Efficiency of CPAP Therapy in the Treatment of Sleep Apnea Syndrome in Patients with Grade III-IV Obesity

Abstract

Abstract: Obstructive sleep apnea syndrome (OSAS) and obesity are multifactorial and mutually aggravating diseases. Weight loss appears to be quite effective in controlling sleep disturbances, but the effect of OSAS treatment on body weight dynamics in obese patients remains poorly understood. A feature of the presented clinical case is a clinically significant decrease in body weight in a patient with morbid obesity complicated by severe obstructive sleep apnea syndrome using a standard approach to obesity therapy. Weight loss in this case was achieved due to the patient's high adherence to therapy and the absence of concomitant mental disorders. The high cost of CPAP therapy devices, their constant use during night sleep and the need for titration of therapeutic pressure make this therapy inaccessible. In this connection, in the complex treatment of obesity in patients with breathing disorders during sleep, in the absence of the possibility of CPAP therapy, individual therapeutic training should be provided to increase their medical motivation and compliance, more frequent visits to the endocrinologist, as well as correction of concomitant psychopathological disorders to achieve effective and long-term therapeutic success. Key words: obesity, obstructive sleep apnea syndrome, CPAP therapy, compliance.