Can Wearables Detect Sleep Apnea Apple Fitbit & Garmin Explained
The U.S. Department of Health and Human Services defines Sleep Apnea as a disorder characterized by disruptions in breathing such as pauses or periods of shallow breathing while sleeping. These disruptions may last for as long as a few minutes and can occur many times, typically after loud snoring. People with Sleep Apnea often feel sleepy or tired during the day, and it may also cause hyperactivity in children. Wearables are being used as a sleep tracker with increasing frequency.
The diagnosis and monitoring of Sleep Apnea requires cost-effective wireless technologies, especially in areas where doctors and patients are geographically separated. These technologies can also allow researchers to investigate the causes of Sleep Apnea to develop better treatments. Wearable devices are an unobtrusive method for obtaining the necessary data with minimal effect on the patient.
Continuous positive airway pressure is the most common treatment for moderate to severe Sleep Apnea. This technique uses pressurized air to keep the patients airway open, typically by wearing a facial mask connected to a machine. CPAP is effective in improving the outcome of Sleep Apnea, but patient compliance can be a limiting factor due to the discomfort of long-term use.
How Do Wearables Help With Sleep Apnea Studies And Sleep Centers
Clinicians can accurately estimate sleep behavior in a sleep center for up to 42 minutes by using smartphones that analyze light, noise, and acceleration, according to a 2013 paper published at the 7th International Conference on Pervasive Computing Technologies for Healthcare. Manufacturers will continue to add external sensors to consumer wearables that allow them to assess other signals.
An oximetry probe that measures the oxygen saturation of the wearers blood is one of the most promising types of new sleep apnea technology. Continuous monitoring of oxygen saturation combined with pulse rate during sleep provides excellent validation results for this application. However, it also increases the demands of a wearable with respect to battery power, graphics control and signal processing.
The efficacy of long-term oximetry has already been evaluated for monitoring patients with Sleep Apnea. A 2013 study published at the 13th IEEE International Conference on BioInformatics and BioEngineering combined external oximetry with a built-in microphone to measure respiratory effort and a built-in accelerometer to measure movements. The sensitivity of this technique in classifying obstructive Sleep Apnea was 100 percent with a sensitivity of 85.7 percent.
Conducting A Sleep Apnea Test At A Clinic
Step 1: Visit your doctor.
If you are experiencing sleep apnea symptoms or other sleeping troubles, it is highly recommended that you visit your doctor to get a professional opinion. Depending on your situation and the severity of symptoms, your doctor, if he suspects sleep apnea, may order a CRSP test where you will be required to spend the night in a clinic or at home to monitor your breathing and other bodily functions during sleep.
Step 2: Book an appointment to conduct your test.
These sleep tests can be booked at a certified sleep clinic or other medical facilities in your area. Your doctor should be able to refer you to a great clinic or facility to conduct your sleep apnea test.
Step 3: Visit a sleep clinic or medical Center to conduct your sleep test.
Unlike at-home tests, nocturnal polysomnography tests can be conducted in a facility with more equipment. Often these tests are for the purpose of investigating other sleep disorder beside sleep apnea under the supervision of a sleep technologist and requires a more complicated wires and sensors setup. These tests are painless and often take only one night to complete. Once tests are completed, the medical professionals who interpret your results will determine whether you have sleep apnea or other sleep disorder problem and will provide you with the next steps to take in treating it.
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I Have Sleep Apnea Whats Next
Treating sleep apnea can help you achieve better health, quality of life, and overall well-being.
Possible treatment options include:
- A Continuous Positive Airway Pressure device
- A dental appliance for sleeping
- Losing weight
- Or possibly surgery to correct any anatomical issues that may be inferring with your ability to breath well while sleeping.
Our team matches each patient with the treatment that best meets their needs and preferences, asserts Dr. Villa.
What Is The Process For At
Completing your at-home sleep apnea test is a fairly simple process when you are fully aware of what it entails and how it works. While specific rules and instructions vary for each home sleep test provider, there is a general process you typically follow. To make it easy, weve broken it down into steps.
Step one: Consult with your doctor to see if the home sleep test option is right for you. If it is, your doctor will order the at-home sleep apnea test for you. Some websites offer the testing kit as an over-the-counter device, but you should always get it approved by your physician. This is especially true if you have any other medical conditions or are taking any medication.;
Step two: Youll either get the equipment delivered to your door or youll need to pick it up from your physician. Once you have received your home sleep test, its time to apply the equipment to your body before you go to bed for the night. The equipment includes a belt, small nasal cannula, and finger clip.
Step three: Sleep with the home sleep test equipment for one to three nights to gather enough data for your sleep technician and doctor to assess.
Step four: Return your at-home sleep apnea test devices to the proper diagnostic service provider.
Step five: Your sleep data will be downloaded, processed, and interpreted by a sleep technician and turned into a report. Your doctor will then discuss the report and your results with you.
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Tips To Make Your Home Sleep Test A Success
Our patients use a;Philips Respironics G3 Night One Home Sleep Testing Unit.;;A staff member will instruct you how to use the home sleep apnea testing unit; it will;loosely secure to your chest along with breathing, oxygen level, and heart rate monitors.;;Most patients will use an HST unit for two nights to ensure there is enough sleep data recorded for our doctors to make a diagnosis. Home sleep tests are used to diagnoses obstructive sleep apnea in adult patients.
1. Wear a sleeved shirt.;
The night you take your home sleep test, be sure to wear a shirt with sleeves.;;The testing unit will wrap around your chest, and the strap can rub bare skin making it uncomfortable while sleeping.;
2. Remove acrylic nails or nail polish.;
Our home sleep test will include a pulse oximeter that will fit over your finger.;;This pulse ox has an infrared light that measures your oxygen saturation level; this is recorded throughout your test.;;The infrared light cannot measure the oxygen in your blood levels through nail polish or acrylic nails.;
3. Band-Aids or tape can help with comfort.
4. Once everything is green, the device will go dark.
5. After you wake up, let the device shut itself down.
Here is a full video from the Phillips to help you set up your HST unit:
Our staff is also here to help!;;If any questions come up, give us a call and we can help get your test back on track the next night.
What Is The Stopbang Test For Sleep Apnea
The easy-to-remember acronym STOPBANG can help you decide whether its wise to talk to a doctor about having a sleep study to determine whether you have sleep apnea. It helps to have input from someone who sees you sleep.
|A yes answer to three or more of these questions suggests possible sleep apnea. Ask your doctor if you should have a sleep study.|
|Gender: Are you male?|
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Am I A Candidate For A Home Sleep Test
If you think you may have sleep apnea, are over 22 years of age, and have no pre-existing conditions, you may be the perfect candidate for our home sleep apnea test.
Those who wake up tired from headaches, shortness of breath, occasional insomnia, snoring, or gasping during the night may be experiencing one of the three types of sleep apnea, such as obstructive sleep apnea. Certain factors, including obesity, genetics, a neck circumference greater than 16 inches, diabetes, or asthma, may put you at a higher risk for sleep apnea.
While opting for a home sleep test has many advantages, some individuals are not candidates for home sleep testing. Those diagnosed with COPD, congestive heart failure, neuromuscular or neurodegenerative diseases, narcolepsy, REM behavior disorder, or those who use oxygen while sleeping are not candidates and will need to contact a board-certified sleep physician to partake in a clinical sleep study.
Whod Want To Fake Sleep Apnea And Try To Fool The Sleep Study Test A Person Wanting To Scam An Insurance Company
A young man wanted to know if he could fool a sleep study test into yielding a positive result for sleep apnea to gain some kind of insurance benefit of which I dont recall the details. But I found his thread in a sleep apnea forum.
Ethics aside, CAN a person fake sleep apnea enough to fool any kind of test for it?
To my knowledge, not really, begins Joseph Krainin, MD, board certified in sleep medicine and neurology and founder of the online sleep apnea clinic;Singular Sleep.
You can hold your breath and fake central sleep apnea but, unless you have a serious cardiopulmonary problem such as COPD or congestive heart failure, you likely wont be able to fake the typical oxygen desaturations that follow these breathing events so a good sleep doctor will pick up on this, continues Dr. Krainin.
What would you need to do to fake obstructive or central sleep apnea?
In order to fake sleep apnea, youd have to be able to be in bed throughout the night while remaining wide awake enough to repeatedly fake the condition.
If you let yourself fall asleep, you just botched your scam.
So first of all, youd have to succeed at fighting the urge to fall asleep which can be done if you prepare days ahead of time by switching your schedule to that of a night shift worker.
Years ago I got a third shift job and was asked to come in the night of the day I was hired. I said, I dont think so, but I can come in the next night.
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How To Prepare For The Home Sleep Apnea Test
- ID: Please bring a valid photo ID and Insurance card for identification purposes.; The Sleep Lab needs to correctly identify each patient prior to an HSAT.;
- Nutrition: Eat your normal breakfast, lunch and dinner.; Avoid caffeine after 2 pm, avoid napping the day of the test, and avoid alcohol on the night of the study.;
- Medications: Please remain on schedule with your daily medications unless otherwise instructed by your physician. If taking sleep aids/pills on the night of the HSAT, please report it in the paperwork and let your Sleep Technician know when you drop off your HSAT device.;;;
- Hygiene: Shower and only use light oils/lotions on your skin and hair.;
- Attire: Wear comfortable and loose-fitting clothing such as gowns, pajamas, t-shirts with shorts or jogging pants.;
- Special Assistance and Accommodations: If an individual is not able to place a HSAT device on him or herself, and/or needs an aide, relative, spouse, significant other, etc. to pick up the device and/or place the device and sensors on, please make sure the scheduler and the Sleep Lab are aware before the time of the appointment.;
Home Sleep Study In Va Md & Dc Area
To properly diagnose;Sleep Apnea;or other sleep disorders, a patient must undergo a polysomnography , commonly referred to as a sleep study. This is usually done in a sleep lab, requiring the patient to spend the night at the facility, while the polysomnography equipment records their physiological data. Depending on the patients symptoms, other health related issues, and insurance, a home sleep study may be an option.
