Tuesday, 7 April 2015

Here's what you need to know about sleep apnoea



by Nathaniel Marshall, The Conversation


Here's what you need to know about sleep apnoea


People with sleep apnoea often complain of daytime sleepiness, and have difficulty concentrating. Credit: oohander/Flickr, CC BY-NC

Sleep apnoea is a condition where people repeatedly stop breathing while asleep. People with sleep apnoea often complain of daytime sleepiness, difficulties concentrating, and they tend to have high blood pressure. The people around them usually complain about their nightly snoring, gasping, and choking noises.



About 5% of people have treatable moderate or severe sleep apnoea, which means they stop 15 times or more times per hour while asleep. A larger number of people – as many as 20% of middle-aged folk – have mild apnoea, which means they stop breathing around five to 15 times an hour. Although this may sound pretty scary, it's still not clear that this mild version causes ill health.


Left untreated, sleep apnoea will not only shorten your life by hastening a string of illnesses, it may also increase your risk of suffering from depression. And the general sleepiness of people with the condition is thought to as much as triple their risk for car accidents and injury.


Stroke risk


The prevalence of sleep apnoea increases in ageing societies that are getting heavier, along with other age and obesity-related diseases. But studies from around the world show your risk of developing these diseases is strongly influenced by whether or not you have sleep apnoea in the first place. In particular, the condition has been linked to stroke and cancer.


The consequences of stroke can range from between temporary inconvenience to serious life-altering disability and death. Smoking, cholesterol, and are three key causes of stroke that you can control. And, unfortunately, sleep apnoea has a big impact on the latter.


The condition causes your daytime to increase a little bit over the long term. And, while you're asleep, it causes massive spikes in blood pressure. Sleep apnoea also might make your ability to process cholesterol a little less efficient.


Here's what you need to know about sleep apnoea


The families of people with sleep apnoea often complain of their snoring, gasping, and choking noises. Credit: Joshua Hayworth/Flickr, CC BY-SA


So it's not terribly surprising that studies from Spain, the United States,and Australia have all found people with untreated sleep apnoea are three times more likely to have a stroke.


And cancer


One of the more surprising recent research findings is sleep apnoea's influence on cancer risk. Researchers really weren't expecting to find this because we'd always thought sleep apnoea mainly influenced heart disease.


But in study after study from around the world we've seen that sleep apnoea increases the risk of cancer as well. And this association is not explained by other known cancer risks.


At this stage, we don't think sleep apnoea causes cells to become cancerous. It might be that if you have a few cancer cells in your body, the constant up and down of oxygen levels in your blood while you sleep causes those cells to grow more quickly. So instead of having a cancer that you never even realise you have or a slow-growing one, you get a faster growing and more aggressive version.


It's yet to be confirmed but melanomas are thought to be particularly likely to proliferate quickly when you have sleep apnoea.


Some good news


Being the harbinger of bad news isn't much fun so I'd like to give you some good news now. If you've only got mild sleep apnoea, or you just snore a bit, you probably don't have an increased risk of illness.


In fact, if you have mild sleep apnoea, you might be able to manage your risk quite effectively with dietary changes, which will improve your overall heath and stop you from developing a more severe version of the condition.


If you've got severe sleep apnoea, it's really serious but still treatable, so it's time to see a sleep doctor and get something done about it. More good news: if you do have severe sleep apnoea and you get it treated, your risk is much, much lower.


What all this adds up to is that needs to be taken seriously; it's not just a nuisance snoring condition. Not only will treatment help make you feel better, it will also reduce your risk for all kinds of attendant bad things from happening.



This story is published courtesy of The Conversation (under Creative Commons-Attribution/No derivatives).

The Conversation


Medical Xpress on facebook


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Severity of sleep apnoea predicts aggressiveness of melanoma


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by Nathaniel Marshall, The Conversation


Here's what you need to know about sleep apnoea


People with sleep apnoea often complain of daytime sleepiness, and have difficulty concentrating. Credit: oohander/Flickr, CC BY-NC


Sleep apnoea is a condition where people repeatedly stop breathing while asleep. People with sleep apnoea often complain of daytime sleepiness, difficulties concentrating, and they tend to have high blood pressure. The people around them usually complain about their nightly snoring, gasping, and choking noises.



About 5% of people have treatable moderate or severe sleep apnoea, which means they stop 15 times or more times per hour while asleep. A larger number of people – as many as 20% of middle-aged folk – have mild apnoea, which means they stop breathing around five to 15 times an hour. Although this may sound pretty scary, it's still not clear that this mild version causes ill health.


Left untreated, sleep apnoea will not only shorten your life by hastening a string of illnesses, it may also increase your risk of suffering from depression. And the general sleepiness of people with the condition is thought to as much as triple their risk for car accidents and injury.


Stroke risk


The prevalence of sleep apnoea increases in ageing societies that are getting heavier, along with other age and obesity-related diseases. But studies from around the world show your risk of developing these diseases is strongly influenced by whether or not you have sleep apnoea in the first place. In particular, the condition has been linked to stroke and cancer.


