Does sleep training reduce the risk of childhood obesity?

A recent study out of New Zealand suggests that educating parents about sleep prior to the birth of their child, and supporting sleep training during early childhood, can reduce the risk of obesity in childhood. This adds to the literature relating sleep and childhood obesity. Although this is music to my ears, do these results make sense? Let’s dig into it.

My friend Sumathi Reddy sent me a link to a Medscape article entitled, “Amazing’ Reduction in Obesity at Age 5 From Early Sleep Training”. As always, the journal article has a less sexy title: “Sleep, nutrition, and physical activity interventions to prevent obesity in infancy: follow-up of the Prevention of Overweight in Infancy (POI) randomized controlled trial at ages 3.5 and 5 y” (sadly behind a paywall)1.

This was a large trial which enrolled 802 women in New Zealand who were pregnant with the goal of examining two educational and support programs to see if they would reduce the risk of obesity in children at age five. There were two interventions in the trial which are described in an earlier publication:2

  1. An intervention teaching the mothers about food, activity, and breastfeeding (FAB). Parents in this group received eight extra education and support visits over the first 18 months of life, starting with education prior to birth and including lactation support and physical activity sessions, as well as education about the importance of limiting screen time and

8 Tips for a Happy, Safe, and Well-Rested Halloween

well-rested HalloweenHalloween has always been one of my favorite holidays with my girls. I have such fond memories of my mom making me costumes, and later making my daughters home made costumes. My kids went out to trick or treat as mermaids, lemons, lions, fairies, and more! I love to sew — a random fact that you probably didn’t know! But one thing that was really important to me as a sleep expert is getting my kids a well-rested Halloween.

One of my least favorite Halloween memories is from when my daughters were babies. That dreaded doorbell would ring, even if I put out candy. Once my girls were old enough to trick or treat, there were still things to take into consideration. Bedtimes, sugar, making sure they were warm enough, whether seeing older kids dressed as monsters would cause trouble sleeping — all were on my mind as I headed out.

It is possible to have both a fun and well-rested Halloween! To make sure that both you and your child enjoy the holiday, here are a few tips:

Plan Ahead

Halloween is a late night activity — and by late, I mean past 7:00 p.m. — and for small children, it is very exciting.  Make sure that your child is napping and getting adequate restorative nighttime sleep in the days and nights leading up to Halloween.

Dress Appropriately

In most of the United States, Halloween is cold, and you’ll …

More Than a Third of Sleep Apnea Patients Say Excessive Daytime Sleepiness Has Caused Them to Miss Activities, Finds Jazz Pharmaceuticals-sponsored Survey

A US survey, conducted by The Harris Poll and sponsored by Jazz Pharmaceuticals, asked more than 300 sleep apnea patients and more than 300 partners of people living with sleep apnea about key topics connected to their experiences with excessive daytime sleepiness.

The survey found that than one-third (36%) of patients said their excessive daytime sleepiness has caused them to miss out on activities or events, avoid social situations, or give up activities. In addition, 17% of patients said excessive daytime sleepiness has led to problems at work (such as missing a deadline or meeting, being disciplined at work, losing/leaving a job, making a special arrangement, or missing out on opportunities like a raise or promotion), and 14% have fallen asleep at the wheel of a motorized vehicle (either stopped at a light/sign or while driving) in the last 12 months.

Nearly half of partners surveyed (45%) felt their significant other’s excessive daytime sleepiness negatively impacted their relationships, and 32% of partners reported having avoided social situations or missed activities/events because of their partner’s excessive daytime sleepiness.

“The kind of exhaustion associated with sleep apnea can cause significant problems for patients at home, at work, and in their personal relationships,” says Richard K. Bogan, MD, FCCP, FAASM, associate clinical professor at the University of South Carolina School of Medicine and chief medical officer at SleepMed in Columbia, SC, in a release. “It is important for patients to know that this

Australia’s ResApp Sees Positive Results from Prospective Sleep Apnea Clinical Study

ResApp Health Limited, a Brisbane, Australia-based digital health company developing smartphone applications for the diagnosis and management of respiratory disease, reports positive results from its prospective, double-blind obstructive sleep apnea (OSA) clinical study. Analysis confirmed that ResApp’s machine-learning algorithms were able to accurately identify OSA from a patient’s overnight breathing and snoring sounds recorded using only a smartphone placed on a bedside table. The company is working with Drs Philip Currie and Ivan Ling of Cardio Respiratory Sleep (CRS), who recruited patients at Hollywood Private Hospital and The Park Private Hospital in Perth, Australia.

