Apnea obstructiva del sueño (AOS)

Why / when / how

Intervening on sleep reduces the severity of obstructive sleep apnea and acts on its cause in people with excess weight. The certainty of the evidence for the critical outcome is moderate. That is why the recommendation is strong in favor, because the benefits outweigh the risks.

Cautions

Before intervening on sleep, assess the patient's habits, context, and treatments, and rule out sleep disorders that require specific study and management, such as obstructive apnea and restless legs syndrome. Use medications for sleeping with caution and in a limited way, prioritizing behavioral measures. Advise seeking professional evaluation in the presence of warning signs such as dangerous daytime sleepiness, snoring with breathing pauses, and persistent insomnia that does not improve, and refer to the specialist when appropriate. Reassess the response periodically.

Quantitative evidence