Description
Inclusion Criteria:
- * Overweight or obese males and females BMI 25 kg/m2 to 40 kg/m2
- * Age 18 years and older
- * Diagnosed with obstructive sleep apnea by Apnea-Hypopnea Index \>15 events/hr using 4% oxygen desaturation criteria and \< 25% central events/hr on prior sleep testing Data can be derived from home sleep testing or in-lab polysomnogram
- * Absent circumferential collapse on Drug-Induced Sleep Endoscopy (DISE)
- * Not able to use positive airway pressure \>4 hours for 5 nights/week or unwilling to use positive airway pressure
- * Weight stable (no change \>25 lbs in the past 3 months)
Exclusion Criteria:
- * Insulin-dependent Diabetes
- * Inability to undergo in-lab polysomnography or home sleep testing
- * Central Nervous System (CNS) disease with impairment of cognitive function (dementia) and/or muscle paresis, such as stroke
- * Currently pregnant, trying to get pregnant or nursing
- * age \< 18 years
- * Regular and adherent CPAP use per clinical guidelines
- * Current night shift or rotating shift work
- * Diagnosis of another sleep disorder (e.g. periodic limb movement disorder)
- * Enrolled in a formal weight loss program or following an incompatible dietary regimen
- * Current systemic steroid use
- * Taking prescription medication or herbal remedy for weight loss
- * Predominantly central sleep apnea or requiring oxygen or bi-level positive airway pressure or advanced positive airway pressure modalities
- * Protected patient: under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision, including hospitalized without consent
Ages Eligible for Study:
18 Years to N/A (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No