Research Summary
Analyzed using Evidence Intelligence™

Lifestyle intervention improves glucose homeostasis in obese women with OSA

Last updated August 24, 2026

Key finding

After 3 months of lifestyle intervention, obese women with OSA reduced their weight by 4.8±2.7% (p<0.0001).

This study evaluated the effects of a lifestyle intervention on obese women with obstructive sleep apnea, finding significant weight reduction and improvements in metabolic parameters.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effects of a lifestyle intervention on obese women with obstructive sleep apnea, finding significant weight reduction and improvements in metabolic parameters.

Clinical relevance

These findings highlight the potential of lifestyle interventions in managing obesity and metabolic health in women with obstructive sleep apnea. Effective weight management can lead to improved health outcomes and may reduce the severity of sleep apnea, enhancing overall quality of life.

Keep in mind

Single-arm study limits generalizability Non-significant changes in AHI and ODI Potential unmeasured confounders affecting outcomes

Published in

Journal Reference

Publication details and source links for this paper.

Luisa G, Carolina L, Gabriella R, et al. Effects of Lifestyle Intervention in Obese Women with Obstructive Sleep Apnea. PLoS ONE. 2013;8(4):e61382. doi:10.1371/journal.pone.0061382

Main Effects

Weight reduction of 4.8% (p<0.0001)

Significant increase in insulin sensitivity

Significant improvement in beta cell function

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Digital-based lifestyle intervention and Apnea Hypopnea Index (AHI), Beta-cell function, Fasting Plasma Glucose (FPG), and 4 more.

Primary intervention

Digital-based lifestyle intervention

Primary outcomes

  • Apnea Hypopnea Index (AHI)
  • Beta-cell function
  • Fasting Plasma Glucose (FPG)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

7
Evidence pairs
7
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 66

3

Related topics

7

Evidence pairs

792

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

Digital Lifestyle Interventions and Fasting Glucose

Related evidence

Evidence relationship

Digital Lifestyle Interventions and Insulin Resistance

Save evidence

Evidence relationship

Digital Lifestyle Interventions and Beta-cell Function

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Apnea Hypopnea Index (AHI)

Digital-based lifestyle intervention → Apnea Hypopnea Index (AHI)

Digital-based lifestyle intervention → Apnea Hypopnea Index (AHI)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Beta-cell function

Digital-based lifestyle intervention → Beta-cell function

Digital-based lifestyle intervention → Beta-cell function

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Digital-based lifestyle intervention → Fasting Plasma Glucose (FPG)

Digital-based lifestyle intervention → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Initial weight reduction in non-achievers

Digital-based lifestyle intervention → Initial weight reduction in non-achievers

Digital-based lifestyle intervention → Initial weight reduction in non-achievers

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Insulin sensitivity

Digital-based lifestyle intervention → Insulin sensitivity

Digital-based lifestyle intervention → Insulin sensitivity

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Minimum Oxygen Saturation Improvement

Digital-based lifestyle intervention → Minimum Oxygen Saturation Improvement

Digital-based lifestyle intervention → Minimum Oxygen Saturation Improvement

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Oxygen Desaturation Index

Digital-based lifestyle intervention → Oxygen Desaturation Index

Digital-based lifestyle intervention → Oxygen Desaturation Index

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Weight reduction of 4.8% after 3 months (p<0.0001)
  • Significant improvement in insulin sensitivity observed
  • Beta cell function increased significantly
who this applies

Who this applies to

  • Obese women aged 18-65
  • Women diagnosed with obstructive sleep apnea
keep in mind

Keep in Mind

  • Results may not apply to men or non-obese individuals
  • Short duration of the intervention may limit long-term applicability
  • Further studies needed to confirm findings and explore mechanisms
between the lines

Between the Lines

  • Single-arm study limits generalizability
  • Non-significant changes in AHI and ODI
  • Potential unmeasured confounders affecting outcomes

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Digital Lifestyle Interventions and Fasting Glucose, Digital Lifestyle Interventions and Apnea Hypopnea Index (AHI).

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Digital Lifestyle Interventions improve fasting glucose?

Strong Evidence

Digital Lifestyle Interventions may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 3 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Aug 2026

Does Digital Lifestyle Interventions improve insulin resistance?

Strong Evidence

Digital Lifestyle Interventions may improve Insulin Resistance.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Insulin sensitivity

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Aug 2026

Does Digital Lifestyle Interventions improve beta-cell function?

Emerging Evidence

Current evidence does not show a clear benefit of Digital Lifestyle Interventions for Beta-cell Function.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Beta-cell function

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Digital-based lifestyle intervention affect initial weight reduction in non-achievers?

Emerging Evidence

Digital-based lifestyle intervention appears to improve Initial weight reduction in non-achievers.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Initial weight reduction in non-achievers

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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