Individuals with sleep-related breathing disorders appear to burn more calories when resting as their conditions become more severe, according to a report in the December issue of Archives of Otolaryngology-Head & Neck Surgery.
Sleep-related breathing disorders include snoring, pauses in breathing (sleep apnea) and other conditions in which airways are partially or completely obstructed during sleep. "Obesity is a major risk factor for the development of sleep-disordered breathing, and changes in body weight are associated with changes in sleep-disordered breathing severity," the authors write as background information in the article. "It is unclear whether weight gain is simply a cause of sleep-disordered breathing or whether sleep-disordered breathing may be associated with alterations in energy metabolism that, in turn, lead to weight gain and complicate the treatment of these two disorders that often coexist."
Body weight is based on the balance between energy or calorie intake and expenditure, the authors note. Resting energy expenditure, or the number of calories burned while resting, is one component of total daily energy expenditure. Eric J. Kezirian, M.D., M.P.H., of the University of California, San Francisco, and colleagues assessed the resting energy expenditure in 212 adults with signs or symptoms of sleep-related breathing disorders. Participants' medical history was taken, and they underwent a physical examination, sleep monitoring through polysomnography and determination of resting energy expenditure using a device known as an indirect calorimeter. The calorimeter measures oxygen consumption and carbon dioxide production, which can be used to determine resting energy expenditure in calories per day.
Among the 212 participants, the average resting energy expenditure was 1,763 calories per day. Several measures of sleep-disordered breathing severity were associated with increases in resting energy expenditure. For example, those who scored the highest on a scale of apnea and hypopnea (disruptions in breathing) had a resting energy expenditure of 1,999, while those who scored the lowest expended an average of 1,626 calories per day resting.