Feds: No Sleep Apnea Testing Needed for Truck Drivers, Train Engineers
(MedPage Today) -- Transportation Dept. drops proposal initiated by Obama administration
CONCLUSION: Except for the STOP-BANG questionnaire, subjective evaluation of sleepiness, sleep quality, perception of onset, and total sleep time are not important parameters for the diagnosis of obstructive sleep apnea, which reinforces the need for an active search for better management of these patients.
I read with great interest the recently published article entitled “Relationship between obstructive sleep apnoea syndrome and essential hypertension: A dose−response meta-analysis” by Xia et al. . The authors found that a high apnea−hypopnea index (AHI) significantly increased the risk of essential hypertension compared with a low AHI (odds ratio = 1.77 ) and reported that the risk of essential hypertension increased by 17% for every 10-events/h increase in the AHI.
Combined insomnia and obstructive sleep apnea has been the focus of considerable research with respect to its health effects. A related issue is whether sleep disturbances in combination with snoring might exert effects on objective sleep variables in the non-clinical general population. The purpose of the present study was to investigate the polysomnographical characteristics of individuals who had sought medical help for both disturbed sleep and for snoring. No previous work of this type has been carried out.
Distress and dysfunction in sleep and sex are both very common, and have been found to be separately related to anxiety, depression, and stress. Even so, and despite evidence linking obstructive sleep apnea and erectile disfunction, the connections between sleep and sex are largely understudied.
To comprehensively determine the effectiveness and safety of maxillomandibular advancement (MMA) for treatment of obstructive sleep apnea (OSA).
Conclusions This study demonstrates that severe OSA patients have cortical impairments which are likely contributing to their reduced knee extensors strength and endurance. Both cortical impairments and neuromuscular function are not improved after 8 wk of CPAP treatment.
The aim of this study was to investigate the changes in insular cortex metabolites and the correlation with clinical manifestations in patients with obstructive sleep apnea syndrome (OSA). Lateral insular metabolite levels were measured and relevant ratios were calculated in OSA patients and healthy individuals, including N-acetyl aspartate/creatine (NAA/Cr), choline/creatine (Cho/Cr), inositol/creatine (Ins/Cr), glutamate compound/creatine (Glx/Cr), N-acetyl aspartate/choline (NAA/Cho), and lactic acid (Lac). Participants’ scores on the Hamilton Anxiety Scale (HAMA), the Hamilton Depression Scale (HAMD), the Pittsbu...
Conclusions:The No-Apnea, a 2-item model, appears to be a useful and practical tool for OSA screening, mainly when limited resources constrain referral evaluation. Despite its simplicity when compared to previously validated tools (STOP-BANG and NoSAS), the instrument exhibits similar performance characteristics.Citation:Duarte RL, Rabahi MF, Magalhães-da-Silveira FJ, de Oliveira-e-Sá TS, Mello FC, Gozal D. Simplifying the screening of obstructive sleep apnea with a 2-item model, No-Apnea: a cross-sectional study.J Clin Sleep Med. 2018;14(7):1097–1107.
In this study, we included 50 male patients with OSA (25 moderate and 25 severe) and 25 age- and sex-matched control subjects. All subjects underwent fasting sampling of peripheral blood for laboratory analyses.Results:Adropin plasma levels were significantly lower in the severe OSA group in comparison with the moderate and control groups (4.50± 1.45 versus 6.55± 1.68 versus 8.15± 1.79 ng/mL,P
Study Objectives:Although regular physical activity improves obstructive sleep apnea (OSA) in the general population, this finding has not been assessed in postmyocardial infarction (MI) patients in a rehabilitation setting (coronary artery disease, CAD). We aimed to determine whether cardiac rehabilitation may benefit post-MI patients in terms of OSA disease and associated autonomic nervous system (ANS) activity.Methods:Consecutive post-MI patients participating in the ambulatory cardiac rehabilitation program of St-Etienne University Hospital were included in this study. The apnea-hypopnea index calculated from electroca...