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Untreated sleep disorders among police officers may adversely affect their health and safety and pose a risk to the public

A research showed 40 percent of police officers had symptoms of a sleep disorder, including sleep apnea and insomnia.

Officers who screened positive for those disorders were also more likely to be burned out, depressed or have an anxiety disorder. They committed more administrative errors and safety violations and were more prone to falling asleep at the wheel than sound sleepers.

When police officers in particular suffer from sleep problems, it becomes a public health and safety problem. Researchers say police departments could do more to make sure that officers with sleep disorders receive appropriate treatment, which may include sleep machines, therapy or changes in work schedules. The officers were on average 38 to 39 years old and most had been in the police force for more than decade. For the full study, see: http://jama.ama-assn.org/content/306/23/2567.abstract

DEPRESSION, BURNOUT, ANXIETY

Officers with a sleep disorder were more than twice as likely as healthy sleepers to report depression, emotional exhaustion or burnout and anxiety disorders on their original surveys.

On follow-up questionnaires sent out over the next two years, they were also 40 to 60 percent more likely to report making serious administrative errors, falling asleep while driving or committing a fatigue-related error or safety violation during work. Poor sleepers reported more citizen complaints and more often showed uncontrolled anger toward a suspect or citizen. The researchers noted that being heavy increases the risk of sleep apnea, and that almost 80 percent of the officers they surveyed were overweight or obese.

HEALTH AND SAFETY ISSUES

Putting in measures to catch sleep disorders early could help prevent future health and safety consequences, researchers say. Sleep apnea can be treated with a breathing machine and mask used at night. For cops with shift-work disorder, cutting back on extra-long shifts and overtime hours could help.

“What are we doing with impaired cops working these critical jobs where the public safety is at risk?” Vila, also a former law enforcement officer, told Reuters Health. “This is a critical problem, and it affects a population we rely on to do some of the most sensitive things in society.”

Source: http://in.reuters.com/article/2011/12/20/us-police-idINTRE7BJ2AZ20111220

 

 

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Robot to help with snoring

Frankly, it sounds terrifying to me to be pawed in the face by a stuffed robotic polar bear while I sleep*. It’s no nightmare though. Japanese engineers have developed the bear — named Jukusui-kun (or “deep sleep”) — to gently prod chronic snorers and induce them to change their sleeping position to alleviate the snores.

Jukusui looks sweet and soft, but under the surface it has a complex system to monitor its charges as they sleep. The bear is connected to a fuzzy little glove worn by the sleeper measuring pulse-oxygen levels; sensors under the sheets and a microphone in the bear monitor noise and decibel levels. The user’s vitals are entered as a baseline into a terminal, connected wirelessly to the bear.

When the snoring gets too loud or a dangerous disruption in breathing (such as sleep apnea ) occurs, the bear senses both the noise and changes in one’s blood oxygen saturation. Then, like a superhero of sleep, Jukusui springs slowly into action and lands a paw to the face.

While the subject of jokes (and sometimes marital strife), snoring and sleep apnea are legitimate health concerns. Two million people in Japan alone suffer from some form of these conditions so it’s easy to see why they’re tackling this issue. Those with disruption in sleep from snoring and sleep apnea suffer exhaustion, inattention and are prone to other health concerns over time.

The bear was developed at Tokyo’s Waseda University and introduced to the world at the International Robot Show. No word on how a giant moving polar bear might affect the sleep of the person lying next to it, but we welcome Jukusui-kun nevertheless!

Source: http://dvice.com/archives/2011/11/robotic-polar-b.php

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According to Indian researchers, treatment of sleep apnea lowers blood pressure and cholesterol

People who use face masks for sleep apnea may have one more reason to breathe easier at night. The masks, known as continuous positive airway pressure (CPAP) therapy, were found to reduce the risk for heart disease and other health problems, a new study shows.

Previous studies have linked sleep apnea to an increased risk for diabetes, heart disease, stroke, and obesity.

CPAP therapy uses a face mask attached to a machine that uses air pressure to keep airways open.

The study – published in the Dec. 15 issue of the New England Journal of Medicine – investigated the connection between obstructive sleep apnea and metabolic syndrome, which is the name for a group of risk factors – including belly fat and insulin resistance – that raise the risk for heart disease, diabetes and stroke.

What did they find?

After three months of CPAP therapy, patients with moderate-to-severe obstructive sleep apnea had lower blood pressure, lower cholesterol, and a number of other heart risk factors were reversed.

With treatment that appears to reverse these effects, why does not everyone with sleep apnea use CPAP masks?

