NYU School of Medicine Debunks Common Sleep Myths

People often say they can get by on 5 or fewer hours of sleep, that snoring is harmless, and that having a drink helps you to fall asleep.

These are, in fact, among the most widely held myths about sleeping that not only shape poor habits, but may also pose a significant public health threat, according to a new study publishing online in Sleep Health on April 16.

Researchers from NYU School of Medicine reviewed more than 8,000 websites to identify the 20 most common assumptions about sleep. With a team of sleep medicine experts, they ranked them based on whether each could be dispelled as a myth or supported by scientific evidence, and on the harm that the myth could cause.

“Sleep is a vital part of life that affects our productivity, mood, and general health and well-being,” says study lead investigator, Rebecca Robbins, PhD, a postdoctoral research fellow in the Department of Population Health at NYU Langone Health, in a release. “Dispelling myths about sleep promotes healthier sleep habits which, in turn, promote overall better health.”

The claim by some people that they can get by on 5 hours of sleep was among the top myths researchers were able to dispel based on scientific evidence. They say this myth also poses the most serious risk to health from long-term sleep deficits. To avoid the effects of this falsehood and others identified in this study, such as the value

Upper Airway Stimulation’s Impact on Sleep Apnea Comorbidities

The Inspire implant has been shown to improve sleepiness and functional outcomes. Now researchers are looking at whether it also helps with comorbid disorders, such as insomnia and depression.

When you have a tricky obstructive sleep apnea (OSA) patient who just can’t seem to tolerate CPAP, when adjusting the airflow pressure doesn’t seem to help, and when oral appliances aren’t successful at decreasing the patient’s apneas throughout the night; you might think about adding another method to your toolbox. Upper airway stimulation is still relatively new, but more research is coming out to show how this therapy could be an alternative treatment when CPAP fails.

According to an abstract that will be presented at the American Academy of Neurology (AAN) meeting in May, upper airway stimulation could also be effective at decreasing some comorbidities, including insomnia and depression.

“We showed clinically meaningful, significant improvement in people’s lives, that, you know, don’t always get looked at,” says Tina Waters, MD, a coauthor of the research and a neurologist sleep specialist at the Cleveland Clinic in Cleveland, Ohio.

According to Waters, demonstrating that upper airway stimulation for OSA reduces insomnia and depression is not necessarily surprising. But studies like this one are still important to substantiate that upper airway stimulation measures up to other OSA treatments.

The upper airway stimulation therapy analyzed in this study is sold under the brand name Inspire . It was approved by the

ResMed AirFit P30i, Top-of-head-connected Nasal Pillows Mask

ResMed has unveiled its second top-of-head-connected CPAP mask for treating sleep apnea, a new nasal pillows option, AirFit P30i.

The mask’s “tube-up” connection, also featured on ResMed’s AirFit N30i nasal mask released in January, keeps tubing out of the wearer’s way so they can move and sleep in any position.

According to ResMed, AirFit P30i fits 90% of wearers with its two frame sizes and three cushions, helping home medical equipment (HME) providers fit patients easier and faster.

“The AirFit P30i provides great freedom of movement for patients who want an unobtrusive nasal pillows mask,” says Jim Hollingshead, president of ResMed’s Sleep business, in a release. “This unique pillows tube-up frame is a great addition to our growing mask family, and it’s easy for sleep labs and HMEs to stock and fit.”

ResMedP30i-frontview

A ResMed-guided external clinical study of 22 current nasal pillows users from May to June 2018 in Sydney, Australia, comparing AirFit P30i to another tube-up nasal pillows mask found:

  • CPAP users preferred AirFit P30i nearly 2 to 1.
  • More than 70% whose preference was based on mask seal preferred AirFit P30i.
  • Twice as many reported AirFit P30i is easier to use and more comfortable.

As of April 15, AirFit P30i is available throughout the United States, Canada, Europe, Australia, and New Zealand. It will be available in other countries later this year.

The mask joins ResMed’s portfolio of 30-plus CPAP masks, including its “tube-down” nasal pillows mask, AirFit

How Your Mattress Impacts On Allergies

Allergies affect over 21 million adults in the UK and 59% of indoor allergy sufferers say their symptoms feel worse in the bedroom. The dreaded house dust mite is one of the most common triggers for an allergic reaction. And the hub of these dust mites is your bed – one of their favourite places to live.

The post How Your Mattress Impacts On Allergies appeared first on The Sleep Council.

from The Sleep Council https://sleepcouncil.org.uk/mattress-impacts-allergies/…

Analyzing ASV in People with Heart Failure and Sleep-disordered Breathing

New insights from the CAT-HF trial show promise for subsets of patients who use adaptive servo-ventilation, but larger studies are needed.

In 2015, when the results of Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure (SERVE-HF) trial were released, it sent ripples through the sleep medicine world.

The clinical trial that involved 1,325 patients with heart failure with reduced ejection fraction (HFrEF) and central sleep apnea showed that the patients who were treated with adaptive servo-ventilation (ASV) had a higher risk of all-cause mortality and cardiovascular mortality than those who were treated with conventional heart failure management.1 These findings led to safety notices issued by the likes of the American Academy of Sleep Medicine (AASM) and have made sleep providers cautious of prescribing ASV therapy to patients with heart failure.

