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Smartphone Application Intervention on Obstructive Sleep Apnea Among Overweight and Obese High-Tech Employees: A

Mei-Hsiang Lin¹, Ning-Hung Chen², Lun-Hui Ho³

¹School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

Nursing & Health Sciences

|November 13, 2024

Summary

A lifestyle intervention using the MyFitnessPal app improved BMI in overweight employees with obstructive sleep apnea (OSA). However, the intervention did not significantly reduce apnea-hypopnea index (AHI) scores.

Keywords:

adjusting lifestyle intervention obese obstructive sleep apnea overweight smartphone app

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Area of Science:

Occupational Health
Sleep Medicine
Digital Health

Background:

Obstructive sleep apnea (OSA) is prevalent in overweight and obese individuals, particularly in high-tech workplaces.
Effective lifestyle interventions are needed to manage OSA and associated health risks in this demographic.

Purpose of the Study:

To evaluate the effectiveness of a lifestyle intervention incorporating a smartphone application (app) for managing obstructive sleep apnea (OSA) in overweight and obese high-tech employees.
To compare the outcomes of an intervention combining a smartphone app with education against an app-only intervention and a control group.

Main Methods:

A 6-month, three-armed randomized controlled trial involving 144 overweight/obese high-tech employees.
Participants were allocated to: smartphone app 'MyFitnessPal' plus education (MFPE), 'MyFitnessPal'-only (MFP-only), or a control group.
Data collected via questionnaires and portable sleep monitors; analyzed using generalized estimating equation.

Main Results:

A significant interaction between time and group in Body Mass Index (BMI) was observed in the MFPE group after 12 weeks (p=0.04).
No significant interaction between group and time was found for the apnea-hypopnea index (AHI) score after 24 weeks.
The intervention showed potential for BMI management but did not significantly impact AHI scores within the study period.

Conclusions:

Integrating a lifestyle intervention with a smartphone app may offer a simple, cost-effective approach for managing weight in employees with OSA.
Findings provide valuable information for occupational healthcare providers to promote workplace health for overweight employees with OSA.
Further research is warranted to explore the long-term effects of app-based interventions on OSA severity (AHI).