For one, sleep apnea often goes undiagnosed. Sleep apnea effects a lot of people, but most don’t realize they have it because it only occurs during sleep, and doctors generally can’t detect the condition during routine office visits. Those that do know they have the condition often don’t want to bother with masks, which they may find cumbersome.

Source: http://themedguru.com/node/46150

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Dont snore at it

Don’t dismiss your snoring and disturbed sleep as mere annoyance. Get yourself checked for sleep apnea

Pradeep Gogari hadn’t had a good night’s rest in a long time. To add to his difficulty in sleeping and breathing properly at night, he would often wake up with a sudden start and drift back to sleep much later. Gogari ignored his disturbed sleep and often took quick-fix nasal clearance medication instead. Without proper rest, he woke up on most mornings feeling lethargic and zapped of energy. At 155 kgs, this 42-year-old was morbidly obese with high blood pressure in the range of 110-170. When he came to Dr Shashank Shah, Laparoscopic and Bariatric Surgeon at Dr LH Hiranandani Hospital he was diagnosed suffering with sleep apnea. “I knew I snored, but I didn’t know that I had a medical disorder. Twelve years ago, I had a car accident which left me in coma for three months and bed ridden for another six months. Left with nothing to do, I took refuge in food. After that, I never got back to normal weight or a good nights’ sleep,” says Gogari.

Source: http://articles.timesofindia.indiatimes.com/2011-01-23/health/28379546_1_sleep-apnea-airway-breathing

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Doctors combine CPAP treatment with oral appliance therapy

Doctors recommend continuous positive airway pressure (CPAP) as the gold standard of sleep apnea treatment. But 25 to 50 percent of patients do not use the treatment on a regular basis because they can’t tolerate the pressure produced by CPAP. To increase compliance and effectiveness of CPAP, some doctors are combining CPAP treatment with oral appliance therapy.

Research in the journal Sleep and Breathing shows that combination therapy normalized breathing disturbances in sleep apnea patients who were otherwise intolerant to CPAP. When CPAP was used with an oral appliance, patients were able to tolerate their treatment better than CPAP by itself.

Typically, the two treatments are given separately. Oral appliances are fitted by dentists trained in dental sleep medicine. These devices fit like sports mouth guards and move the jaw and tongue forward to open the airway. Oral appliances are most effective with mild to moderate sleep apnea patients.

This study included 10 OSA patients who didn’t tolerate CPAP. They were using oral appliance therapy but still experiencing pauses in breath during sleep. The patients were taken off oral appliance therapy for one week. They then wore CPAP and an oral appliance together for three nights. Oxygen levels were recorded during a sleep study and patients took the Epworth Sleepiness Scale.

Results show that the oral appliance/CPAP combination was well tolerated by all participants. The number of times patients stopped breathing per hour of sleep was reduced from 11 times per hour to three times per hour after combination therapy.

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Source: http://www.aadsm.org/articles.aspx?id=2633

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Snoring: Big noise, little truth

Snoring is taken for granted, ignored and borne with…but never understood for what it really is

Do you believe that snoring is just a nuisance for those around but otherwise harmless? You are mistaken. It is a serious problem that affects multitudes, the world over.

Snoring means a person is getting deep comfortable sleep

It’s quite the opposite—snoring causes frequent disruptions in sleep and prevents a person from drifting into deeper stages of sleep, that are essential to function normally.

It is a sign that your body is struggling to breathe and is caused due to vibrations of the soft palate, which obstructs the airway. Obstructed breathing also results in a drop in the blood oxygenation, causing the heart to pump faster to prevent oxygen deprivation.

Such stress on the cardiovascular system has several short- and long-term health consequences. Snoring, in children, although relatively rare, is particularly worse as their rapidly developing brain requires high levels of oxygen in the blood.

It is normal to snore because everyone snores

Snoring is a disease and considering it normal undermines the seriousness of the underlying health hazards. Excessive or regular snoring can be an indication of sleep apnoea [pauses in breathing].

Sleep apnoea sufferers have been reported to have diminished amount of brain cells for intelligence and intellect, i.e. gray cells, due to the oxygen deprivation from untreated sleep apnoea.

Reports have shown that as the quality of sleep decreases, the secretion of vital hormones like growth hormone, melatonin, and cortisol too diminishes. This eventually leads to various problems like obesity, early ageing, lethargy, poor concentration, irritability, hypertension and degrading your immune function.

Snoring only affects me so I can ignore it

Snoring affects not just the health of the person snoring, but also their bed partner. A typical snorer usually produces a noise that averages around 60 decibels [about the level of a vacuum cleaner] but with some people this can reach 80 or even 90 decibels [about the level of an average factory].

