SLEEP APNEA

Sleep apnea means that you often stop breathing for 10 seconds or longer during sleep. The problem can be mild to severe, based on the number of times each hour that you stop breathing or how often your lungs don't get enough air. This may happen from 5 to 50 times an hour.

This topic focuses on obstructive sleep apnea, which is the most common type.
A less common type of apnea, called central sleep apnea, can occur in people who have had a stroke, have heart failure, or have a brain tumor or infection. Even though this topic isn't about central sleep apnea, some of the treatments discussed here may also help treat it. Talk with your doctor to find out more about central sleep apnea.

What causes obstructive sleep apnea?
Blocked or narrowed airways in your nose, mouth, or throat can cause sleep apnea. Your airway can become blocked when your throat muscles and tongue relax during sleep.

Sleep apnea can also occur if you have large tonsils or adenoids or a large uvula. During the day, when you are awake and standing up, these may not cause problems. But when you lie down at night, they can press down on your airway, narrowing it and causing sleep apnea. Sleep apnea can also occur if you have a problem with your jawbone.

In children, the main cause of sleep apnea is large tonsils or adenoids .
Children Snoring
Sleep apnea is more likely to occur if you are overweight, use certain medicines or alcohol before bed, or sleep on your back.

See pictures of normal and blocked airways during sleep.

Obstructive Sleep Apnea Airway
What are the symptoms?
The main symptoms of sleep apnea that you may notice are:

• Being so sleepy during the day that you fall asleep while working or driving.

• Feeling tired in the morning.
• Waking up with a headache.

Your bed partner may notice that while you sleep:

• You stop breathing.
• You often snore loudly.
• You gasp or choke.
• You toss and turn.

Children who have sleep apnea:

• Nearly always snore.
• May have a hard time breathing during sleep.
• May be restless during sleep and wake up often.

But children may not seem very sleepy during the day (a key symptom in adults). The only symptom of sleep apnea in some children may be that they do not grow as quickly as most children their age.

Should you worry about sleep apnea?
If you have sleep apnea, you may not be sleeping as well as you could. And you may
be more likely to end up with serious problems such as:

• High blood pressure.
• High blood pressure in your lungs.
• An abnormal heart rhythm, heart failure, coronary artery disease (CAD), or stroke.
• Depression.

How is sleep apnea diagnosed?
Your doctor will probably examine you and ask about your past health. He or she may also ask you or your sleeping partner about your snoring and sleep behavior and how tired you feel during the day.

Your doctor may suggest a sleep study. A sleep study usually takes place at a sleep center, where you will spend the night. Sleep studies find out how often you stop breathing or have too little air flowing into your lungs during sleep. They also find out how much oxygen you have in your blood during sleep. You may have blood tests and X-rays.

How is it treated?
You may be able to treat mild sleep apnea by making changes in how you live and the way you sleep. For example:

• Lose weight if you are overweight.
• Sleep on your side and not your back.
• Avoid alcohol and medicines such as sedatives before bed.

Treats Snoring & Sleep Apnesa

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Snoring & Health
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More people world wide are afflicted by snoring than most people think. Two in five men snore. One in ten women and even 18 % of all children snore.

The noise generated by snoring can reach more than 90 decibels, which is the same noise level as a bar full of people with music. It takes no more than 30 decibels to disturb a good night’s sleep.

The health consequences of snoring are often underestimated.

Snoring disturbs the regular sleeping pattern of you and your partner.
The faltering Stop Snoringbreathing through the mouth, in combination with the obstruction of your pharynx due to the incorrect position of your lower jaw, causes your oxygen uptake to be deficient during sleep. As a result you get insufficient rest and are still tired when you wake up in the morning.

The lack of regeneration, or ‘recharging of your batteries’, during sleep can lead to serious health problems in the long term.


Snoring also disturbs your partner’s rest, causing his of her sleep patterns to be interrupted. Snoring often causes couples to drift apart, both emotionally and physically (sleeping in another room). Research shows that emotional and physical distance between partners can have a negative effect on their health in the long term.

Snoring affects your health

*Social *Conflicts in relationships

*Partners sleeping separately *Less sexual drive

*Social isolation *Medical

*Fatigue
*Concentration problems
*Apnea
*Cardiac disease

Obstructive Sleep Apnea Syndrome (OSAS):

Apart from the negative long-term effects on your health snoring can also cause serious short-term damage to your health, if you suffer from ‘sleep apnea’.

