Sleep Apnea and Weightloss

fhorn813
fhorn813 Posts: 163 Member
edited November 22 in Health and Weight Loss
I was just diagnosed with sleep apnea. I was wondering if anyone else here had experience with sleep apnea and its effects on weight loss. Once you started on a CPAP, did you find it any easier to exercise and lose weight? How much weight did you have to lose to get off of the CPAP?

I haven't gotten one yet, so I'm curious if it really helps or not.

Replies

  • CarvedTones
    CarvedTones Posts: 2,340 Member
    edited November 2017
    I found it easier to lose weight because I wasn't always tired. Lack of sleep seems to cause overeating; lack of good sleep is almost the same thing.

    Weight loss may or may not get you off the CPAP. It did not for me. I asked the sleep tech about it and he told me I was a little guy and it was unlikely to make a difference if I lost weight. I told him I was about 25 pounds overweight, which I was at the time. He said "There's I-Beams under the bed; you are a little guy and 25 pounds is nothing." I lost down to a healthy weight and he was right; I still snored like an elk with the silence followed by sucking wind when I stopped breathing. I even had a second sleep test done at one point (changed insurance providers) when I was lighter and the numbers were the same. I forget the exact numbers, but I am at the low end of severe; the longest I stopped breathing was 70 seconds and I stopped breathing dozens of times an hour (most were shorter).

    EDIT - I looked it up. 34 events per hour. My BMI was 31, so technically I was more than 25 pounds overweight but I was 25 pounds over what had seemed to be a healthy weight for me for several years. I have had my BMI as low as 25 and change (currently shooting for < 25) and still snored and stopped breathing if I fell asleep on the couch. No one in my family leaves me alone if I fall asleep on the couch; they think I will suffocate and die even though I slept like that for years before being diagnosed.
  • RoxieDawn
    RoxieDawn Posts: 15,488 Member
    My husband has sleep apnea and was using a CPAP machine before weight loss of 70 pounds, unfortunately weight loss did not cure his and still uses CPAP. He was/is able to lose weight and exercise with 0 complications.

    Do not let the fact that you may or may not get off the machine after weight loss sway you from getting one. Better breathing, better quality of sleep will only help you with exercise and weight loss.
  • apullum
    apullum Posts: 4,838 Member
    My husband has sleep apnea. His doctor told him that weight loss might help, but it might not. He has a narrow airway that could be genetic, since others in his family have sleep apnea too (https://www.ncbi.nlm.nih.gov/pubmed/12531037). My uncle has sleep apnea and still needs a CPAP even after weight loss surgery. So for some people, weight loss helps, and for some it doesn't.

    You probably will have more energy when you use the CPAP, though. All of the people I know are surprised by how much better they feel once they get used to sleeping with it. My husband feels dramatically worse the next morning if he forgets to use his CPAP. It is literally a life changer.
  • fhorn813
    fhorn813 Posts: 163 Member
    I'm weirdly looking forward to it since I have had such little energy for the last year or so. I put on a significant amount of weight over the last two years (~70lbs), so I'm really hoping things will go back to normal once I've knocked the weight back off. But right now it feels nearly impossible to put one foot in front of the other, let alone exercise for 30 minutes.
  • nickssweetheart
    nickssweetheart Posts: 874 Member
    Be aware that they take some getting used to and most people don't like them at first. Just don't give up on the machine before you become accustomed to it. People that stick it out past the growing pains find it can make a big difference, but they can be annoying in the beginning.
  • AnnPT77
    AnnPT77 Posts: 34,226 Member
    I had sleep apnea, treated, throughout weight loss.

    Being better rested in general - which your CPAP should achieve for you - has always helped me with weight loss via better will power, fewer cravings, more energy for daily life so more calories burned (exercise & nonexercise).

    Losing weight (down to BMI around 20-21 (120s at 5'5") didn't cure my sleep apnea, but reduced the CPAP pressure needed, i.e., reduced the severity.
  • Catawampous
    Catawampous Posts: 447 Member
    edited November 2017
    I have it. Mine stems from an odd curvature in my neck. Once I got my CPAP it was like a whole new world for me. Life was so cool because I was awake for it lol. Weight did drop for me easier than before. I am guessing cortisol was an issue. And I chose a different way of calorie management once I started feeling better. It all just fell into place once I started actually sleeping!

    Stick with it. You will get use to the machine. It helps tremendously. I do still have apnea. They can't fix my neck but they took my machine away. I have less than 5 events an hour so insurance won't cover it any more. I just have to work on not sleeping on my back to minimize the apnea.
  • girlwithcurls2
    girlwithcurls2 Posts: 2,281 Member
    My husband and I both have CPAPs. I was diagnosed after reaching a normal weight and my husband isn't overweight. I will say that after a month of good rest, I felt like a new person (way before that, but by a month, I felt caught up with my sleep). Stick with it. It's awkward at first, but you'll get used to it. I have so much more energy now. I love working out hard and knowing that between that and my CPAP, I sleep like a newborn :)
  • jgnatca
    jgnatca Posts: 14,464 Member
    Here's what my CPAP did for me:
    - It cleared my brain fog.
    - I am more rested during the day.
    - My blood pressure dropped to normal ranges.
    - I am still alive.

    My girlfriend says you don't see a lot of old people with sleep apnea, because they all die before they get there. Quietly, in their sleep. Ack.

