Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

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

atsjournals.org

Post reply on HN
Print view View original

101–110 of 136 posts

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

#101

Post by soperj »

viro wrote: post #45
soperj wrote: post #37

Earlier quoted context omitted.

> In reaction to that, it is important to understand that for many people weight loss is neither practical nor maintainable So you're saying that even though the obesity epidemic is an entirely new thing, that there's no way that these people can lose weight and keep it off? It might require a lifestyle change, but saying it's not possible because change is hard is bullshit.

what if your current life situation doesn't allow you time to go to the gym or spend any time at all meal planning??

Change your life situation? I guess I've worked 77 hour weeks (11 hour days, 3 weeks on 3 days off). No kids at the time, but still had to make my lunches every day because otherwise you didn't eat (working in the field). Meal planning actually saves you time.

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

#102

Post by nooron »

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…

Hey, are you referring to the SUAD Device? I am thinking about getting one and curious if there is an alternative. I have heard mixed things about their quality. Thank you for sharing your knowledge with us.

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

#103

Post by AnIdiotOnTheNet »

xazo wrote: post #70
AnIdiotOnTheNet wrote: post #59

Earlier quoted context omitted.

Yeah, I hear this and other fad internet diet stuff all the time. You think in 10 years I never tried this stuff? It did not make a significant difference.

> I hear this and other fad internet diet stuff all the time I've been eating a lower carb diet with portion control for more than 10 years now with little to no exercise. I recently changed into a low carb diet. Over this 10 year period I lost 30% of my body weight. The only fad I've seen so far is the notion that practicing willpower and portion control while still eating sugar and carbs is a maintainable position.…

The vast majority of people no longer do manual labor for a living. And food used to cost a lot more. It's also possible that anti-smoking campaigns have had an effect since nicotine is a stimulant (which can suppress appetite) and reduces your sense of taste (making food less appealing), but that's probably a stretch.

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

#104

Post by gfodor »

AnIdiotOnTheNet wrote: post #46
gfodor wrote: post #26

Earlier quoted context omitted.

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?

As another poster said: stimulants. Ephedrine is one of the easiest to acquire that has reasonable potency, but I caution that a) there are negative consequences to stimulant abuse and b) you do become resistant (and eventually dependent). I have tried it for protracted periods of time but it was ultimately unsuccessful at lowering the difficulty.

It is a bit fascinating that using coffee or other stimulants seems to be a 'hack'. I guess there's the "diet pills" market, but I am uninformed about how effective these things are, having never had to try to lose weight. It does seem like such a drug that actually worked would be transformative though.

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

#105

Post by DiffEq »

sneak wrote: post #7
DiffEq wrote: post #5

Earlier quoted context omitted.

I understand what you are saying but, economically, treating the symptom rather than the cause is expensive; somehow there needs to be some way to create a cost high enough to encourage people to attack the cause of the problem; and shame can be a useful way to increase the cost. So "fat shaming", although politically incorrect these days, should not be thrown out as a way to encourage behavior that benefits society…

If literally not being able to breathe isn’t enough, people being dickheads probably isn’t going to do it. Please think harder.

Well you don't have to be "a dick" to shame somebody. Just tell them the truth and help them realize the toll they take on society and themselves when they choose certain actions over others. When they come to realize and understand the truth they will feel the shame they ought to feel...and thus pay a small part of the cost to others that they have incurred.

Do you believe that a smoker that has thrown a cigarette out the window and burned down a home should not have to feel shame because of their actions? If you do then the obese ought to as well. Their obesity exacts great cost to the medical system that we all have to bear, it takes from their productivity that they could offer to others (society and their own family) and benefit from themselves in a multitude of ways. Their actions are the same as the careless cigarette smoker...selfish. And selfish actions are shameful and that shame should be felt. We should not try to be so "noble" as to protect them from it. When we do the selfishness tends to proliferate.

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

#106

Post by mikedilger »

grawprog wrote: post #35
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…

>it is important to understand that for many people weight loss is neither practical nor maintainable People need to stop eating processed sugar. Losing and keeping off weight is easy. As soon as I stopped eating, candy, baked shit from coffee shops and crap, fast food, and stopped drinking pop, it became hard to gain weight. That shit's poison. It gives your body nothing. Cutting out nearly all processed sugary food…

If you eat that "poison" then quitting it will drop your weight. But some people don't eat that "poison" and yet they still carry a lot of body fat. So it is good general advice but insufficient for people with a genetic predisposition to obesity. I for one eat mostly salad, never drink sodas and don't really like sweet things, usually skip breakfast, hunt rabbits most days on steep terrain (for exercise and dogfood)... and yet I sit at 220lbs.

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

#107

Post by grawprog »

lazyasciiart wrote: post #71
grawprog wrote: post #35

Earlier quoted context omitted.

>it is important to understand that for many people weight loss is neither practical nor maintainable People need to stop eating processed sugar. Losing and keeping off weight is easy. As soon as I stopped eating, candy, baked shit from coffee shops and crap, fast food, and stopped drinking pop, it became hard to gain weight. That shit's poison. It gives your body nothing. Cutting out nearly all processed sugary food…

You have a friend who will probably die before he changes what he eats and you still call it "easy"?

He's in his 50's and doesn't believe the food causes problems and just doesn't care. It's not a matter of a lack of willpower or trying, in his case it's a lack of giving any kind of fucks.

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

#108

Post by lazerpants »

AnIdiotOnTheNet wrote: post #103
xazo wrote: post #70

Earlier quoted context omitted.

> I hear this and other fad internet diet stuff all the time I've been eating a lower carb diet with portion control for more than 10 years now with little to no exercise. I recently changed into a low carb diet. Over this 10 year period I lost 30% of my body weight. The only fad I've seen so far is the notion that practicing willpower and portion control while still eating sugar and carbs is a maintainable position.…

The vast majority of people no longer do manual labor for a living. And food used to cost a lot more. It's also possible that anti-smoking campaigns have had an effect since nicotine is a stimulant (which can suppress appetite) and reduces your sense of taste (making food less appealing), but that's probably a stretch.

There seems to be something else going on in addition to what you've mentioned.

https://www.sciencedirect.com/science/article/pii/S1871403X1...

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

#109

Post by lazyasciiart »

DiffEq wrote: post #88
lazyasciiart wrote: post #74

Earlier quoted context omitted.

Sources for those claims?

Do you need really need "sources" to know that shame acts as a deterrent not to do something, and/or as a motivating factor to do something, for a multitude of actions good or bad and has done so for thousands of years of human history? Simple observe...and you will have all the sources you need.

I need sources for your theory that it will be an effective way of motivating the desires behavioral change, yes. After all, if you simply look around then you can see it doesn't work.

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

#110

Post by RickS »

elric wrote: post #47
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…

As someone with OSA - and a busted TMJ, so no mandibular advancement for me -, let me tell you: CPAP sucks. Sure, you die slower, you snore a hell of a lot less, and you feel more rested and energized. That's all (truly, no snark) great. But it sucks. Spontaneous sleepovers become impossible. Travel becomes a chore. Sleeping with bedfellows now comes with a noisy attachment. You have to rent or buy a relatively expen…

Agreed, sadly. I have a CPAP and it's just deeply unpleasant to use. It isn't worth it.

Dismal compliance numbers say that many to most people who try CPAP feel similarly.

Post reply on HN