every day and try to keep it within reasonable bounds. I do make exceptions (hey I still love eating 2 pounds of steak with 3 pints of beer), but those days are followed by heavy dieting days to bring the calorie balance back. I also have a high-watermark/low-watermark system for my weight, so in case it runs away (like during holidays or trips), I am still 1.5-2.5 weeks away from reaching my normal weight.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#23

Post by issa »

AnIdiotOnTheNet wrote: post #10
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

I couldn't agree with this more. It is possible for me to lose and keep off weight if I literally devote all my energy towards it. It's important to remember that everyone is different. Some people would struggle to gain 100 pounds, others could do it easily, and most people understand that. But for some reason when it comes to losing weight instead of gaining, understanding goes out the window.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#24

Post by AnIdiotOnTheNet »

john_moscow wrote: post #22
AnIdiotOnTheNet wrote: post #13

Earlier quoted context omitted.

> Having lost ~50 lbs last year Trust me, it's too soon to say what you're saying. Source: lost >150lbs and kept it off for the past decade.

Maybe. I've actually implemented a rather complex set of rules to maintain my weight and it has been working so far. I keep a rough estimate of the calorie intake every day and try to keep it within reasonable bounds. I do make exceptions (hey I still love eating 2 pounds of steak with 3 pints of beer), but those days are followed by heavy dieting days to bring the calorie balance back. I also have a high-watermark/l…

I'll level with you: the easiest part for me so far was the initial weight loss. I got down to 15lbs less than I am now and it was much easier than it has been since. It's like my body adjusted and got much more conservative but it took a year or two. Maybe that won't be true in your case, but give it time before you make an assessment about the difficulty.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#25

Post by panzerboy »

AnIdiotOnTheNet wrote: post #10
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

I have had a lot of success with the Weight Watchers method. I want to lose around 18 kg and I lost already 12 since middle of October.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#26

Post by gfodor »

AnIdiotOnTheNet wrote: post #10
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

Is the main inhibitor just the sensation of hunger being miscalibrated with your calorie goals? Instead of using mind over matter, what techniques exist for eliminating the sense of hunger?

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#27

Post by kup0 »

john_moscow wrote: post #8
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

>In reaction to that, it is important to understand that for many people weight loss is neither practical nor maintainable and for that reason it is critical that we continue to advance our treatment of things like sleep apnea. Sorry, but I have to call BS on that. Having lost ~50 lbs last year (after my blood pressure started getting scary), I can tell you it's all about planning and self-discipline. You plan a diet…

Is it possible that the amount of planning and self-discipline required is maybe what is sometimes neither practical nor maintainable, depending on the individual?

Having lost and gained weight multiple times, it can be a psychological hell when it seems both the body and the mind are doing everything they can to fight against your discipline and planning and keep you where you are instead.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#28

Post by kevingadd »

blackearl wrote: post #19
1MachineElf wrote: post #16

Earlier quoted context omitted.

Did you accomplish your weight loss while working manual labor 64hrs per week?

No one doing manual labor for 60+ hours a week is morbidly obese.

Rather significant leap to take given the average hours worked per week in the US are over 40 and the % of US adults classified as obese is something like 40% or more as well - lots of candidate individuals out there. You really going to claim it's impossible for someone to be doing manual labor 60+ hours a week to pay rent and also have weight problems? Exercise doesn't automatically make you lose weight, high calorie intake or metabolic issues etc could cancel it out no problem. If it was as simple as 'just exercise a lot' weight issues wouldn't be so widespread.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#29

Post by [deleted] »

john_moscow wrote: post #8
verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

>In reaction to that, it is important to understand that for many people weight loss is neither practical nor maintainable and for that reason it is critical that we continue to advance our treatment of things like sleep apnea. Sorry, but I have to call BS on that. Having lost ~50 lbs last year (after my blood pressure started getting scary), I can tell you it's all about planning and self-discipline. You plan a diet…

[deleted]

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#30

Post by rukittenme »

verisimilitude wrote: post #2

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

> for many people weight loss is neither practical nor maintainable

Hard disagree.

As for practicality, weight loss is a function of thermodynamics. Caloric deficit == weight reduction. Doesn't matter your physiology.

As for maintainability, well that certainly depends on how a person is taught to diet. If you tell someone they need to eat less to lose weight (which is what almost every diet does) then, yes, it will be hard to maintain. If you tell someone to eat more (low calorie) food then weight loss is easy.

Most obese, untrained people will very readily drop tons of fat weight with little stimulus.

When I diet (whether the intention is gaining or losing weight) I'm probably eating 2x as much food as an obese person who is wondering to themselves "why is my metabolism so slow?". It's not. The foods I eat just contain less energy than the foods they're eating.

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