 |
|
Daytime impairments in older men with obstructive sleep apnea are related to total sleep time
February 02, 2009This study is the first to evaluate the extent to which any associations between obstructive sleep apnea severity and daytime functional impairments were confounded by short sleep duration in a population-based sample of older men
Westchester, Ill. - A study in the Feb. 1 issue of the journal SLEEP shows that daytime functional impairments in older men with obstructive sleep apnea (OSA) are largely explained by total sleep time rather than OSA severity.
A modest link between OSA severity and daytime sleepiness, measured by the Epworth Sleepiness Scale, was no longer statistically significant after controlling for total sleep time. Neither sleep disturbances, measured by the Pittsburgh Sleep Quality Index, nor sleep-related quality of life, measure by the Functional Outcome of Sleep Questionnaire, were associated with OSA severity; all three measures were modestly associated with total sleep time.
According to lead author Dr. Eric J. Kezirian, director of the division of sleep surgery in the department of otolaryngology at the University of California in San Francisco, the study shows that the functional consequences of OSA in older men may differ from those in younger populations and may need to be measured with instruments designed specifically for the demographic.
"While the disorder is associated with behavioral and health-related effects that improve with treatment in young and middle-aged adults, there is little evidence concerning its adverse consequences or treatment benefits in older adults," said Kezirian. "This study showed that in a community-dwelling group of older men, the severity of OSA was not associated with daytime sleepiness, sleep symptoms, or sleep-related quality of life, after controlling for sleep duration."
Data were collected from 2,849 men with a mean age of 76.4 years. Thirteen percent (365/2849) of participants had an ESS of at least 10, a level commonly considered to be excessive sleepiness. The presence and severity of OSA were measured by in-home polysomnography. Overall the study group demonstrated mild to moderate OSA with an average apnea-hypopnea index (AHI) of 17.0. Forty-three percent had an AHI of 15 or more.
Average total sleep time was measured by actigraphy over multiple nights. Thirty-one percent (889/2849) had a short sleep time of less than 360 minutes per night, and the prevalence of short sleep time increased with AHI. Individuals with higher AHI levels also were slightly older than men with lower AHI levels, and they had a higher body mass index, poorer self-reported health status and a higher Geriatric Depression Scale score.
Keizirian said that having a better understanding of OSA in older adults will help medical professionals treat the condition more effectively.
According to the American Academy of Sleep Medicine, OSA is a sleep-related breathing disorder that involves a decrease or complete halt in airflow despite an ongoing effort to breathe. It occurs when the muscles relax during sleep, causing soft tissue in the back of the throat to collapse and block the upper airway. This leads to partial reductions (hypopneas) and complete pauses (apneas) in breathing that can produce abrupt reductions in blood oxygen saturation. Brief arousals from sleep restore normal breathing but can cause a fragmented quality of sleep. Most people with sleep apnea snore loudly and frequently, and they often experience excessive daytime sleepiness.
American Academy of Sleep Medicine
According to lead author Dr. Eric J. Kezirian, director of the division of sleep surgery in the department of otolaryngology at the University of California in San Francisco, the study shows that the functional consequences of OSA in older men may differ from those in younger populations and may need to be measured with instruments designed specifically for the demographic.
"While the disorder is associated with behavioral and health-related effects that improve with treatment in young and middle-aged adults, there is little evidence concerning its adverse consequences or treatment benefits in older adults," said Kezirian. "This study showed that in a community-dwelling group of older men, the severity of OSA was not associated with daytime sleepiness, sleep symptoms, or sleep-related quality of life, after controlling for sleep duration."
Data were collected from 2,849 men with a mean age of 76.4 years. Thirteen percent (365/2849) of participants had an ESS of at least 10, a level commonly considered to be excessive sleepiness. The presence and severity of OSA were measured by in-home polysomnography. Overall the study group demonstrated mild to moderate OSA with an average apnea-hypopnea index (AHI) of 17.0. Forty-three percent had an AHI of 15 or more.
