Sleep-Disordered Breathing in Pregnancy

Sleep-disordered breathing (SDB) in pregnancy can present as snoring and/or obstructive sleep apnea (OSA), and the prevalence is increasing due to the increase in maternal obesity. Pregnant women often present with fatigue and daytime sleepiness rather than the classic symptoms. Habitual snoring, older age, chronic hypertension, and high prepregnancy body mass index are reliable indicators of increased risk for SDB and should trigger further testing. The gold standard for diagnosis of OSA is an overnight laboratory polysomnography. Although there are no studies linking SDB to poor fetal outcomes, fetal well-being remains paramount throughout the course of pregnancy.
Source: Sleep Medicine Clinics - Category: Sleep Medicine Authors: Source Type: research

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CONCLUSIONS: Dental appliances may be considered an appropriate second-choice option to treat severe OSA in patients who are noncompliant with CPAP. This study helps physicians identify patients with extremely severe OSA who are suitable for dental appliance treatment. Well-designed large-scale studies are needed to reach definitive conclusions. PMID: 30109792 [PubMed - in process]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
CONCLUSIONS: A minority of pregnant women met the recommended GWG. No difference was noted between normal and high-risk pregnancies. High-risk population tended to have a less healthy lifestyle. Counseling to follow a healthy, balanced diet should be recommended, regardless of pregnancy risk, with particular attention to women at high risk of extra weight gain. PMID: 30109788 [PubMed - in process]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Publication date: Available online 16 August 2018Source: Biochimica et Biophysica Acta (BBA) - Molecular Basis of DiseaseAuthor(s): Chen Chi, Dong-Jie Li, Yu-Jie Jiang, Jie Tong, Hui Fu, Yi-Hang Wu, Fu-Ming ShenAbstractAging is a worldwide challenge, and it is accompanied by the accumulation of senescent cells. Cellular senescence is traditionally defined as permanent cell growth arrest and currently includes the senescence-associated secretory phenotype (SASP). There are two main types of cellular senescence, including telomere-dependent replicative senescence and stress-induced premature senescence. The process of cellul...
Source: Biochimica et Biophysica Acta (BBA) Molecular Basis of Disease - Category: Molecular Biology Source Type: research
This study explores the in-situ precipitation of scorodite (FeAsO4.2H2O) during the atmospheric enargite leaching in acid chloride media. The temperature, oxygen sparging rate and the different fractions of the catalyst and ferric ions were the effective parameters on the scorodite precipitation process. Crystalline scorodite was precipitated out of the leach solution in the absence of seed at temperatures above 80 °C where the ratio of both AF5 to concentrate and activated carbon (AC) to concentrate were 1:2 and 1:1, respectively. The minimal dosage of ferric ions to form the scorodite residue was 5 g/L....
Source: Journal of Hazardous Materials - Category: Environmental Health Source Type: research
Resumo O objetivo deste artigo é medir a prevalência e identificar fatores associados à dor lombar intensa (DL intensa) entre parturientes do município de Rio Grande, RS, Brasil, em 2013. Questionário padronizado aplicado por entrevistadoras previamente treinadas em até 48 horas após o parto. Realizou-se análise multivari ável utilizando regressão de Poisson tendo a razão de prevalência como medida de efeito. Dentre as 2685 parturientes incluídas no estudo, 51,2% referiram dor lombar gestacional e 27,3% tinham DL intensa, com maior pro...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Resumo O presente estudo analisou o consumo alimentar e a presen ça de fatores de risco cardiovasculares em pessoas vivendo com HIV/AIDS (PVHA) em uso regular de antirretrovirais. O consumo alimentar foi avaliado por meio de questionário de frequência alimentar anual, dividido em alimentos protetores e não protetores para doença cardiovascular (DCV). Os dado s foram calculados pelo Teste t de Student para amostras independentes, pelo Teste U de Mann-Whitney e pelo teste exato de Fischer, considerando significativo p
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Resumo A doen ça renal crônica (DRC) é complexa, exigindo múltiplas abordagens em seu tratamento. O objetivo do presente estudo foi avaliar o impacto de um programa de intervenção nutricional sobre o estado nutricional e a qualidade de vida de idosos com DRC não dialítica. Foi realizada uma coorte prospec tiva com 64 idosos, de ambos os sexos, com DRC estágio 3, atendidos em Unidade Básica de Saúde, em Diadema/SP. A intervenção nutricional consistiu em três encontros coletivos e um individual. O estado nutricional foi avaliado p...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Abstract The aim of this study was to analyze the association between different sedentary behaviors and high blood pressure in adolescent boys and girls. We conducted a cross-sectional study with 6,264 Brazilian adolescents (14 to 19 years old). Demographic data, obesity indicators and blood pressure, were evaluated. Time spent in the sedentary behaviors (television viewing, playing video games, using the computer, non-screen sitting and, total time sitting) were also assessed. The girls spent more time watching television than boys, whereas boys spent more time using computers and video games (12.7% vs. 7.4%, p
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Resumo Objetivou-se identificar os determinantes do baixo peso ao nascer - BPN, em filhos de adolescentes por meio de abordagem hierarquizada. Estudo transversal com 751 adolescentes atendidas em maternidade p ública do Rio de Janeiro. Foram analisados dados sociodemográficos, da assistência pré-natal, condições biológicas e obstétricas maternas. Os possíveis determinantes do BPN foram identificados na análise bivariada e a seguir foram testados modelos de regressão logística hierarquizada, co nsiderando o escalonamento hierarquizado em n&ia...
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
When I began writing in this spot three years ago, the headline of my very first entry was, "Getting Enough Sleep Is Smart, Not Selfish." That post went up at a time when Americans were beginning to focus more on a good night's rest. The subject came into a sharper focus, in part, because wearable technology gave us some specifics. Forget the anecdotal evidence of whether we slept well; with the touch of a button, we could know what time we fell asleep, how long we were out and how often our sleep was interrupted. The study of sleep -- and conversations around it -- began gaining traction. Among those paying ke...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
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