Sleep Apnea, to treat or not to treat!!!

roster wrote:...
But our best religious war, IMO, was over petroleum jelly.

I can't decide - do I really want to search for that thread?

jnk wrote:Going on crash diets, long periods of fasting, cutting out entire food groups, and other dieting gimmicks can be damaging to health. And that is the way most end up going about attempting to lose weight.

Why do you conclude that this is how "most" go about attempting to lose weight? My n of 1 is following Weight Watchers/DASH meticulously, which is far from faddish. And the people I know who are losing weight are also all WW people. The only people I know personally who engage in the behavior you describe are teenage girls (and one teenage boy--wrestler wanting to wrestle in a lower weight class).

DD

The best way to lose weight is to have an affair!!!!!




















A love affair with hunger pangs!!!!!! If you aren't a little bit hungry before most every meal, you're not burning up more energy than you are taking in.

BernieRay wrote:

roster wrote:...
But our best religious war, IMO, was over petroleum jelly.

I can't decide - do I really want to search for that thread?

When ignorance is bliss, 'tis folly to be wise.

DD

idamtnboy wrote: A love affair with hunger pangs!!!!!! If you aren't a little bit hungry before most every meal, you're not burning up more energy than you are taking in.

Won't work because one has to make the meal first and if I am hungry I just scrounge in the fridge. If I do cook then I will be over hungry and eat too much.

Drowsy Dancer wrote:

jnk wrote:Going on crash diets, long periods of fasting, cutting out entire food groups, and other dieting gimmicks can be damaging to health. And that is the way most end up going about attempting to lose weight.

Why do you conclude that this is how "most" go about attempting to lose weight? My n of 1 is following Weight Watchers/DASH meticulously, which is far from faddish. And the people I know who are losing weight are also all WW people. The only people I know personally who engage in the behavior you describe are teenage girls (and one teenage boy--wrestler wanting to wrestle in a lower weight class).

DD

My mother (no longer alive) was a WW lifetime member and leader. I have nothing but respect for what WW does. Their results can be difficult to quantify scientifically for longterm benefits, since they are commercial, but there is no doubt some benefit from their approach.

A healthy lifestyle with proper diet and exercise that can be maintained for a lifetime should certainly be the goal for all humans of all weight, and I know of no healthier approach to the matter than WW. That said, the results, when measured, longterm, can be disappointing for helping the truly obese as compared to the merely somewhat overweight, as I understand it:

http://www.cbsnews.com/stories/2004/05/ ... 0201.shtml

Someone with moderate-to-severe OSA who is obese needs a firstline treatment for OSA beyond Weight Watchers, in my opinion.

My point in listing the different extremes people take to lose weight is to point out that not all forms of weight loss are equal and that common approaches are not always healthy. That point, in my opinion, is a message that too often gets lost in the rhetoric.

I'm no expert, though. Just opinionated--thus my hyperbole in listing the approach of "most." Thanks for pointing that out.

I need to lose some weight myself. WW would probably pay me not to mention my mom's affiliation with them.

jnk wrote:Someone with moderate-to-severe OSA who is obese needs a firstline treatment for OSA beyond Weight Watchers, in my opinion.

My point in listing the different extremes people take to lose weight is to point out that not all forms of weight loss are equal and that common approaches are not always healthy. That point, in my opinion, is a message that too often gets lost in the rhetoric.

I don't think we're disagreeing. I'm not sure I'm necessarily disagreeing with SU, either. I would think CPAP should always be the immediate treatment. I think the question is whether CPAP in those who are obese at diagnosis can ever be discontinued after weight loss. The research I cited is decidedly mixed, and my sleep doc, who I assume follows the research more closely than I, thinks not.

Lifetime WW member here (since 2004). In retrospect I wonder if my weight drifting up in the last couple of years was due to onset of apnea, but there's no way to tell.

DD