OSA? Put Your Tongue on a Diet

“Most clinicians, and even experts in the sleep apnea world, have not typically focused on fat in the tongue for treating sleep apnea,” said Richard Schwab, MD, chief of Sleep Medicine. “Now that we know tongue fat is a risk factor and that sleep apnea improves when tongue fat is reduced, we have established a unique therapeutic target that we’ve never had before.”

https://www.sciencedaily.com/releases/2020/01/200110101035.htm

From the research article abstract:

Conclusions:

Weight loss reduced volumes of several UA soft tissues in persons with obesity and OSA. Improved AHI with weight loss was mediated by reductions in tongue fat. New treatments that reduce tongue fat should be considered for patients with OSA.

Journal Reference:

  1. Stephen H. Wang, Brendan T Keenan, Andrew Wiemken, Yinyin Zang, Bethany Staley, David B. Sarwer, Drew A. Torigian, Noel Williams, Allan I Pack, Richard J Schwab. Effect of Weight Loss on Upper Airway Anatomy and the Apnea Hypopnea Index: The Importance of Tongue Fat. American Journal of Respiratory and Critical Care Medicine, 2020; DOI: 10.1164/rccm.201903-0692OC

Wait for it.  A plethora of diet and weight loss books for your tongue.

IMPORTANT – Please Read CDC Update

Update: Characteristics of Patients in a National Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injuries — United States, October 2019

As of October 22, 2019, a total of 1,604 cases of EVALI, including 34 deaths, were reported to CDC. Based on data collected as of October 15, 2019, use of tetrahydrocannabinol (THC)-containing products in the 3 months preceding symptom onset was reported by 86% of patients. The median age of EVALI patients who survived was 23 years, and the median age of EVALI patients who died was 45 years.

Vaporizing and inhaling an oily liquid is bad? Go figure…

Vaporizing and inhaling an oily liquid is bad? Go figure…

American Thoracic Society

PUBLIC HEALTH | INFORMATION SERIES

http://www.thoracic.org

Diseases Associated with VAPI

The following patterns of lung injury have been reported with VAPI:

■■Acute eosinophilic pneumonia

■■Lipoid pneumonia

■■Acute lung injury and acute respiratory distress syndrome

■■Acute and subacute hypersensitivity pneumonitis

■■Organizing pneumonia

■■Acute eosinophilic pneumonia

■■Diffuse alveolar hemorrhage

■■Respiratory bronchiolitis-associated pneumonitis

Nearly 300 New Cases of Vaping-Related Lung Disease This Week

Teen e-cigarette use doubles since 2017

Apnea-Hypopnea Event Duration Predicts Mortality in Men and Women in the Sleep Heart Health Study

This new study found that, in addition to how many breathing interruptions occur, how long each one lasts is also important. Patients with the shortest apneas were 31 percent more likely to die during the study’s decade of follow-up with participants. This held true for both male and female participants.

Source article.

Study abstract.