    I think weight loss was incidental to the CPAP machine, as I lost weight when I ate less. Cortisol levels tend to be higher for people with sleep apnea, so getting that under control might help you lose weight easier.
  • LAWoman72
    LAWoman72 Posts: 2,846 Member
    edited November 2017
    My husband was able to sleep through the night once he started his CPAP rather than getting up restlessly and winding up with his hand in the box of Coco-Roos. (Mmmmmmm, Coco-Roos.)

    He also found himself less tired during the day and he, like I, seems to eat more when he's very tired.

    He is using the CPAP less these past few months as he lost significant weight and now breathes much better during sleep, but he is also waking more during the night and munching...I wonder.

    Good on you for getting a CPAP. It's pretty dangerous to lose oxygen for periods during the night.
  • jaedwa1
    jaedwa1 Posts: 114 Member
    Good job on going to the doctor and getting help! My brother has apnea and he too hated his machine at first. He tried a few different hose/mask types before finally finding one he could tolerate. Now he doesn't mind it at all.

    I just did a sleep study and found out I do not have apnea. That is good news since my sleep issues started in 2001 and I was worried about possible heart damage after waiting so long. But it's also frustrating news as the doctor said it's going to be tough trying to figure out why my sleep quality is so poor.

    He told me to try some OTC fixes so I ordered nose vents in an attempt to figure out if my problem is nasal related...
  • lorrpb
    lorrpb Posts: 11,463 Member
    You don't get CPAP to help weight loss. You get it to help nighttime breathing & sleep. Whether or not weight loss cure sleep apnea depends on whether it's weight related or genetic. I was retested after I reached my goal weight and I was cured. In most cases, that's how you know. It's not like they retest you every 25 lbs or whatever.
  • LAWoman72
    LAWoman72 Posts: 2,846 Member
    edited November 2017
    lorrpb wrote: »
    You don't get CPAP to help weight loss. You get it to help nighttime breathing & sleep. Whether or not weight loss cure sleep apnea depends on whether it's weight related or genetic. I was retested after I reached my goal weight and I was cured. In most cases, that's how you know. It's not like they retest you every 25 lbs or whatever.

    I don't think anybody said s/he got a CPAP to help with weight loss. The OP was DXd with Obstructive Sleep Apnea. S/he is wondering whether the CPAP will help her (see paragraph below) but obviously didn't get the order for the CPAP for weight loss specifically. That's impossible, AFAIK (unless you buy one with no RX and just throw it on).

    There are a number of ways it could (but certainly doesn't have to) help weight loss efforts; I believe the OP specifically referenced energy levels. For someone who loses better while working out, better sleep could certainly help with that.
  • jeffwhiting2017
    jeffwhiting2017 Posts: 1 Member
    I had a hard time adjusting to sleeping with a CPAP. It took 18 months of trying most every night, three different masks ( nose plug style worked best for me), and multiple sleep studies and multiple machines (I'm on my fourth in 8 years). Now I use it every night and get a good 6+ hours of sleep. I recommend a Resmed CPAP; the myair website is very motivating to keep on using it. Good, restful sleep can really motivate you to achieve almost any goal.
  • mom23mangos
    mom23mangos Posts: 3,069 Member
    My husband had severe sleep apnea. Dr. said on a scale of 1-10, he was a 60. That if he didn't do something he would be dead in his sleep within a year. CPAP machine was great, but he did end up getting weight loss surgery. 100lbs later, the apnea was completely gone. That was 13 years ago and he's never had a problem since.
  • livingleanlivingclean
    livingleanlivingclean Posts: 11,751 Member
    My husband was diagnosed with sleep apnoea a couple of years ago, and although not over fat, he was classified as "obese" on the bmi scale, and the heaviest he'd ever been.

    He had aways snored, but it got particularly bad - me getting up every night to sleep in another room due to his snoring is what prompted him to get tested! He has lost weight since, but still requires a cpap as the reason for his apnoea isn't weight related.

    I haven't noticed any difference in his ability to lose weight. He feels a lot better though, doesn't wake up feeling like garbage, and apparently is less grumpy at work :) it took him a couple of months to find a machine/mask that suited him, and then to "catch up" on sleep.
  • fhorn813
    fhorn813 Posts: 163 Member
    Thanks everyone! I am definitely not doing this for weightloss. I'm more concerned about the effects on my heart and brain. But it would be a nice perk to not have to constantly fight cravings and feel like exercise is impossible. I will give it time and keep in mind that the CPAP will likely be annoying at first. But right now anything that can help with sleep would be a Godsend.
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    I definitely am more rested and have more energy with the CPAP vs. without. I've been using it for about a decade, from when I was overweight until now. Like some others who have posted, weight loss has not helped resolve the need for a machine.

    I'm not so bad that I will die without it... and I do sometimes go hiking and sleep in the wilderness without the CPAP. However, I would like to get just as good of rest without it. My goal is 10% body fat (I'm less than 10 lbs. away) and my dr. and I agreed to seriously discuss the possibility of surgery if I reach that level and the apnea is still present. He said surgery is not guaranteed to work, but he doesn't have any other patients as lean as I am; so it is a new territory.
  • jessiferrrb
    jessiferrrb Posts: 1,758 Member
    i have sleep apnea and it's either triggered by heavy drinking or by acid reflux. since losing 25 pounds (with 30 more to go) i've not had acid reflux nearly as bad and that has made incidents of sleep apnea decrease significantly. as for the drinking triggered apnea, that will probably always be an issue but i try not to drink enough to trigger it.
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