The consequences of stroke can range from between temporary inconvenience to serious life-altering disability and death. Smoking, cholesterol, and are three key causes of stroke that you can control. And, unfortunately, sleep apnoea has a big impact on the latter.


The condition causes your daytime to increase a little bit over the long term. And, while you're asleep, it causes massive spikes in blood pressure. Sleep apnoea also might make your ability to process cholesterol a little less efficient.


Here's what you need to know about sleep apnoea


The families of people with sleep apnoea often complain of their snoring, gasping, and choking noises. Credit: Joshua Hayworth/Flickr, CC BY-SA


So it's not terribly surprising that studies from Spain, the United States,and Australia have all found people with untreated sleep apnoea are three times more likely to have a stroke.


And cancer


One of the more surprising recent research findings is sleep apnoea's influence on cancer risk. Researchers really weren't expecting to find this because we'd always thought sleep apnoea mainly influenced heart disease.


But in study after study from around the world we've seen that sleep apnoea increases the risk of cancer as well. And this association is not explained by other known cancer risks.


At this stage, we don't think sleep apnoea causes cells to become cancerous. It might be that if you have a few cancer cells in your body, the constant up and down of oxygen levels in your blood while you sleep causes those cells to grow more quickly. So instead of having a cancer that you never even realise you have or a slow-growing one, you get a faster growing and more aggressive version.


It's yet to be confirmed but melanomas are thought to be particularly likely to proliferate quickly when you have sleep apnoea.


Some good news


Being the harbinger of bad news isn't much fun so I'd like to give you some good news now. If you've only got mild sleep apnoea, or you just snore a bit, you probably don't have an increased risk of illness.


In fact, if you have mild sleep apnoea, you might be able to manage your risk quite effectively with dietary changes, which will improve your overall heath and stop you from developing a more severe version of the condition.


If you've got severe sleep apnoea, it's really serious but still treatable, so it's time to see a sleep doctor and get something done about it. More good news: if you do have severe sleep apnoea and you get it treated, your risk is much, much lower.


What all this adds up to is that needs to be taken seriously; it's not just a nuisance snoring condition. Not only will treatment help make you feel better, it will also reduce your risk for all kinds of attendant bad things from happening.



This story is published courtesy of The Conversation (under Creative Commons-Attribution/No derivatives).

The Conversation


Medical Xpress on facebook


Related Stories


Severity of sleep apnoea predicts aggressiveness of melanoma


date Sep 09, 2013

The severity of sleep apnoea can independently predict the aggressiveness of malignant skin melanoma, according to a new study.



Study finds high rates of sleep apnea in women


date Aug 15, 2012

New research has found high rates of sleep apnoea in women, despite the condition usually being regarded as a disorder predominantly of males.



Sleep apnea linked with blood sugar levels


date Apr 02, 2014

Sleep apnoea has been linked with elevated blood sugar levels, suggesting people with the condition could be at an increased risk of cardiovascular illness and mortality.



Sleep apnoea patients more likely to report nodding at the wheel and fail driving simulator tests


date Apr 11, 2013

People with sleep apnoea are more likely to fail a driving simulator test and report nodding whilst driving, according to new research.



Sleep apnoea linked with increased risk of cancer death


date Sep 04, 2012

Sleep apnoea severity has been associated with increased cancer mortality in a new study.





Recommended for you



Mobile app helps physicians identify common sleep disorders in patients


date 10 minutes ago

Each year, more than 60 million Americans fail to get enough sleep at night due to a chronic sleep disorder. Yet few of these patients will be diagnosed and receive the care they need, even if they're already ...



Researchers develop groundbreaking approach to evaluate sleep disorders


date Mar 16, 2015

Ben-Gurion University of the Negev (BGU) researchers have developed a groundbreaking approach to determine sleep quality using their new breath sound analysis (BSA). This is less expensive and invasive than current polysomnography ...



Publication of sleep medicine quality measures promotes value-based care


date Mar 13, 2015

Today the American Academy of Sleep Medicine (AASM) published new quality measures for five common sleep disorders, which represents a landmark achievement in the promotion of high quality, patient-centered care in the medical ...




New quality measures approved for childhood sleep apnea


date Mar 13, 2015

A work group of physicians from leading academic medical centers across the country, including NYU Langone Medical Center, has developed new quality measures for the detection and treatment of childhood obstructive ...




Risk of motor vehicle accidents is higher in people with sleep apnea


date Mar 10, 2015

A new study finds that obstructive sleep apnea is associated with a significantly increased risk of motor vehicle accidents, and this risk is reduced when sleep apnea is treated effectively using continuous ...



Sleep apnea is common in women with pregnancy diabetes


date Mar 07, 2015

Obstructive sleep apnea (OSA) is prevalent in obese, pregnant Asian women with gestational diabetes, even when their diabetes is controlled by diet, a new study from Thailand finds. Study results, which also connect the severity ...




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