(HealthDay News) – The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.

Amir Qaseem, MD, PhD, of the ACP in Philadelphia, and colleagues searched the published literature and used the ACP clinical practice guideline grading system to present the evidence and offer clinical recommendations for managing OSA in adults.

The researchers found evidence supporting strong recommendations for weight loss in all overweight and obese adults diagnosed with OSA and use of continuous positive airway pressure (CPAP) as initial therapy. For those who cannot tolerate CPAP or who prefer an alternative, a weak recommendation is provided for the use of mandibular advancement devices.

“In patients with excessive daytime sleepiness who have been diagnosed with OSA, CPAP is the most extensively studied therapy,” the authors write.

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