A Lifestyle Program for Comorbid Obstructive Sleep Apnea with Severy Obesity

项目总结/摘要 明尼苏达健康解决方案公司与马约诊所合作，提出开发一个数据驱动的 一种用于患有肥胖睡眠呼吸暂停的人的系统，其利用远程监控以及健康指导， 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的发病率 估计成年男性为7%，成年女性为5%。据估计，超过一半的 OSA的流行是由于超重。阻塞性睡眠呼吸暂停在多项研究中被发现 与高血压、中风、2型糖尿病、心血管疾病和 生活质量下降。然而，将阻塞性睡眠呼吸暂停相关的发病率与 肥胖症和其他合并症的治疗是很困难的。在各种各样的问题之间存在着多种关系， 合并症和阻塞性睡眠呼吸暂停。因此，重要的是要解决OSA，肥胖和行为 一起健康指导在解决许多慢性病方面已经证明是有效的。使用 收集健康数据的远程监控设备提供了增强健康指导的额外机会， 在初步研究的支持下重要的是，健康数据必须正确收集，分析， 沟通既有效又有用。明尼苏达州健康解决方案和马约诊所以前 合作为另一种慢性病开发了一个成功的家庭监测系统， 证明了他们有能力克服开发和部署这类系统的许多挑战。

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.