Data from 582 adult patients was analyzed, of which 62% were male. The mean age of patients was 53 years (range 18-94) with a mean apnea hypopnea index (AHI) of 26/h (range 0-143).

ResApp’s algorithms achieved 84% sensitivity and 83% specificity for identifying patients with an AHI greater than or equal to 5/h (patients with mild, moderate, or severe OSA) compared to simultaneous gold standard in-laboratory polysomnography scored using the current 2012 American Academy of Sleep Medicine (AASM) scoring criteria. The area under the receiver operating characteristic curve (AUC, a standard measure of how well a test distinguishes between two diagnostic groups, where a value of 1 represents a perfect test) was 0.90. The algorithms were similarly able to identify patients with AHI greater than or equal to 15/h (moderate or severe OSA) and AHI greater than or equal to 30/h (severe OSA).

Currie and Ling

Sleep Apnea, Mouthpieces And Your Sleep

Sleeping with someone who snores can be stressful as you also lose sleep each night. But the danger is actually twice as bad for the snoring partner because this condition, while it may appear funny and embarrassing to some, is actually a major health risk. Snoring is usually a major symptom of sleep apnea. This sleeping condition causes the person to suffer from constant breathing gaps in their slumber, lasting from several seconds and occur all throughout their sleep. The human brain is essentially choosing between breathing and sleeping in your slumber, meaning you can easily die in your sleep without you knowing.

It is quite common but only a handful get themselves checked for it. Many of these people simply dismiss the snoring thinking it is one of those things you have to accept in life. But how badly mistaken they are. It may not follow that those who snore have sleep apnea but the majority of sleep apnea sufferers snore in their slumber. Having TMJ can actually make it worse! This can go on for years and it significantly puts your health at risk. You are predisposed to other more chronic conditions like heart disease, diabetes, and stroke if not treated promptly.

Some 90 million American adults snore, according to, and many could find relief with general health solutions. The Mayo Clinic recommends getting 7-8 hours of sleep a night if you snore, for example,

In Menopausal Women, BedJet an Effective Treatment for Sleep Disturbances, Night Sweats, Hot Flashes

A new study authored by Jordan Stern, MD, founder and director of BlueSleep Sleep Apnea and Snoring Center based in New York, NY and Darlyne Johnson, MD, a partner at South Shore Women’s Health in Boston, MA, concluded that the BedJet climate comfort system for beds is a highly effective, non-hormonal treatment for women suffering from menopausal sleep disturbance.

The study, titled The Efficacy of the BedJet Climate System for Peri-Menopausal Night Sweat and Hot Flash Symptoms and Corresponding Impact on Sleep, will be published as an abstract in the December issue of the scientific journal Menopause: The Journal of The North American Menopause Society. Stern and Johnson presented the results during the poster session at the North American Menopause Society Conference in San Diego on October 4.

The study evaluated the effectiveness of the BedJet System in a population of 46 peri-menopausal and menopausal women experiencing hot flashes, night sweats and sleep disturbances. Effectiveness was measured using validated sleep, menopausal symptom and quality of life surveys and subjects used the BedJet System for a period of at least three weeks. The study’s primary results included:

  • 94% of study participants reported improved sleep
  • 89% of study participants reported improved daytime function
  • 85% of study participants reported reduced hot flashes and night sweats

“Considering the known impact of poor sleep on overall health and mood, and its prevalence in menopausal women, there is an urgent need for treatment that can

Safe Baby Sleep — 8 Safety Tips for Infants and Babies

safe baby sleepYou’ve bought all the newest “best” gadgets, you’ve been given ample — often unsolicited advice. You have your mommy friends on speed dial. This is all well and good, but sometimes as moms and dads overlook the little things, like safe baby sleep. 

In fact, let’s do a quick review of safe sleep for your baby.