There are three kinds of sleep apnea: obstructive, central and complex. Obstructive sleep apnea is the number one cause of loud snoring. When the flow of air in the mouth or nose is interrupted for more than 5 seconds, this is called Obstructive Sleep Apnea Syndrome (OSAS). Sleep apnea causes you to wake up several times a night, and can lead to fatigue and concentration problems during the day.

Sleep apnea is measured using the Apnea-Hypopnea Index (AHI). As of at least 5 apneas per sleep session, the sleep apnoea is characterised as Obstructive Sleep Apnea Syndrome (OSAS). Up to 15 apnoeas a night constitutes a mild form of the syndrome.

Symptoms of sleep apnea

*Loud snoring
*Headaches in the morning
*Night sweats
*Dry mouth
*Waking up
*Repeated nightly visits to the toilet

Obstructive snoring:

Obstructive snoring is characterised by a partial obstruction in the upper respiratory tract. In the long run this can lead to high blood pressure and the risk of cardiovascular diseases. Some scientists have even suggested a link with early dementia, because poor oxygen uptake during sleep over a long period of time can cause brain damage.

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Are Kids Snoring Their Way To ADHD? -Researchers Conclude Sleepiness And Sleep Apnea May Be Exhibited As Symptoms Of ADHD.

CNN Headline News recently reported on a study that new research suggests children who snore face nearly double the risk of being inattentive and hyperactive, providing fresh evidence of an intriguing link between sleep problems and attention deficit disorders.

Children's behavioral problems may be linked to their sleep habits, according to a new study. Children who snore often are nearly twice as likely as other children to have attention and hyperactivity problems, found a new study by the University of Michigan Health System. The results, published in the March issue of the journal Pediatrics, provide some of the most solid evidence ever of a link between sleep problems and behavior.

The link is strongest in boys under 8. Snorers in this group were more than three times more likely than non-snorers to be.

The National Commission on Sleep Disorders Research estimates that 38,000 cardiovascular deaths, due to sleep apnea, occur each year in the US. Over the long term, serious sleep apnea conditions have been linked to a greater risk of hypertension and cardiovascular diseases. However, sleep apnea was not well understood or recognized by the medical community until recently. And only a fraction of sufferers have been diagnosed and treated.

Losing Weight While You Sleep

Lose weight while you sleep. It sounds like something you'd hear on a late night infomercial -- just around the time you are reaching for that bag of cookies because, well, you can't sleep.

But as wild as the idea sounds, substantial medical evidence suggests some fascinating links between sleep and weight. Researchers say that how much you sleep and quite possibility the quality of your sleep has a great deal to do with weight gain.

Lack of Sleep Linked To Weight Problems
American Diabetes Association

Overweight and Obese Patients in a Primary Care Population Report Less Sleep than Patients with a Normal Body Mass Index.

The Problems and What Is Known About It
Lack of sleep has been linked to overweight and obesity. In addition to the known health problems caused by lack of sleep, including altered mood and decreased mental and motor skills, research suggests that too little sleep causes hormone changes that might lead to obesity.

Why Researchers Conducted This Study
The goal of the study was to look further to see whether lack of sleep leads to a higher body mass index (BMI). BMI is a measure of being overweight.

Who Was Studied
A total of 1,001 people, 18 to 91 years of age, participated in the study. Results from 924 subjects were analyzed.

How Was the Study Conducted
People in the study filled out a survey, listing their medical history and sleep habits. Questions included one on total sleep time (TST) per 24 hours. Other factors that were considered included, sleep hygiene issues (use of caffeine, tobacco, alcohol), medical issues, and gender.

Each person's height and weight were measured to calculate BMI, and subjects were put into four groups: normal weight, overweight, obese, and extremely obese. The researchers then compared body mass to total sleep time.

What the Researchers Found
The less people slept, the heavier they tended to be, except in the extremely obese group. Patients in the obese group slept less than patients in the overweight or normal-weight group. Patients in the overweight group, however, did not sleep much less than patients with a normal body weight. The extremely obese patients did not report a further decline in sleep time; however, researchers suggest other health-related factors, such as medication, may have distorted their sleep history.

Limitations of the Study
Because data from this study were taken from a survey, people may have slept more or less than they said. In addition, a big percentage of people in this study fell into the obese category of BMI. Obese people tend to have problems from diabetes, high pressure, or indigestion that may make it difficult to sleep.

Implications of the Study
The link between body mass and sleep time needs further study. In addition to diet and exercise, getting enough sleep may be a key part of a weight-loss program. Overweight people may want to examine their sleep patterns to improve overall health.

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