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Coaching as a lifestyle modification approach to weight management is insufficiently explored in obstructive sleep apnoea. We investigated anthropometry and body composition after 20 weeks of Erickson coaching in 26 obstructive sleep apnoea patients (19 males; 47.6 ± 2.4 years). Body weight, neck circumference, waist-to-hip ratio and %body fat significantly decreased after 20 weeks. The mean weight loss was 5.2 per cent ± 1.0 per cent; 20 (77%) participants achieved target reduction of >3 per cent. Coaching session attendance ( p = 0.006) and reaching personal goal related to physical performance ( p = 0.044) were independently associated with weight loss (multiple regression model R2 = 0.608, p

Background: Weight management is essential to reduce high cardiometabolic risk in obese patients with obstructive sleep apnoea (OSA). Coaching is an effective method to shape and reinforce desired behaviour including healthy lifestyle and weight management. In patients with OSA coaching was used to increase compliance with CPAP therapy, nevertheless, its potential in weight management remains unexplored. Aim: To investigate changes in anthropometry and body composition after 4 month of coaching intervention in obese patients with OSA. Methods: 26 patients with OSA diagnosed by full attended polysomnography (19 male; age, 48±12 years; AHI 56±29 events/hour) were enrolled. Anthropometry and body composition were assessed at baseline and after 4 months of periodic Ericksonian solution-focused coaching (Caldwell KL et al. Glob Adv Health Med 2013;2:48-57). Results: The body weight, BMI, neck circumference, waist-to hip ratio and % body fat all decreased after 4 months (Table). The mean body weight reduction was 5.2±3.3% of baseline value; the target reduction of >3% (AHA Practice Guidelines) was achieved by 20 (77%) participants. Conclusion: Ericksonian solution-focused coaching is a promising method that may support adherence to healthy lifestyle behaviour and weight/adiposity reduction in obese patients with OSA. Efficacy of coaching intervention needs to be tested in randomized controlled trials in patients with OSA. Support: APVV-16-0158 and VEGA 1/0208/16, Ministry of Education, Slovakia