Priority 9 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY: How do lifestyle changes (such as weight loss, exercise and stress reduction) affect the need for ongoing Continuous Positive Airway Pressure (CPAP) treatment?  (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0118/9
Explanatory note Lifestyle changes are often recommended in the management of OSA. Patients may have varying levels of knowledge and skills to enact lasting lifestyle changes. Because of wide variability in health and demographic characteristics, the impact of particular lifestyle changes on the need for CPAP may also vary considerably. 

Hudgel DW, Patel SR, Ahasic AM, Bartlett SJ, Bessesen DH, Coaker MA, Fiander PM, Grunstein RR, Gurubhagavatula I, Kapur VK, Lettieri CJ, Naughton MT, Owens RL, Pepin JL, Tuomilehto H, Wilson KC; American Thoracic Society Assembly on Sleep and Respiratory Neurobiology. The Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2018 Sep
15;198(6):e70-e87. doi: 10.1164/rccm.201807-1326ST. PMID: 30215551. 

Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples What % of patients no longer need PAP therapy after significant weight loss? ~ What are other ways to help someone with osa (nutrition, exercise, lifestyle) that can help someone get off cpap or to decrease pressures;what lifestyle changes could I make to improve condition
Submitted by Patients x 4, clinicians x 4
PSP information
PSP unique ID 0118
PSP name Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP. 39  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 January 2021