Sleeping with a partner who snores during the night has been shown to increase the blood pressure of the other person, which may be dangerous for the person’s health in the long term. The partner gets fragmented sleep and loses up to one hour of sleep every night [on an average].

Sleep deprivation due to snoring is also responsible for a majority of road accidents—Delhi police maintains that if a person suffers from snoring and therefore a condition that makes it dangerous to drive, the individual’s actions may be considered negligent and may lead to civil or criminal liability in the event that someone is injured or killed.

Snoring is due to nasal congestion, so if I clear my nose, my snoring will stop

While having a stuffy nose may worsen your snoring and sleep apnoea, it is not the cause. A recent study showed that undergoing nasal surgery for breathing problems cured sleep apnoea in only 10 per cent of patients.

Snoring vibrations typically come from the soft palate, which is aggravated by having a small jaw and the tongue falling back. It’s a complicated relationship between the nose, the soft palate and the tongue.

There is no treatment for snoring

Snoring can and should be treated. Some treatment options are rather drastic, possibly requiring surgery or CPAP [air pump that forces you to breathe], but prior to exploring such options, it would be wise to first seek alternative treatments.

Lifestyle changes such as quitting smoking, avoiding alcohol and heavy meals before sleeping can greatly reduce your snoring. Oral appliances too are a cost effective treatment method that have no major side effects. Comparative studies have shown that 75 per cent prefer an oral appliance over CPAP due to comfort and ease of use.

Source: http://completewellbeing.com/article/big-noise-little-truth/

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Bury the myths about snoring

Dr Viranchi Oza, Omnisleep Solutions, addresses a few important facts and busts a few myths surrounding snoring:

Myth: Everybody snores therefore it’s normal.
Fact: Snoring is not a normal condition. Labelling it as “normal” diminishes the seriousness of the condition. Snoring is not just about annoying your partner; it is a sign that the body is struggling to breathe properly during the night. If it occurs on a frequent or regular basis it has been associated with hypertension. It can also be an indication of sleep apnea (pauses in breathing). Sleep apnea sufferers have been reported to have diminished gray cells in their brains, most likely due to the oxygen deprivation of untreated sleep apnea. Over time, sleep apnea increases the risk of cardiovascular disease if not treated. In addition, insufficient sleep affects growth hormone secretion that is linked to obesity. As the amount of hormone secretion decreases, the chance of weight gain increases.

Myth: Snoring Can’t Be Treated.
Fact: There are many different options for treating snoring. Some treatment options are rather drastic, possibly requiring surgery or prescription drugs, but prior to exploring such options it would be wise to first seek out alternative treatments. One of the most comfortable and popular options is to use the custom fabricated oral appliance Silent Sleep TM oral appliance fitted by trained Omnisleep dentists.

Myth: I know I don’t snore, or I know I don’t have apnea. I feel fine.
Fact: There are people who snore excessively and have sleep apnea but feel absolutely normal. But they’re at increased risk for heart disease, heart attack, and stroke. The only definitive way to prove that you don’t have sleep apnea is with a sleep study. However, screening questionnaires like the GASP or the Epworth have shown high reliability in identifying patient risk for sleep apnea. At Omnisleep, depending on your risk for sleep apnea, we offer a variety of choices in diagnosing sleep apnea to provide the optimal solution for your condition.

Myth:Insomnia is characterised only by difficulty in falling asleep.
Fact: Usually there are four symptoms associated with insomnia: difficulty in falling asleep, waking up too early and not being able to get back to sleep, frequently waking up, waking up not feeling fresh. Insomnia can also be a symptom of a sleep disorder or other medical, psychological or psychiatric problems. Sometimes, insomnia can really be a case of undiagnosed sleep apnea. At Omnisleep, our home sleep studies will help provide the correct diagnosis of your sleep disorder which will help in determining a suitable treatment plan for you.

Myth: Daytime sleepiness means a person is not getting enough sleep.
Fact: Excessive daytime sleepiness can occur even after a person gets enough sleep. Such sleepiness can be a sign of an underlying medical condition or sleep disorder such as narcolepsy or sleep apnea. Please seek professional medical advice to correctly diagnose the cause of this symptom. Omnisleep Solutions provides turnkey solutions for diagnosis and treatment of snoring and obstructive sleep apnea.

