Predictors of weight loss in obese patients with obstructive sleep apnea

Vol. 26 pp 753-762Purpose: Consistent predictors of weight loss outcomes with very low-energy diets (VLEDs) in obstructive sleep apnea (OSA) have not been identified. This study aimed to identify variables predictive of weight loss success in obese patients with OSA undertaking an intensive weight loss programme. Methods: We analysed biological, psychological, and behavioural variables as potential predictors of weight loss in obese patients with OSA after a 2-month VLED followed by one of two 10-month weight loss maintenance diets. Actigraphy, in-lab polysomnography, urinary catecholamines, and various psychological and behavioural variables were measured at baseline, 2, and 12 months. Spearman’s correlations analysed baseline variables with 2-month weight loss, and 2-month variables with 2–12 month-weight change. Results: Forty-two patients completed the VLED and thirty-eight completed the maintenance diets. Actigraphy data revealed that late bedtime (rs =  − 0.45, p =  < 0.01) was correlated with 2-month weight loss. The change in the time that participants got out of bed (rise-time) from baseline to two months was also correlated with 2-month weight loss (rs = 0.36, p = 0.03). The Impact of Weight on Quality of Life-Lite questionnaire (IWQOL) Public Distress domain (rs =  − 0.54, p =  < 0.01) and total (rs =  − 0.38, p = 0.02) scores were correlated with weight loss maintenance from 2 to 12 months. Conclusions: Results from this small patient sample reveal correlations between actigraphy characteristics and weight loss in obese patients with OSA. We suggest the IWQOL may also be a useful clinical tool to identify OSA patients at risk of weight regain after initial weight loss.Thomas J. Altree, Delwyn J. Bartlett, Nathaniel S. Marshall, Camilla M. Hoyos, Craig L. Phillips, Callum Birks, Aran Kanagaratnam, Anna Mullins, Yasmina Serinel, Keith K.H. Wong, Brendon J. Yee, Ronald R. Grunstein, Elizabeth A. Cayana

The Coupling Between Tropical Meteorology, Aerosol Lifecycle, Convection, and Radiation during the Cloud, Aerosol and Monsoon Processes Philippines Experiment (CAMP2Ex)

The NASA Cloud, Aerosol, and Monsoon Processes Philippines Experiment (CAMP2Ex) employed the NASA P-3, Stratton Park Engineering Company (SPEC) Learjet 35, and a host of satellites and surface sensors to characterize the coupling of aerosol processes, cloud physics, and atmospheric radiation within the Maritime Continent's complex southwest monsoonal environment. Conducted in the late summer of 2019 from Luzon, Philippines, in conjunction with the Office of Naval Research Propagation of Intraseasonal Tropical Oscillations (PISTON) experiment with its R/V Sally Ride stationed in the northwestern tropical Pacific, CAMP2Ex documented diverse biomass burning, industrial and natural aerosol populations, and their interactions with small to congestus convection. The 2019 season exhibited El Niño conditions and associated drought, high biomass burning emissions, and an early monsoon transition allowing for observation of pristine to massively polluted environments as they advected through intricate diurnal mesoscale and radiative environments into the monsoonal trough. CAMP2Ex's preliminary results indicate 1) increasing aerosol loadings tend to invigorate congestus convection in height and increase liquid water paths; 2) lidar, polarimetry, and geostationary Advanced Himawari Imager remote sensing sensors have skill in quantifying diverse aerosol and cloud properties and their interaction; and 3) high-resolution remote sensing technologies are able to greatly improve our ability to evaluate the radiation budget in complex cloud systems. Through the development of innovative informatics technologies, CAMP2Ex provides a benchmark dataset of an environment of extremes for the study of aerosol, cloud, and radiation processes as well as a crucible for the design of future observing systems. © 2023 American Meteorological Society. All rights reserved.Open access articleThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]