Abstract

Obesity hypoventilation syndrome is one of the most serious outcomes of obesity-related respiratory difficulties, resulting in higher healthcare costs as well asincreased cardio-respiratory morbidity and mortality. Sixty-two males who had a high risk of obstructive sleep apnea according to the STOP-BANG Sleep Apnea Questionnaire were enrolled in the study. Theirage is 50-60years old, and they have a BMI of 35-40kg/m2, daytime hypercapnia, and sleep breathing problems. The patients were divided into two equal groupsat random reflexology fasting-mimicking diet groups. Weight, height, waist, and neck circumference wereassessed at the beginning of the study and after two months of the intervention. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), which is used to evaluate sleep quality. The Maugeri Obstructive Sleep Apnea Syndrome (MOSAS) questionnaire was used toassess a patient's quality of life. There was a significant change in the MOSAS andPSQI questionnaires for both groups post-intervention, as the p-value was less than 0.05. The percentage changein the MOSAS questionnaire score and PSQI questionnaire was higher in the mimic diet group than inthe reflexology group. Also, the mimic diet group's weight and neck circumference were considerably reduced after the intervention, with no change in the reflexology group. Reflexology and a fasting-mimicking diet were found to have a substantial impact on enhancing thequality of life and sleep in people with obesity hypoventilation syndrome.

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