Obstructive Sleep Apnoea, Overweight
Conditions
Keywords
Lifestyle modification, Obstructive sleep apnoea, Overweight
Brief summary
Obstructive sleep apnea (OSA) is a common chronic disease and associated with cardiovascular and neurocognitive sequelae. Overweight is a common, reversible risk factor of OSA, and the rapid rise in obesity worldwide may lead to increases in OSA and related adverse health outcomes. Weight-loss interventions, especially comprehensive lifestyle interventions, are associated with improvements in OSA severity, cardiometabolic comorbidities, and quality of life. However, the intensive nature of these programmes often pose a barrier to adherence. Furthermore, although there is strong evidence to support the value of mobile text messaging to promote physical activity and healthy eating in clinical and community settings, messaging has rarely been applied in interventions for overweight OSA subjects. The proposed study aims to examine the feasibility of a brief lifestyle modification programme that makes use of smartphone technology (WhatsApp or WeChat) to empower subjects to start doing simple and easy-to-do exercises that can be easily integrated into daily life for gradual lifestyle change.
Detailed description
Obstructive sleep apnea (OSA) is a common chronic disease and associated with cardiovascular and neurocognitive sequelae. Overweight is a common, reversible risk factor of OSA, and the rapid rise in obesity worldwide may lead to increases in OSA and related adverse health outcomes. Weight-loss interventions, especially comprehensive lifestyle interventions, are associated with improvements in OSA severity, cardiometabolic comorbidities, and quality of life. However, non-adherence is commonly seen in such lifestyle modification programmes. Such programmes are often intensive and pose a barrier to adherence. Researchers have suggested that programmes with fewer sessions may improve the completion rates. As yet, there have been no randomised trial assessing the feasibility and effectiveness of a brief theory-based lifestyle modification programme. Furthermore, although there is strong evidence to support the value of mobile text messaging to promote physical activity and healthy eating in clinical and community settings, messaging has rarely been applied in interventions for overweight OSA subjects. In Hong Kong, where smartphone penetration is extensive (89% in 2017), utilising messaging as an intervention tool may be especially valuable. The proposed study will examine the perceived burden and informational needs and preferences of overweight subjects with OSA, especially in relation to physical activity. The study will also examine the feasibility of a brief lifestyle modification programme that makes use of smartphone technology (WhatsApp or WeChat) to provide personalised support and empower subjects to start doing simple and easy-to-do exercises that can be easily integrated into daily life for gradual lifestyle change and weight reduction.
Interventions
None listed
Sponsors
The University of Hong Kong
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or above; * Performed sleep test in sleep laboratory; and * Mentally fit to provide informed consent and answer self-administered questionnaire.
Exclusion criteria
* Those on CPAP or oral appliance treatment; * Diagnosed with psychiatric illness; or * Unwilling to give informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preference on physical activity | Immediately after obtaining written consent | Outcome-based questions with categorical choices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preference on programme contents and information | Immediately after obtaining written consent | Outcome-based questions with categorical choices |
| Preference on m-Health information | Immediately after obtaining written consent | Outcome-based questions with categorical choices |
| Current physical activity practices | Immediately after obtaining written consent | Outcome-based questions with categorical choices |
| Sleep quality | Immediately after obtaining written consent | A single-item sleep quality scale; range from 0 -10; Higher score is interpreted as better sleep quality |
| Dietary consumption habits | Immediately after obtaining written consent | Outcome-based questions with categorical choices |
| Daytime Sleepiness | Immediately after obtaining written consent | Epworth Sleepiness Scale, ranged from 0 - 24 scores. The ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. The higher the ESS score, the higher that person's average sleep propensity in daily life. Score \>10 is interpreted as excessive daytime sleepiness |
Countries
Hong Kong
Contacts
Primary ContactAgnes YK Lai, PhD
Backup ContactMary Ip, MD
Outcome results
None listed