Myth: Getting just 1 hour less sleep per night than needed will not have any effect on your daytime functioning.
Fact: This lack of sleep may not make you noticeably sleepy during the day, but even slightly less sleep can affect your ability to think properly and respond quickly, and it can compromise your cardiovascular health and energy balance as well as the ability to fight infections, particularly if lack of sleep continues. Lack of sleep has also been associated with road accidents (up to 60% of road accidents involve lack of sleep) and air crashes (Air India Mangalore plane crash in 2010 was due to lack of sleep). Sleeping for less than 6 hours a night is equivalent to legal levels of alcohol intoxication.

Myth: Extra sleep at night can cure you of problems with excessive daytime fatigue.
Fact: Not only is the quantity of sleep important but also the quality of sleep. Some people sleep 8 or 9 hours a night but don’t feel well rested when they wake up because the quality of their sleep is poor. A number of sleep disorders and other medical conditions affect the quality of sleep. Sleeping more won’t alleviate the daytime sleepiness these disorders or conditions cause. However, many of these disorders or conditions can be treated effectively with changes in behaviour or with medical therapies.

Myth: If I lose weight, I’ll cure myself of sleep apnea.
Fact: Sometimes, yes. It’s definitely worth trying, but in general, it’s very difficult to lose weight if you have sleep apnea. This is because poor sleep aggravates weight gain by increasing your appetite. Once you’re sleeping better, it’ll be easier to lose weight. This is the one ingredient with many dietary and weight loss programs that’s missing or not stressed at all. It’s not enough just to tell people to sleep more.

Myth: Sleep apnea occurs only in older, overweight, snoring men with big necks
Fact: Although the stereotypical description does fit people in the extreme end of the spectrum, we now know that even young, thin women that don’t snore can have significant obstructive sleep apnea. Sleep apnea begins with jaw structure narrowing, and later involves obesity. It’s estimated that 90% of women with this condition are not diagnosed. Untreated, it can cause or aggravate weight gain, depression, anxiety, diabetes, high blood pressure, heart disease, heart attack, and stroke.
Myth: Health problems such as obesity, diabetes, hypertension, and depression have no relation to the amount and quality of a person’s sleep.
Fact: More and more scientific studies are showing correlations between poor quality sleep and insufficient sleep with a variety of diseases. Blood pressure is variable during the sleep cycle; however, interrupted sleep negatively affects the normal variability. Recent studies have shown that nearly 80% cases of hypertension, 60% cases of strokes and 50% cases of heart failures are actually cases of undiagnosed sleep apnea. Research indicates that insufficient sleep impairs the body’s ability to use insulin, which can lead to the onset of diabetes. Fragmented sleep can cause a lowered metabolism and increased levels of the hormone Cortisol, which results in an increased appetite and a decrease in one’s ability to burn calories.

Myth: Snoring only affects the health of the snorer.
Fact: Snoring doesn’t just negatively affect the health of the person snoring, but also the health of the person lying next to them in bed. A typical snorer usually produces a noise that averages around 60 decibels (about the level of a vacuum cleaner) but with some people this can reach 80 or even 90 decibels (about the level of an average factory). Sleeping with a partner who snores during the night has been shown to increase the blood pressure in the other person, which may be dangerous for their health in the long term. Snoring also causes the partner to have fragmented sleep and lose up to 1 hour of sleep every night.

Myth: Snoring comes from the nose, so if I unclog my nose, my snoring will stop.
Fact: Having a stuffy nose can definitely aggravate snoring and sleep apnea, but in general, it’s not the cause. A recent study showed that undergoing nasal surgery for breathing problems cured sleep apnea in only 10% of patients. Snoring vibrations typically come from the soft palate, which is aggravated by having a small jaw and the tongue falling back. It’s a complicated relationship between the nose, the soft palate and the tongue.

Source: http://www.mumbaimirror.com/article/9/2011040120110401191240724291e93a3/Bury-the-myths-about-snoring.html

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10 pc of city population suffers from sleep disorder

Many people in the twin cities are losing sleep though many do not realise it. Nearly 10 per cent of the population suffers from sleeping disorders, especially Obstructive Sleep Apnea (OSA).

This is a condition which occurs when the muscles that control the tongue and the soft palate relax and block the passage of air. This leads to lack of oxygen to the brain and makes people wake up. This happens mostly at night, though the person is not aware of it.

This was revealed in a study by the city-based Institute of Sleep Medicine, the only centre in the country approved by the American Sleep Disorders Association to conduct such studies and administer treatment.

Snoring, followed by silence and a loud snort, before normal breathing restarts characterises the sleep pattern of an OSA patient. OSA patients suffer from excessive daytime sleepiness and irritation. They also emit loud snorts while inhaling. It may lead to depression, high blood pressure, memory lapses and morning headaches.

