The Impact of CPAP on Comorbid Conditions [AAST Annual Meeting Preview]

Vikas Jain, MD, has taken on the challenging task of separating fact from opinion with regard to the impact of CPAP on comorbidities such as cardiovascular risk.

He became interested in the topic after recent studies, such as the Sleep Apnea Cardiovascular Endpoints (SAVE) trial, published unexpected results. (The SAVE trial found that CPAP plus usual care, versus usual care alone, did not prevent cardiovascular events in patients with moderate-to-severe obstructive sleep apnea and established cardiovascular disease.)1

“When you look at the evidence and separate the facts from opinion, it may be eye opening and may impact the way we tend to approach treating sleep-disordered breathing,” Jain says.

Jain will be presenting on this topic at the 2018 AAST Annual Meeting, to be held Sept 28-30 in Indianapolis. His breakout session is entitled “CPAP—All Pain and No Gain?”

Jain hopes his session will “spark a lively discussion and that individuals will leave with a broader perspective on treating sleep disordered breathing.”

Sree Roy is editor of Sleep Review.

1. McEvoy RD, Antic NA, Heeley E, Luo Y, Ou Q, et al. CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea. N Engl J Med. 2016 Sep 8;375(10):919-31.

from Sleep Review…

Ten Reasons Why You Need A Bigger Bed

Are you constantly being disturbed by your other half in bed? Do they steal the bedclothes or hog the space? Partner disturbance is one of the most common complaints for poor sleep.  With a larger bed you are less likely to disturb one another.  You should be able to lie side by side, with your […]

The post Ten Reasons Why You Need A Bigger Bed appeared first on The Sleep Council.

from The Sleep Council…

New UnityPoint Pekin Sleep Center Helps Locals Diagnose Sleep Apnea

In Illinois, residents of Pekin have a new closer sleep center to take care of their needs, reports the JournalStar.

Part of being able to treat a medical condition is identifying it through diagnosis. Earlier this year, UnityPoint Health made it more convenient for Pekinites concerned about sleep apnea to obtain a diagnosis by adding a sleep center to its Pekin campus located at 600 S. 13th St.

from Sleep Review…

OSA Common in Older Adults, but Rarely Tested

Many older adults have a high risk for obstructive sleep apnea; however, evaluations for the condition are seldom performed, according to research published in the Journal of the American Geriatrics Society, reports Healio.

“Although older age is a recognized risk factor for obstructive sleep apnea (OSA), estimates regarding OSA risk and discrepancies in OSA recognition and treatment are primarily based on regional data from middle-aged adults,” Tiffany J. Braley, MD, MS, from the Sleep Disorders Center at the University of Michigan, Ann Arbor, and colleagues wrote. “Little is known about the national scope of OSA risk under-recognition, and undertreatment in older adults.”

Braley and colleagues conducted a cross-sectional study to determine the proportion of older Americans at risk for OSA who receive evaluations, diagnosis and treatment for the condition. The researchers analyzed data from the National Health and Aging Trends Study survey, which asked 1,052 community-dwelling Medicare beneficiaries aged 65 years and older about sleep disturbances. Questions from the survey were similar to the validated STOP-Bang questionnaire.

from Sleep Review…

Humidifier May Help Sleep Apnea Patients Stick with Treatment

People with sleep apnea are more likely to stick with treatment when they use a built-in humidifier, a Swedish study suggests, reports WHBL.

Apnea that isn’t properly treated has been linked with excessive daytime sleepiness, heart attacks, heart failure and an increased risk of premature death. Often, patients are prescribed treatment with masks connected to a machine that provides continuous positive airway pressure (CPAP) that splints the airway open with an airstream so the upper airway can’t collapse during sleep.

To see what factors might influence whether patients stick with this cumbersome treatment, researchers followed 16,425 people who were prescribed CPAP between 2010 and 2017.

from Sleep Review…

New Research Suggests Sleeping Too Much May Be Bad For You

The Journal of the American Heart Society has released a new research paper that suggests sleeping too much may have a negative impact on health and mortality, reports Inquisitr.

The study found that people who sleep 10 hours a day or more are 30 percent more likely to die prematurely than people who get the standard eight hours. The risk for stroke and cardiovascular disease may also increase.

However, the results of the research are not entirely clear when it comes to causation and correlation. As CBS News medical contributor Dr. Tara Narula explains, the study might not be taking into account underlying conditions. Medical issues such as anemia, sleep apnea, and depression can contribute to a person sleeping longer hours and could be what the results are really telling researchers.

from Sleep Review…

What Keeps You Up At Night? How Sleep Disruptions Impact Your Waking Hours

Three sleep experts are guests on “The Source” radio program.

New research suggests that sleep time patterns like using electronics in the evening can have a disruptive effect on the body’s natural clock. What habits are good or bad for bedtime?

From insomnia to sleep apnea, what are the most common sleep disorders? What are the symptoms and how can they be treated?

from Sleep Review…

Company Must Pay Ex-Worker with Sleep Apnea for Failing to Reinstate Him Despite Medical Clearance

New Jersey Attorney General Gurbir S. Grewal and the Division on Civil Rights state that a New Jersey trucking company must pay an ex-employee with sleep apnea $30,000 to resolve allegations it fired the man despite repeated medical examinations certifying him as fit for duty.

P. Judge & Sons, Inc, a trucking company located in Essex County, must pay former employee “R.B.” $15,000 to cover lost wages and another $15,000 for alleged pain and suffering. R.B.—the ex-employee’s name is being withheld to protect his medical privacy—worked as a yard switcher at the P. Judge & Sons facility in Port Newark. Among other duties, he conducted vehicle inspections, maintained the yard, and emptied containers and trailers from the yard to the loading docks.

“This case should serve as a reminder to employers across New Jersey that our Law Against Discrimination prevents disability discrimination, and we are committed to ensuring those rights are protected,” says Attorney General Grewal in a release. “In the face of repeated certifications of fitness for duty by licensed medical professionals, employers simply do not have authority to impose their own, uninformed biases and terminate a person with a disability.”

In March 2015, R.B. underwent a physical exam required periodically for workers in his job by the US Department of Transportation. The exam resulted in a diagnosis of sleep apnea, and R.B. was placed on medical leave. R.B. then began treatment for his apnea and later underwent a

Modern Anti-Snoring Gadgets To The Age-Old Problem Of Snoring

Snoring has been an ancient problem and people from all walks of life complain about it. Back then, the public just made fun of snorers saying that it is a hilarious habit and you likely have your own personal stories to tell about your snoring grandpa, father, uncle, or even complete strangers. But in the light of modern discoveries, science has found out that snoring is actually the most predominant symptom of a deadly yet often underrated condition known as sleep apnea.

With sleep apnea, you literally stop breathing for several seconds to minutes as your brain struggles to choose between breathing and sleep. This is usually caused by an abnormal structure that causes the airway to become narrow, thus the loud snoring sound. It is essentially the air passing through your airway that causes the vibration that triggers snoring.

Over the years, we have seen our fair share of anti-snoring gadgets that promise to reduce, if not totally eradicate, snoring. Some work while others don’t and they usually come at a price. You’re no longer forced to use CPAP because many are apparently not a big fan of it.

We’ve all been told that unplugging — putting our phones away and turning off the television at least 30 minutes before going to bed — is better for our sleep, productivity and overall health, but many of us are ignoring the recommendation. We aren’t just sleeping in our beds; we