Efficacy of a Conservative Weight Loss Program in the Long-Term Management of Chronic Upper Airway Obstruction
المؤلفون المشاركون
Case, Ryan C.
Schweinfurth, John
المصدر
International Journal of Otolaryngology
العدد
المجلد 2009، العدد 2009 (31 ديسمبر/كانون الأول 2009)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2009-08-18
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Objective.
Obesity is a significant contributor to oxygen demand and dynamic airway obstruction.
The objective of the current study is to determine the long-term success of conservative measures directed toward weight reduction on airway management without respect to specific airway disease etiology.
Methods.
Patients with chronic airway obstruction secondary anatomic lesions or obstructive sleep apnea were recruited and followed prospectively.
Demographics, initial and final weights, diagnosis, and followup information were recorded.
Patients were referred to a registered dietician, provided counseling, and started on a weight-loss regimen.
Outcome measures were change in body mass index (BMI) and rate of decannulation from weight loss alone.
Results.
Of fourteen patients, ten remained tracheostomy-dependent and four had high-grade lesions with the potential for improvement in oxygen demand and dynamic airway collapse with weight loss.
The mean follow up period was 25 months.
The mean change in BMI was an increase of 1.4 kg/m2 per patient.
Conclusions.
Conservative measures alone were not effective in achieving weight reduction in the population studied.
This may be due to comorbid disease and poor compliance.
The promise of decannulation was an insufficient independent motivator for weight loss in this study.
Although the theoretical benefits of weight loss support its continued recommendation, the long-term success rate of conservative measures is low.
More aggressive facilitated interventions including pharmacotherapy or bariatric surgery should be considered early in the course of treating airway disease complicated by obesity.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Case, Ryan C.& Schweinfurth, John. 2009. Efficacy of a Conservative Weight Loss Program in the Long-Term Management of Chronic Upper Airway Obstruction. International Journal of Otolaryngology،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-468855
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Case, Ryan C.& Schweinfurth, John. Efficacy of a Conservative Weight Loss Program in the Long-Term Management of Chronic Upper Airway Obstruction. International Journal of Otolaryngology No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-468855
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Case, Ryan C.& Schweinfurth, John. Efficacy of a Conservative Weight Loss Program in the Long-Term Management of Chronic Upper Airway Obstruction. International Journal of Otolaryngology. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-468855
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-468855
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر