How to sleep: Best drink to have before bed to help you get a good night’s rest
HOW TO sleep: Sleep loss is prevalent in the UK, with one in three people suffering from it. Fortunately, making simple lifestyle changes can aid sleep loss, such as consuming a certain drink before bedtime, suggests growing evidence.
Brooks DM, Brooks LJ. Reevaluating norms for childhood obstructive sleep apnea.J Clin Sleep Med. 2019;15(11):1557–1558.
Morse AM, Kothare SV. Seeking the cause of restless legs syndrome in chronic kidney disease.J Clin Sleep Med. 2019;15(11):1559–1560.
Conclusions:The differential results of heritability and familial aggregation of OSA in normal weight and overweight subgroups substantiated the recommendation of separating childhood OSA into normal weight and overweight subtypes. In the overweight subgroup, there may be obesity-independent components involved in the genetic variance of OAHI, although a significant proportion of the genetic variance is shared with obesity.Citation:Au CT, Zhang J, Cheung JYF, Chan KCC, Wing YK, Li AM. Familial aggregation and heritability of obstructive sleep apnea using children probands.J Clin Sleep Med. 2019;15(11):1561–1570.
Conclusions:Our study suggests that patients with hypertension usingα1-adrenergic antagonists have a higher risk of sleep apnea. Routine sleep apnea screening would be beneficial for patients with hypertension who takeα1-adrenergic antagonists.Citation:Su P-L, Lin W-K, Lin C-Y, Lin S-H. Alpha-1 adrenergic-antagonist use increases the risk of sleep apnea: a nationwide population-based cohort study.J Clin Sleep Med. 2019;15(11):1571–1579.
Conclusions:OSA did not develop or worsen following primary palatoplasty. However, the oAHI increased by 5 or more events/h in approximately 20% of study participants. The presence of a syndrome was the only factor predictive of worsening OSA after palatoplasty. These findings suggest that palatoplasty does not worsen or cause OSA in most patients, and that nonsyndromic children are at low risk for the development or worsening of OSA.Citation:Bergeron M, Cohen AP, Maby A, Babiker HE, Pan BS, Ishman SL. The effect of cleft palate repair on polysomnography results.J Clin Sleep Med. 2019;15(11):1581–1586.
Study Objectives:Short sleep duration contributes to hypertension, yet few behavioral sleep extension interventions have been developed. The goal of our study was to evaluate the feasibility and preliminary efficacy of a technology assisted sleep extension intervention among individuals with prehypertension/stage 1 hypertension on sleep, blood pressure and patient reported outcomes.Methods:Adults aged 30–65 with 24h ambulatory blood pressure (ABP)> 120/80 mmHg and average weekday sleep duration
Study Objectives:Home sleep apnea testing (HSAT) is an efficient and cost-effective method of diagnosing obstructive sleep apnea (OSA). However, nondiagnostic HSAT necessitates additional tests that erode these benefits, delaying diagnoses and increasing costs. Our objective was to optimize this diagnostic pathway by using predictive modeling to identify patients who should be referred directly to polysomnography (PSG) due to their high probability of nondiagnostic HSAT.Methods:HSAT performed as the initial test for suspected OSA within the Veterans Administration Greater Los Angeles Healthcare System was analyzed retrospe...
Conclusions:This is the first study describing the characteristics of children and likely reasons for successful CPAP cessation. Children on CPAP should be regularly screened for ongoing CPAP need.Citation:King Z, Josee-Leclerc M, Wales P, Masters IB, Kapur N. Can CPAP therapy in pediatric OSA ever be stopped?J Clin Sleep Med. 2019;15(11):1609–1612.
Study Objectives:Drowsy driving related to obstructive sleep apnea (OSA) represents an important public health problem with limited data on the effect of positive airway pressure (PAP) therapy. We hypothesize that PAP therapy will reduce self-reported drowsy driving in a large clinic-based OSA cohort.Methods:Drowsy driving (self-reported near-accidents/accidents) incidents from baseline to after PAP therapy (stratified by adherence) were compared in a cohort of 2,059 patients with OSA who initiated PAP therapy from January 1, 2010 to December 31, 2014. Multivariable logistic regression models evaluated the dependence of ch...
Study Objectives:The aim of this study was to investigate the association of bedtime with the prevalence of diabetes mellitus (DM) based on a large community-based population.Methods:In total, 5,420 participants (2,574 males and 2,846 females; aged 63.5± 11.0 years) from the Sleep Heart Health Study database were selected in this study. Sleep habit was recorded based on a questionnaire administered to patients upon recruitment. Bedtime was categorized as 11:00 pm and before, 11:00 pm to 12:00 am, and 12:00 am and later in the current study. Multivariate logistic regression was used to est...