1. Back to sleep

You’ve been hearing this for years. No doubt you received literature from the hospital, your obstetrician, the pediatrician, and any other entity that you visited during your pregnancy and those early months. It’s been shown putting your baby on his back to sleep is the safest position, and greatly reduces the risk of SIDS.

2. Make sure your baby’s bed meets current safety guidelines

That Craigslist crib may be beautiful, but it could also be old, missing key pieces, or ready to be replaced. If you don’t know the history of where your baby sleeps, use caution. Check with the manufacturer to make sure that there hasn’t been a recall — remember drop side cribs? If you’re considering a crib that needs to be disassembled, ask for the instructions and count components BEFORE you purchase. 

If you do choose to purchase used, be sure to check with the Consumer Product Safety Commission, or CPSC to ensure that your new sleep area hasn’t been recalled. 

When purchasing a crib or bassinet mattress, make sure to take measurements. The mattress

In Europe, Inspire Medical Implants New Sensing Lead

Inspire Medical Systems Inc, a medical technology company that makes an implantable therapy for obstructive sleep apnea (OSA) and is focused on the development and commercialization of minimally invasive solutions for patients with the sleep disorder, has successfully implanted a new sensing lead (model number 4340) in Europe. Dr Joachim Maurer, University Hospital, Mannheim, Germany, who has now overseen 80 Inspire therapy cases, completed the implant. Maurer is an ear, nose, and throat (ENT) surgeon and head of the sleep disorders center.

The sensing lead monitors a patient’s respiratory pattern as the implanted Inspire system delivers stimulation to the upper airway in order to prevent obstructions during sleep. The new 4340 sensing lead has a smaller profile, including a reduction in diameter of 49% as compared to the prior design. The new design also incorporates several features to enhance the ease of implant and reduce surgical time for an ENT surgeon.

“We are pleased to have successfully completed the first case in Europe incorporating the new sensing lead for Inspire therapy,” says Maurer, in a release. “The improved features of the sensing lead led to a simpler implant procedure. We continue to view Inspire therapy as a safe and effective treatment for OSA.”

Inspire intends to introduce the new sensing lead to other centers in Europe in the near future. Currently, the 4340 sensing lead is under review by the US Food and Drug Administration (FDA) and, pending clearance, the

Upside Podcast: Dr Daniel Klauer – Achieve Your Victory

Dr Klauer, who chose to limit his practice, TMJ & Sleep Therapy Centre of Northern Indiana, to treating patients with craniofacial pain, TMD, and sleep breathing disorders, is featured on the Upside podcast.

Dr. Klauer is board certified with the American Board of Craniofacial Dental Sleep Medicine and is also Diplomate Eligible with the American Board of Oralfacial Pain. In addition to treating patients at his practice, Dr. Klauer is a sought after lecturer for dental professionals across the globe. Outside of the office, Dr. Klauer enjoys an active life with his wife and four young children. He is the author of Achieve Your Victory: Solutions for TMD and Sleep Apnea.

Listen to the podcast at

from Sleep Review…

AirAvant Medical Bongo Rx Expiratory Positive Airway Pressure for Mild to Moderate Sleep Apnea

AirAvant Medical Inc, a newly formed company created from the former partners of InnoMed Technologies Inc, launches the Bongo Rx. Bongo Rx is FDA 510k cleared device for the treatment of mild to moderate obstructive sleep apnea (OSA).

The Bongo Rx seals in the nose and works by creating back pressure when an OSA sufferer exhales. This is known as expiratory positive airway pressure or EPAP. It doesn’t require a power source or headgear. It is small enough to be carried in a shirt pocket.

“We recognize that people need to have the ability to sleep comfortably and safely, no matter where they are—in a bed, on a train, in a car, or even catching a quick nap in a chair,” says Javier Collazo, vice president of AirAvant Medical, in a release. “Bongo Rx is so small and so easy to use that those suffering from sleep apnea no longer have to worry about bulky, cumbersome equipment or conspicuous masks. This technologically-advanced device allows users to enjoy safe sleep while receiving OSA therapy.”

The Bongo Rx will be exhibiting at Medtrade (new product pavilion booth #1448) from Oct 15-17.

from Sleep Review…