Average total sleep time was measured by actigraphy over multiple nights. Thirty-one percent (889/2849) had a short sleep time of less than 360 minutes per night, and the prevalence of short sleep time increased with AHI. Individuals with higher AHI levels also were slightly older than men with lower AHI levels, and they had a higher body mass index, poorer self-reported health status and a higher Geriatric Depression Scale score.
Keizirian said that having a better understanding of OSA in older adults will help medical professionals treat the condition more effectively.
According to the American Academy of Sleep Medicine, OSA is a sleep-related breathing disorder that involves a decrease or complete halt in airflow despite an ongoing effort to breathe. It occurs when the muscles relax during sleep, causing soft tissue in the back of the throat to collapse and block the upper airway. This leads to partial reductions (hypopneas) and complete pauses (apneas) in breathing that can produce abrupt reductions in blood oxygen saturation. Brief arousals from sleep restore normal breathing but can cause a fragmented quality of sleep. Most people with sleep apnea snore loudly and frequently, and they often experience excessive daytime sleepiness.
American Academy of Sleep Medicine
Obstructive Sleep Apnea Current Events and Obstructive Sleep Apnea News RSSImproved diet and exercise alone unlikely to cure obstructive sleep apnea in obese patients
A study in the Oct. 15 issue of the Journal of Clinical Sleep Medicine found that while a strict diet and exercise program may benefit obese patients with mild to moderate obstructive sleep apnea (OSA), it is unlikely to eliminate the condition.
Minimally invasive procedure effective for treating snoring
Radiofrequency ablation, a procedure that uses heat to shrink the tissue of the soft palate, is an effective and minimally invasive procedure that can be used to treat patients who snore.
Many patients with sleep apnea also suffer from GI tract conditions
Patients who suffer from obstructive sleep apnea (OSA) also tend to have additional gastrointestinal (GI) tract conditions, such as gastric reflux and hiatal hernia, which form at the opening in your diaphragm where your food pipe (esophagus) joins your stomach.
Stress, fatigue plague patients with allergic rhinitis and obstructive sleep apnea
Patients who suffer from both allergic rhinitis and obstructive sleep apnea (OSA) may experience escalated symptoms of stress and fatigue.
Severe sleep apnea tied to increased risk of death
Moderate to severe obstructive sleep apnea is associated with an increased risk of death from any cause in middle-aged adults, especially men, according to new results from a landmark study supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH).
Obstructive sleep apnea is prevalent in adults with Down syndrome
A study in the Aug. 15 issue of the Journal of Clinical Sleep Medicine shows that adults with Down syndrome also frequently suffer from obstructive sleep apnea (OSA).
Study finds increased 'sibling risk' of obstructive sleep apnea in children
A study in the Aug. 1 issue of the journal SLEEP indicates that children have an increased risk of developing obstructive sleep apnea (OSA) if they have at least one sibling who has been diagnosed with the sleep disorder.
Benefits from upper airway surgery for sleep apnea found to equal CPAP
Adults who struggle with CPAP treatment for obstructive sleep apnea (OSA) should be considered candidates for reconstructive surgery on the upper airway, because it holds the same quality-of-life (QOL) benefits but with more permanence.
Biomarker of breathing control abnormality associated with hypertension and stroke
A study in the July 1 issue of the journal SLEEP identified a distinct ECG-derived spectrographic phenotype, designated as narrow-band elevated low frequency coupling (e-LFCNB), that is associated with prevalent hypertension, stroke, greater severity of sleep disordered breathing and sleep fragmentation in patients suffering from obstructive sleep apnea (OSA).
CPAP treatment linked to lower mortality in stroke patients with OSA
Stroke patients with obstructive sleep apnea (OSA) who undergo treatment with continuous positive airway pressure (CPAP) following their stroke may substantially reduce their risk of death.
