Sleep Apnea – A Sleeping Epidemic

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Patients often present to ENT clinics with sleep disturbance. Their symptoms can include insomnia, interrupted sleep, interrupted sleep of the sleeping partner, poor energy levels and daytime sleepiness.

The stages of sleep
Sleep is divided into five stages. The first four are associated with deepening sleep, decreased muscle activity and slowed breathing and pulse rate. The fifth stage is reached when rapid eye movement occurs. It is in this stage that dreaming occurs. The fourth stage is the deepest form of sleep during which the patient is the least arousable. It is associated with delta waves on the electroencephalogram.

How many people are affected?
Sleep disorder, in its various forms, is very common. A third of adults report sleep disorder at some point in their lives. 20-40% of adults report sleep disorder at some time in the year. 17% rate their sleep disorder as serious. 20% of adults complain of chronic insomnia.

Gender
Sleep disorder is more common in women with a female:male ratio of 3:2. Men are more likely to have obstructive sleep apnoea (OSA). 4% of men have OSA compared with 2.5% in women.

Age
Sleep disturbance gets worse with age. In the 30 to 50 year old age group, 5% suffer. Over 50 years this rises to 30%. The elderly experience decrease sleeping periods, awake more often in the night and are more likely to take medications which disrupt sleep.

Causes
The causes of sleep disturbance can be split into medical, psychological and environmental problems.

Medical problems
These are myriad and include heart failure, neurological conditions, thyroid problems and other disorders of the hormone system, acid reflux from the stomach, stimulants (caffeine and alcohol), certain medications and upper airway obstruction.

Psychological problems
These include depression, post-traumatic stress, anxiety, thought disorder and psychiatric medication.

Environmental problems
Life-threatening events, shift-working, jet lag, changes in altitude, hot sleeping environment, environmental noise (e.g. snoring form the sleeping partner) or frequent external disturbance.

Treatment
Given the number of serious medical conditions that can cause sleep disturbance, patients should always consult their primary care doctor.

Simple life-style changes may also help. Dietary modifications are not generally required but avoiding big meals and spicy foods 3 hours before bedtime helps.

Stimulants and substances that disturb sleep architecture should be avoided. These include caffeine, alcohol and nicotine. Nicotine and caffeine should be avoided from late afternoon onwards.

Strenuous exercise is good during the day but should be avoided in the 3 hours before sleep. Psychologically stimulating activities should also be avoided including tense films, engrossing novels, thrilling TV and arguments.

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http://www.cpap.com — ComfortGel CPAP Mask – Adjusting Cheek Pad Supports on Face

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An advanced Anti Snoring Device. The Aveo TSD is a simple, inexpensive and non-invasive solution to problem snoring and obstructive sleep apnoea. Visit www.pharmacyonweb.co.nz to purchase.

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http://www.sleepapneastop.com

TMJ as a Sleep Apnea Treatment

Brought to you by Sleep Apnea Stop. The only stop you will need to stop your sleep apnea and snoring once and for all. Sleep like a baby tonight.

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Take the Sleep Apnea Test Today at http://www.mysleeptest.com.

Sleep apnea is a serious, potentially life-threatening condition that is far more common than generally understood. First described in 1965, sleep apnea is a breathing disorder characterized by brief interruptions of breathing during sleep. Apnea comes from the Greek word meaning “want of breath” and is clinically defined as any cessation of breath lasting 10 or more seconds.

http://www.mysleeptest.com

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Dr. Alice Boghosian, a Chicago dentist, demonstrates an anti-snoring device at the Chicago Dental Society 2009 Midwinter Meeting. For more from Midwinter Meeting, visit www.cds.org/blog.

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Pt 1 of 2 of www.cpapchoice.com review of the Respironics Full Face Comfort Gel CPAP Mask.

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http://www.sleepapneastop.com

Sleep Apnea Treatment Options – Lifestyle Changes

Brought to you by Sleep Apnea Stop. The only stop you will need to stop your sleep apnea and snoring once and for all. Sleep like a baby tonight.

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A very rough video made to demonstrate what CPAP is and to highlight the dire need for funding for CPAP across the whole of the UK. Please sign the petition http://is.gd/mSly

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