But recent insights from the Cardiovascular Improvements with Minute Ventilation-targeted Adaptive Servo-Ventilation Therapy in Heart-Failure (CAT-HF) trial suggest that ASV therapy could improve cardiovascular outcomes for a subset of patients with moderate-to-severe sleep disordered breathing (either because of obstructive or central sleep apnea). Like SERVE-HF, CAT-HF was funded by ResMed, which markets an ASV device.

The CAT-HF trial looked at the effect ASV therapy has on patients hospitalized for acute decompensated heart failure and who have moderate-to-severe sleep apnea. While the study found that adding ASV to optimized medical therapy didn’t improve 6-month cardiovascular outcomes, it did find that patients

Is it Possible To Stop Snoring?

Yes! It is possible to stop snoring. If snoring is becoming a serious problem, then it’s time to do something about it.

It’s not easy to live with someone who snores. It could instantly take a toll on a relationship.

Snoring can be a big stress for your relationship. In a study more than 50% of couples admitted that snoring leads to serious arguments and is affecting their relationship. 80% of them said that sometimes they have to sleep in the other room for a sound sleep. Snoring affects your relationships as it is frustrating situation for both the partners. Since snoring disturbs your sleep it directly leads to situations that can diminish affection amongst the spouse.

(Via:https://www.onlymyhealth.com/how-snoring-affects-your-relationships-1303813482)

Snoring is a common problem for almost everybody. Although it’s widely believed that snoring affects older people more, both young and old are affected just the same.

Any person can snore. Frequently, people who do not regularly snore will report snoring after a viral illness, after drinking alcohol, or when taking some medications.

People who snore can have any body type. We frequently think of a large man with a thick neck as a snorer. However, a thin woman with a small neck can snore just as loudly. In general, as people get older and as they gain weight, snoring will worsen.

(Via:https://www.medicinenet.com/snoring/article.htm#how_common_is_snoring)

To understand why snoring affects almost everybody, one has to know what snoring is. Snoring …

Divorcing but still in the same bed

What do people do if they plan to divorce or leave their partner but they haven’t acted yet? They sleep in the same bed until the time is right to leave. It is important they keep mentally together and get the help needed. Even if you have previously had bad advice, it is worth trying […]

The post Divorcing but still in the same bed appeared first on The Sleeping Blog.

from The Sleeping Blog https://letsleepingblogslie.net/divorcing-but-still-in-the-same-bed/…

Don’t Google Sleep

imageIf you Google sleep, because you can’t sleep, you will be inundated with too much to keep you awake so I think it should probably be avoided. If you Google anything, you will probably be inundated so I think if you are trying to sleep, stay away from technology. Probably an alarm is okay (a […]

The post Don’t Google Sleep appeared first on The Sleeping Blog.

from The Sleeping Blog https://letsleepingblogslie.net/dont-google-sleep/…

Disrupted Sleep and Risk of Alzheimer’s Disease

How well your patients sleep could decrease—or raise—their chances of developing Alzheimer’s disease.

“With sleep apnea, your brain isn’t getting enough oxygen at night, and that increases the risk of cognitive impairment and possibly Alzheimer’s disease,” says Howard Fillit, MD, founding Executive Director and Chief Science Officer of the Alzheimer’s Drug Discovery Foundation. If you think you may have sleep apnea, talk to your doctor about a sleep evaluation.

A study presented at the 2019 annual meeting of the American Academy of Neurology suggests that people with sleep apnea may have more tau in an area of the brain that aids memory. Of 288 people age 65 and older, those with sleep apnea had 4.5 percent higher levels of tau in their brains compared to people who didn’t have sleep apnea.

from Sleep Review http://www.sleepreviewmag.com/2019/04/sleep-habits-alzheimers-disease/…

Why Clinicians May Miss Identifying Patients Who Could Benefit from Positional Sleep Apnea Therapies

Split-night studies that don’t necessarily allow patients the time to change postures and a lack of reliable reimbursement can lead to position-dependent sleep apnea being missed.

Clinicians face several obstacles in identifying positional sleep apnea (POSA), which can hinder their ability to treat the condition.

Positional sleep apnea can affect as many as 49.5% of patients with mild sleep apnea and 19.4% of those with moderate sleep apnea. In people of Asian decent, these numbers are higher with as many as 75% of all obstructive sleep apnea patients having a positional component.1 “Many physicians working in sleep medicine really underappreciate the prevalence overall of positional sleep apnea,” says Samuel Krachman, DO, a pulmonologist and professor of thoracic medicine and surgery at Temple University’s Lewis Katz School of Medicine.

Positional sleep apnea refers to sleep-breathing difficulties associated with the supine position, which promotes a downward gravitational pull and causes the muscles in the airways to fall straight back. While there is currently a plethora of devices on the market to help people keep off their backs when asleep, identifying positional sleep apnea is not always easy.

In recent years, third-party payors have become stricter in their criteria for who qualifies for an in-lab sleep test. And those who are approved for in-lab studies are often only approved for a split-night study (instead of a two-night study, when a patient is diagnosed one night and then titrated the