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Obstructive sleep apnea prevalent in nonobese patients
June 09, 2009WESTCHESTER, Ill. - There is a high probability of obstructive sleep apnea (OSA) in non-obese, middle-aged patients, according to a research abstract that will be presented on Tuesday, June 9, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
Results confirmed that OSA in non-obese patients is most prevalent in middle-aged men with larger neck sizes. Fifty-four percent (2,906) of 5,426 non-obese patients were OSA positive, and most of them were middle age (57 percent). An equal number of patients had mild OSA (50.4%) or moderate to severe OSA (49.6%). Male prevalence and neck size were significantly higher in the group with moderate to severe OSA.
According to lead author Teimur Yeligulashvili, PhD, clinical supervisor at SleepTech in Wayne, N.J., the researchers were surprised by the fact that no significant differences were found in Epworth Sleepiness Scale results and neck size between OSA positive and OSA negative in non-obese patients.
"More than 50 percent of non-obese OSA patients had mild OSA, suggesting that in-lab polysmonography may be more accurate in assessing people in this demographic, as opposed to portable monitoring systems," said Yeligulashvili.
The study included data from 5,426 non obese patients and 23,157 overweight patients. Data were collected from a total of 28,583 polysomnograms from patients 18 years or older between 2004 and 2008 from 18 sleep centers in the SleepTech network. Patients with body mass index (BMI) between 18.5 and 27 were considered as non-obese and patients with apnea-hypopnea index (AHI) of greater than five were defined as OSA positive.
Associations have been found between OSA and serious medical conditions such as heart disease, diabetes, obesity, hypertension and increased risk for mortality.
American Academy of Sleep Medicine
"More than 50 percent of non-obese OSA patients had mild OSA, suggesting that in-lab polysmonography may be more accurate in assessing people in this demographic, as opposed to portable monitoring systems," said Yeligulashvili.
The study included data from 5,426 non obese patients and 23,157 overweight patients. Data were collected from a total of 28,583 polysomnograms from patients 18 years or older between 2004 and 2008 from 18 sleep centers in the SleepTech network. Patients with body mass index (BMI) between 18.5 and 27 were considered as non-obese and patients with apnea-hypopnea index (AHI) of greater than five were defined as OSA positive.
Associations have been found between OSA and serious medical conditions such as heart disease, diabetes, obesity, hypertension and increased risk for mortality.
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.
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