More Obstructive Sleep Apnea Current Events and Obstructive Sleep Apnea News Articles
 |
Obstructive Sleep Apnea: Pathophysiology, Comorbidities, and Consequences (Sleep Disorders) by Clete A. Kushida (Editor) Responding to the growing recognition of Obstructive Sleep Apnea (OSA) as a major medical condition and the emergence of exciting new therapies, this source analyzes the clinical features, characteristics, comorbidities, and impact of OSA on patient biological systems and quality-of-life. Edited by the Director of the Center for Human Sleep Research at Stanford, this source supplies an all-encompassing guide to the comorbid medical conditions and socioeconomic impact of OSA. |
 |
RESPIRONICS PREMIUM CHIN STRAP by Respironics The Respironics Premium Chinstrap features: Vertical Design that promotes a vertical angle of force on the chin (as opposed to horizontal) in order to reduce the potential of inducing sleep-related events Integrated Chin Cup that is sewn into the strap to provide a soft and comfortable support without placing unnecessary tension around the chin Adjustable Support Strap that attaches to a split section of the chin strap and wraps around the back of the head for the ultimate in stability and adjustability |
 |
BMV Quantum Subliminal CD Sleep Apnea Aid (Ultrasonic Subliminal Series) Program your subconscious mind for overcoming sleep apnea. Create amazing results using state-of-the-art subliminal and brainwave entrainment technologies. Tune your brainwaves to specific frequencies by listening to this CD! Program your subconscious mind for positive lasting results, created by a Certified Hypnotherapist and NLP Practitioner (Neuro-Linguistic Programming). Silent affirmations, inaudible hypnotic suggestions and thousands of powerful subliminal messages program your subconscious mind for positive results. The first 3 tracks have an ocean background. The Silent Ultrasonic Track 4 is completely silent with no sound at all! BMV exclusive Quantum Subliminal Matrix Technology sets a new standard for the subliminal industry! BMV has merged existing subliminal neurotechnology... |
|
Sleep Apnea Sucks Adult Long Sleeve T-Shirt White Small by YoursOnDemand | |
|
Hosehead ...a way of life Adult Raglan Baseball Jersey Black/White X-Large by YoursOnDemand | |
|
Evaluation and Surgical Management of Obstructive Sleep Apnea, An Issue of Oral and Maxillofacial Surgery Clinics (The Clinics: Dentistry) by Scott B. Boyd MD PhD (Author) An important review on obstructive sleep apnea for the oral and maxillofacial surgeon! Topics include epidemiology, pathophysiology and clinical features of obstructive sleep apnea; systematic evaluation of the OSA patient; upper airway imaging in the evaluation and surgical management of OSA; management of OSA by continuous positive airway pressure; oral appliances in the treatment of OSA; algorithms for surgical management of obstructive sleep apnea; surgery of the palate, tonsils and tongue; treatment of OSA by distraction osteogenesis; surgical management of OSA in the pediatric patient; anesthetic and postoperative management of the OSA patient, and much more! | |
 |
Snoreben - Say Goodbye to Snoring and Hello to a Quiet Comfortable Nights Sleep by Unlimited Product Sourcing, Inc. The Snoreben is an FDA approved Class 1 Medical Device developed to stop snoring and significantly improve your quality of sleep. It is specially designed to help anyone of any age, who suffers from Obstructive Sleep Apnea, alar collapse (collapsed nostrils), deviated septum (bent nose) and damaged or narrow nostrils and other nasal disorders. The Snoreben is made from medical grade Latex Free Silicone for maximum comfort while sleeping to ensure you receive the much needed quality sleep necessary to wake refreshed and revitalized. This will allow you to carry out daily activities with a clear mind and enjoy a full, healthy and happy lifestyle. |
 |
Obstructive Sleep Apnea (Fast Facts) by Barbara Phillips (Author), Matthew T. Naughton (Author) Sleep apnea is associated with significant morbidity and mortality, including cardiovascular disease and cognitive impairment. The severe effects of this common and usually treatable condition make it all the more important that it be recognized and managed effectively. Fast Facts - Obstructive Sleep Apnea has been written by two internationally recognized experts to provide primary care physicians with the knowledge they need to diagnosis and manage obstructive sleep apnea successfully in cooperation with specialists. |
|
Sleep Apnea Sucks Adult T-Shirt White 3X by YoursOnDemand | |
|
FAIRBANKS,D. ED SNORING AND OBSTRUCTIVE SLEEP APNEA by Lippincott Williams and Wilkins (Publisher) |
| © 2009 BrightSurf.com |