Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Ng WK(1)(2), Lai HK(1)(2), Shek CF(1)(2), Young HK(2), Chan PS(2), Tseung CH(2), Lai WK(2), Liu KL(1)
Affiliation :
(1)Physiotherapy Department, Tung Wah Eastern Hospital (2)Integrated Community Rehabilitation Centre, Tung Wah Eastern Hospital
Introduction :
Obstructive Sleep Apnea (OSA) is a public health challenge as it is highly associated with obesity, and more than half of adults in Hong Kong are obese or overweight. This necessitates intensive lifestyle interventions for weight management to reduce obesity and OSA severity.
Objectives :
The objective of this study is to examine the effectiveness of Multidisciplinary Weight Management program for patients with Obstructive Sleep Apnea (MWM-OSA) in Tung Wah Eastern Hospital (TWEH).
Methodology :
Obese patients from TWEH OSA clinic were screened by the corresponding doctors and referred to Integrated Community Rehabilitation Centre (ICRC) for MWM-OSA program, which includes doctor and dietitian consultation, nurse counseling, physiotherapy exercise training and education. Apart from evidence-based and tailor-made exercise regime as well as individualized consultation, ZOOM and HA Go App were used for Tele-health physiotherapy education. Body composition measurements included body weight (BW), Body Mass Index (BMI), percentage of body fat, muscle mass and visceral fat rating (VFR). Physical fitness assessments including Six Minute Walk Test (6MWT) and One-repetition Maximum Test (1RM) were evaluated with patient satisfaction survey. The Sign test was used on comparison of pre and post outcomes.
Result & Outcome :
15 males and 10 females aged 43 to 75 years (M=63, SD=7.75) were referred for MWM-OSA program. Significant improvement in BW (p<0.05), BMI (p<0.05), percentage of fat and muscle mass (p<0.05) were found. However, no statistical difference was found in VFR (p=0.55), upper limb (p=0.06) and lower limb (p=0.25) muscle. Aerobic endurance was improved from 434 to 489 meters as measured by 6MWT despite statistically non-significance (p=0.07). Patients were satisfied with this program with mean scored 4.6 out of 5 (SD=0.63). MWM-OSA program effectively improved weight and body composition in OSA patients with good satisfaction. Enhancement and further development on Orofacial Myofunctional Therapy and the collaboration with local communities, like District Health Centre, for long-term weight management in OSA patients beyond hospital settings are encouraged.
