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Patients With OSA Are Perceived as Younger Following Treatment With CPAP.

Fabiana Yagihara1, Geraldo Lorenzi-Filho2, Rogerio Santos-Silva2

  • 1Faculdade de Medicina FMUSP, Universidade de São Paulo, Heart Institute (InCor), Pulmonary Division, Sleep Laboratory, São Paulo/SP, Brazil.

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|March 31, 2019
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Summary

Continuous Positive Airway Pressure (CPAP) treatment significantly improved the facial appearance of patients with Obstructive Sleep Apnea (OSA), making them look younger. This positive change can motivate adherence to CPAP therapy for better OSA management.

Keywords:
CPAPOSAappearanceplaceborandomized controlled trial

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Area of Science:

  • Sleep Medicine
  • Dermatology
  • Medical Aesthetics

Background:

  • Obstructive Sleep Apnea (OSA) is a common sleep disorder.
  • Facial appearance changes can occur in patients with OSA.
  • The impact of OSA treatment on facial aesthetics is not well-documented.

Purpose of the Study:

  • To compare the effects of Continuous Positive Airway Pressure (CPAP) treatment versus a placebo on the facial appearance of patients with severe OSA.
  • To assess if CPAP therapy influences perceived age, health, attractiveness, and tiredness.

Main Methods:

  • Randomized controlled trial involving severe OSA patients.
  • Interventions included 1-month CPAP treatment and 1-month nasal dilator (placebo) with a 15-day washout period.
  • Facial photographs were evaluated by 704 observers for perceived age, health, attractiveness, and tiredness.

Main Results:

  • Patients appeared significantly younger after 1 month of CPAP treatment compared to baseline and placebo (P < .001).
  • CPAP adherence, total sleep time, and improved oxygen saturation predicted a younger appearance.
  • No significant changes were noted with placebo intervention.

Conclusions:

  • CPAP treatment leads to a younger facial appearance in patients with severe OSA.
  • Improved facial aesthetics may serve as an additional motivator for CPAP adherence.
  • This aesthetic benefit can potentially facilitate overall OSA management.