Title 1145_21Mar25_Yee B_Non-PAP therapies for OSA.pdf ✅

Non-CPAP(and MAS) treatments for OSA HKTS 2025


1. Lifestyle Modification (Behavioral Therapy) • Avoidance of aggravating factors and behavioral approaches: • Alcohol • Prolongs respiratory events (decrease arousals). • Sedatives • Not always increase AHI (low arousal threshold endotype). • Weight gain • Weight loss is recommended in more than 80% of cases. • Lack of exercise • Moderate intensity exercise training may improve sleep, reduce rostral fluid shifts, upper airway function and body composition (maybe independent of weight loss). • Smoking • Myofunctional training • Training strength, endurance, neuromuscular activation of the upper airway, pharyngeal and tongue muscle (very low evidence).