Comprehensive Sleep Care Center has the areas top sleep medicine specialists with 9 convenient locations in Virginia and Maryland . If you think you may have a sleep disorder or are diagnosed with obstructive sleep apnea, our board-certified sleep physicians will discuss treatment options with you and develop a plan.
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Overcoming Your Sleep Apnea Disorder
If it is determined that you have sleep apnea, the clinic sleep specialist will advise you on the treatment that is right for you. In many cases, a CPAP device which assist your breathing when asleep to make your sleep more restful and treat the sleep disorder, and in other cases, alternative treatments may be used.
Respiratory specialists and a sleep specialist will likely continue to follow up with your sleep apneaâs progress and adjust your treatment where necessary. To improve your sleep and overall quality of life, it is important that you take the steps mentioned above and begin treating your sleep apnea through the help of these specialists.
When Is A Home Sleep Apnea Test Appropriate
Home testing is becoming more common to diagnose obstructive sleep apnea, with many insurance providers considering it a cost-effective alternative and some patients preferring its convenience. But it isnt suitable for everyone.
In the past, obstructive sleep apnea could only be diagnosed one way: through a sleep study, or polysomnography.
Thats still the most comprehensive assessment. But it also involves spending a night away from home hooked to a bevy of electrodes and machinery in a clinic bed. Home sleep apnea tests have given many people a convenient, more comfortable means of evaluation.
OSA is characterized by repeated obstructed or restricted breathing for periods of 10 seconds or longer, and it affects more than 25 million Americans. It leads to oxygen shortages that, in turn, result in health outcomes far worse than simply noisy breathing and unrefreshing sleep. OSA is associated with increased risk of stroke and heart disease, among other medical conditions.
Doctors, then, might recommend home testing or a formal sleep study to make sure people get the accurate diagnosis and treatment they need.
Below, Kaplish explains a few pros and cons of home sleep apnea tests.
Pro: They are comfortable
Pro: They cost less
Con: They arent as detailed
Con: They work best with serious cases
- Snoring loudly
- Tiredness, fatigue or sleepiness during the day
- Observation by someone else of stopped breathing
- Having high blood;Pressure
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Other Tests For Sleep Apnea
- EEG to measure and record brain wave activity
- EMG to record muscle activity such as face twitches, teeth grinding, and leg movements, and to look for REM stage sleep. During REM sleep, intense dreams often happen as the brain has heightened activity.
- EOG to record eye movements. These movements are important in determining the different sleep stages, particularly REM stage sleep.
- EKG to record heart rate and rhythm
- Nasal airflow sensor to record airflow
- Snore microphone to record snoring activity
How Is Sleep Apnea Diagnosed
Your doctor may ask you to complete one or more questionnaires to evaluate symptoms like daytime sleepiness as well as risk factors for the condition, such as high blood pressure, obesity, and age.
If your doctor suspects sleep apnea, they may recommend a sleep monitoring test. Also called a sleep study or polysomnography , it involves spending the night at a lab, clinic, or hospital. Your breathing and other vital signs will be monitored while you sleep.
Its also possible to monitor your sleep in your own home. Your doctor might suggest at-home sleep monitoring if your symptoms and risk factors strongly suggest sleep apnea.
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How Does A Home Sleep Study Work
An at-home sleep study is generally easier to complete than an in-lab sleep test. Specific instructions vary depending on your health care provider and the equipment you use. However, well cover the general steps so you know what to expect.
Meet with Your Doctor
The first step is making an appointment with your primary care physician to discuss your symptoms. If youre experiencing several of the common symptoms of sleep apnea, your doctor may refer you to a sleep specialist or directly order you a home sleep study.
Find a Home Sleep Study Kit
Once your doctor has determined you’d benefit from a home sleep study, they can provide you with a home sleep study kit. Because patients only need the equipment for a few days to perform their sleep tests, doctors and sleep specialists often stock their own portable sleep study monitors to lend out to their patients.
Complete the Test
Next, you complete your sleep test at home. Home sleep test kits typically have several sensors that attach to the body to monitor your breathing as you sleep. Most kits include:
- An elastic band around the chest to monitor respiratory effort
- A small clip on the finger for measuring oxygen levels
- Thin tubing taped by your nose to measure airflow
Discuss Your Results with Your Doctor
Clinical Contributors To This Story
Adrian Pristas, M.D. contributes to topics such as Sleep Medicine.
John Villa, D.O. contributes to topics such as Sleep Medicine.
Sleep disturbances are quite common, especially when dealing with high-anxiety situations like the coronavirus pandemic, however, is it more than stress?
Sleep apnea affects about one in four people in the United States and can affect health and quality of life. But 90 percent of those with sleep apnea dont even know they have it.
John Villa, D.O., medical director of the sleep lab at Hackensack University Medical Center, and Adrian Pristas, M.D., medical director of Sleep Medicine at Bayshore Medical Center and Riverview Medical Center, share why we need to take sleep apnea seriously, and how at-home sleep testing might be a good option during the stay-at-home measures of COVID-19.
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