A Lifestyle Program for Comorbid Obstructive Sleep Apnea with Severy Obesity

项目摘要/摘要 明尼苏达医疗解决方案公司与梅奥诊所合作，提议开发数据驱动的 适用于肥胖睡眠呼吸暂停患者的系统，该系统利用远程监测和健康指导来 创造旨在改善健康和生活质量的行为改变。阻塞性睡眠呼吸暂停患病率 据估计，成年男性为7%，成年女性为5%。据估计，超过一半的人 阻塞性睡眠呼吸暂停综合征的流行是由于超重。多项研究发现阻塞性睡眠呼吸暂停 与高血压、中风、2型糖尿病、心血管疾病以及 生活质量下降。然而，将阻塞性睡眠呼吸暂停与发病率相关的贡献与此分开 肥胖和其他合并症的治疗可能会很困难。在广泛的 合并症和阻塞性睡眠呼吸暂停。因此，解决阻塞性睡眠呼吸暂停综合征、肥胖和行为问题非常重要 在一起。健康指导已经证明在解决许多慢性病方面是有效的。对.的使用 用于收集健康数据的远程监控设备提供了额外的机会来增强健康指导，因为 得到初步研究的支持。至关重要的是，必须适当地收集、分析和 沟通既要有效，又要有用。明尼苏达医疗解决方案公司和梅奥诊所之前 合作开发了针对另一种慢性病的成功的家庭监测系统，并已 展示了他们克服开发和部署这类系统的许多挑战的能力。

Project Summary/Abstract Minnesota HealthSolutions Corporation in collaboration with the Mayo Clinic proposes to develop a data driven system for persons with obesity sleep apnea that utilizes remote monitoring together with health coaching to create behavior change aimed at improving health and quality of life. Obstructive sleep apnea prevalence has been estimated at 7% for adult males and 5% for adult females. It is estimated that more than half of the prevalence of OSA is due to excess body weight. Obstructive sleep apnea has been found in multiple studies to be independently associated with hypertension, stroke, type 2 diabetes, cardiovascular disease, and reduced quality of life. However, separating obstructive sleep apnea related contribution to morbidity from that of obesity and other comorbidities can be difficult. There are multiple relationships between a wide range of comorbidities and obstructive sleep apnea. It is therefore important to address OSA, obesity and behavior together. Health coaching has demonstrated effectiveness in addressing many chronic conditions. The use of remote monitoring devices to collect health data offers an additional opportunity to enhance health coaching as supported by preliminary research. Critically, the health data must be properly collected, analyzed, and communication to be both valid and useful. Minnesota HealthSolutions and the Mayo Clinic have previously collaborated to develop a successful home-monitoring system for another chronic disease and have demonstrated their ability to overcome the many challenges of developing and deploying this type of system.