According to institute director Dr Ajit Vigg, though many people have not heard of OSA, almost 10 per cent of the population may be suffering from it.

The Institute of Sleep Medicine has examined nearly 5,000 OSA patients. The most common treatment for OSA is the Nasal Continuous Positive Airway Pressure (CPAP) method, in which a unit delivers lightly pressurised air through a small nose mask that keeps the upper airway open.

Obstructive Sleep Apnea (OSA)

Symptoms: Excessive daytime sleepiness, loud snorting, irritability

Consequences: Depression, high blood pressure, memory lapses, morning headaches

Characteristics: Snoring followed by gaps of silence

Source: http://articles.timesofindia.indiatimes.com/2002-10-15/hyderabad/27313735_1_osa-excessive-daytime-sleepiness-obstructive-sleep-apnea

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Snoring problem? You may have diabetes

Australian researchers have suggested a strong relationship between obstructive sleep apnea (OSA), snoring and type-2 diabetes.

According to the International Diabetes Federation (IDF), 40 per cent of patients with apnoea suffer from diabetes, while about 23 per cent of diabetics have apnoea.

Now, IDF is urging doctors treating patients with one condition to test for the other.

“There’s no question about the link,” New Scientist quoted Paul Zimmet, co-chairman of the IDF’s task force on epidemiology and prevention, based in Melbourne, Australia, as saying.

Sleep apnoea is the commonest treatable cause of both high blood pressure and heart failure, while type 2 diabetes can also be fatal but is easily managed with the right diet and insulin.

Now, studies are on to identify all patients who have both and to investigate the cause of the link.

Source: http://articles.timesofindia.indiatimes.com/2008-06-17/health/27741813_1_international-diabetes-federation-sleep-apnoea-type

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Snoring can damage heart, say docs

Does your loud snoring disturb others at home? Don’t just ignore it as a sign of a good night’s sleep. Doctors say snoring is a serious medical condition and in some cases can even lead to high blood pressure, diabetes and heart problems. In fact, snoring is also a sign of serious sleep apnea.

Not just adults, even children are found to snore. But in their case the reasons are different and can be managed with age. “In children snoring is often due to tonsillitis, as it blocks the airway behind the tongue or due to obesity. These children often face difficulty in breathing while sleeping and have disturbed sleep. Obesity is an important reason in both children and adults,” said Dr SK Sharma, head of department, medicine, and in charge of sleep medicine clinic at AIIMS.

Snoring occurs when the airway gets obstructed. And this could be due to excess fat around the neck, which forces the muscles to narrow down or due to infection. “We hear the sound of snoring as the airway gets narrow, thereby increasing the airflow in the respiratory system through the small opening. The air, before reaching the lungs, vibrates the soft tissues and as a result we produce the loud sounds,” said Dr Vikram Sarbhai, senior consultant and in charge of sleep medicine, Max healthcare.

The obstruction of airway can be in the nostrils or behind the tongue. The nostril obstruction can be treated with a special nose strip available in the market that helps in opening the nasal blockages. But if it is due to obstruction in the throat, then it is important to see an expert, as it could lead to serious medical conditions.

“A lot of people don’t consider it a serious problem. If a person snores then he/she should get themselves screened at a sleep medicine clinic, as in the long run it could result in high blood pressure, diabetes and heart problems. Due to decrease in oxygen supply, the body gets stressed and produces certain chemicals and hormones that can bring about changes in the body’s metabolism,” said Dr Manvir Bhatia, chairman of sleep clinic, Sir Ganga Ram Hospital.

Sleep Apnea is a dangerous consequence of ignoring a snoring problem. In this, patients don’t breathe for more than 10 seconds due to obstructed airway. As a result, they have disturbed sleep at night and make up for it by sleeping in the day. Experts say this can be dangerous as people can suddenly fall asleep while driving. “Sleep apnea should be taken seriously. Such people have to be kept on continuous positive airway pressure (CPAP) machine. In such cases, the throat muscles collapse, closing the airway completely. This can be dangerous. This machine acts like a splint and keeps the airway open with air pressure. A person diagnosed with sleep apnea has to sleep wearing a mask hooked to a machine,” said Dr R S Chatterji, head of department, pulmonology and sleep clinic, Rockland hospital.

Doctors say it is important to diagnose this problem in the initial stages as it can be cured. “The biggest problem with snoring is that it is the commonest problem, yet under-diagnosed and unrecognized,” said Dr Sarbhai.

Source:  http://articles.timesofindia.indiatimes.com/2008-11-02/delhi/27902791_1_continuous-positive-airway-pressure-sleep-apnea-high-blood-pressure

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