Review of Glucagon-Like Peptide 1 and Glucose-Dependent Insulinotropic Polypeptide Agonists for Treatment of Adult Obese Patients with Obstructive Sleep Apnea
Main Article Content
Abstract
Although there are multiple risk factors for obstructive sleep apnea, obesity is a significant actionable risk factor that is increasing worldwide. Studies have shown that weight loss whether through bariatric surgery or medications is associated with improvement in obstructive sleep apnea severity. This review summarizes the underlying mechanisms of glucagon-like peptide 1 and glucose-dependent insulinotropic polypeptide receptor agonists pertaining to weight loss and then summarizes the studies which show beneficial effects on weight loss in obese adults with or without diabetes. We then review the available studies showing a reduction in obstructive sleep apnea severity in adult patients with obesity primarily through weight reduction. Potential limitations and implications of treatment with these medications for obstructive sleep apnea will be reviewed.
Keywords:
Glucagon-Like Peptide 1, Glucose-Dependent Insulinotropic Polypeptide, Obesity, Obstructive Sleep Apnea, Weight Loss Medications, Bariatric Surgery, Insulinotropic Receptor Agonists
Article Details
How to Cite
CHEN, Jerry; SEDA, Gilbert; PARRISH, John Scott.
Review of Glucagon-Like Peptide 1 and Glucose-Dependent Insulinotropic Polypeptide Agonists for Treatment of Adult Obese Patients with Obstructive Sleep Apnea.
Medical Research Archives, [S.l.], v. 12, n. 10, oct. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5958>. Date accessed: 22 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i10.5958.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Lyons MM, Bhatt NY, Pack AI, Magalang UJ. Global burden of sleep-disordered breathing and its implications. Respirology. 2020;25(7):690-702. doi:10.1111/resp.13838
3. Caples SM, Anderson WM, Calero K, Howell M, Hashmi SD. Use of polysomnography and home sleep apnea tests for the longitudinal management of obstructive sleep apnea in adults: an American Academy of Sleep Medicine clinical guidance statement. J Clin Sleep Med. 2021;17(6):1287-1293. doi:10.5664/jcsm.9240
4. Hudgel DW, Patel SR, Ahasic AM, et al. 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;198(6):e70-e87. doi:10. 1164/rccm.201807-1326ST
5. Popoviciu MS, Păduraru L, Yahya G, Metwally K, Cavalu S. Emerging Role of GLP-1 Agonists in Obesity: A Comprehensive Review of Randomised Controlled Trials. Int J Mol Sci. 2023;24(13):10449. Published 2023 Jun 21. doi:10.3390/ijms241310449
6. Cao W, Xu Y, Shen Y, et al. Change of neck circumference in relation to visceral fat area: a Chinese community-based longitudinal cohort study. Int J Obes (Lond). 2022;46(9):1633-1637. doi:10.1038/s41366-022-01160-w
7. Subramanian SK, Rajendran R, Venkata Vijaya Sai A, Ramachandra S. Correlation of Neck Circumference with Body Fat Percentage by Bioelectrical Impedance Analysis. International Journal of Kinanthropometry. 2023, 3(1): 102–108.
8. Lo Mauro A, Tringali G, Codecasa F, Abbruzzese L, Sartorio A, Aliverti A. Pulmonary and chest wall function in obese adults. Sci Rep. 2023;13(1):17753 . Published 2023 Oct 18. doi:10.1038/s41598-023-44222-3
9. Dixon AE, Peters U. The effect of obesity on lung function. Expert Rev Respir Med. 2018;12(9):755-767. doi:10.1080/17476348.2018.1506331
10. Kress JP, Pohlman AS, Alverdy J, Hall JB. The impact of morbid obesity on oxygen cost of breathing (VO(2RESP)) at rest. Am J Respir Crit Care Med. 1999;160(3):883-886. doi:10.1164/ajr ccm.160.3.9902058
11. Al Oweidat K, Toubasi AA, Tawileh RBA, Tawileh HBA, Hasuneh MM. Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath. 2023;27(6):2283-2294. doi:10.1007/s11325-023-02840-1
12. Locke BW, Gomez-Lumbreras A, Tan CJ, et al. The association of weight loss from anti-obesity medications or bariatric surgery and apnea-hypopnea index in obstructive sleep apnea. Obes Rev. 2024;25(4):e13697. doi:10.1111/obr.13697
13. Fattal D, Hester S, Wendt L. Body weight and obstructive sleep apnea: a mathematical relationship between body mass index and apnea-hypopnea index in veterans. J Clin Sleep Med. 2022;18(12):2723-2729. doi:10.5664/jcsm.10190
14. Georgoulis M, Yiannakouris N, Kechribari I, et al. Dose-response relationship between weight loss and improvements in obstructive sleep apnea severity after a diet/lifestyle interventions: secondary analyses of the "MIMOSA" randomized clinical trial. J Clin Sleep Med. 2022;18(5):1251-1261. doi:10.5664/jcsm.9834
15. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284(23):3015-3021. doi:10.1001/jama.284.23.3015
16. Ayas N.T. Circadian Rhythm Sleep Disorders. In: Encyclopedia of Sleep.2013: 212-14.
17. Malhotra A, Heilmann CR, Banerjee KK, Dunn JP, Bunck MC, Bednarik J. Weight reduction and the impact on apnea-hypopnea index: A systematic meta-analysis. Sleep Med. 2024;121:26 -31. doi:10.1016/j.sleep.2024.06.014
18. Tsaban G, Bilitzky-Kopit A, Yaskolka Meir A, et al. The Effect of Weight-Loss Interventions on Cervical and Chin Subcutaneous Fat Depots; the CENTRAL Randomized Controlled Trial. Nutrients. 2021;13(11):3827. Published 2021 Oct 27. doi:10. 3390/nu13113827
19. López-Padrós C, Salord N, Alves C, et al. Effectiveness of an intensive weight-loss program for severe OSA in patients undergoing CPAP treatment: a randomized controlled trial. J Clin Sleep Med. 2020;16(4):503-514. doi:10.5664/jcsm.8252
20. Look AHEAD Research Group, Wadden TA, West DS, et al. The Look AHEAD study: a description of the lifestyle intervention and the evidence supporting it [published correction appears in Obesity (Silver Spring). 2007 May;15(5):1339. Wadden, Thomas A [added]; West, Delia Smith [added]; Delahanty, Linda [added]; Jakicic, John [added]; Rejeski, Jack [added]; Williamson, Don [added]; Berkowitz, Robert I [added]; Kelley, David E [added]; Tomchee, Christine [added]; Hill, James O [added]; K]. Obesity (Silver Spring). 2006;14(5):737-752. doi:10.1038/oby.2006.84
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