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What Is Moderate Obstructive Sleep Apnea

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Moderate Sleep Apnea Treatment Options: Lifestyle Changes

What is Obstructive Sleep Apnea?

In addition to helping ease the symptoms of obstructive sleep apnea , lifestyle changes also provide the benefit of improved health in general. Heres a guide to the most common lifestyle changes, as well as resources to help you get started with each of them.

Weight Loss. One of the most common starting points for moderate sleep apnea treatment or treatment of any level of OSA, for that matter is losing weight. Why? Because obesity can swell tissues that cause obstructed breathing, which can cause sleep apnea. So, many doctors prefer to start with weight loss before moving on to more advanced treatment.

Pro tips: There are hundreds of weight loss programs out there. If you filter out the fad diets and focus on the sensible weight loss goals themselves, youll find that most of them have the same elements in common. Here are some good summaries of those goals:

  • Our 25 best weight-loss tips from over the years from USA Today
  • 11 simple weight loss tips from CNN
  • Overview of diet planning from the Mayo Clinic

Tobacco cessation. If you smoke, you may be able to improve your sleep apnea symptoms by cutting out tobacco. Smokers are three times more likely to have obstructive sleep apnea than are people whove never smoked, reports the Mayo Clinic. Smoking may increase the amount of inflammation and fluid retention in the upper airway. This risk likely drops after you quit smoking.

The Key Differences Between Mild And Severe Obstructive Sleep Apnea

Obstructive sleep apnoea is a medical condition which causes the airways to become blocked during sleep. This condition can have severe effects as it impacts adversely on the bodys immune system which increases the risk of chronic diseases.

Sleep apnea can be divided into three categories- mild, moderate and severe. This disorder can increase risk of chronic diseases and potentially damage your teeth, so today we turn our focus to the differences between mild and severe sleep apnea.

Key takeaway:

Mild sleep apnea means that your breathing pauses from between 5-15 episodes per hour while severe sleep apnea causes more than 30 episodes per hour. Note that any readings above 5 are abnormal.

Typically, mild sleep apnea causes snoring and a combination of fatigue during the day but with severe sleep apnea, this fatigue may get heightened, followed by headaches, mood swings, feelings of depression and irritability.

According to studies, mild sleep apnea causes slight deterioration of oxygen levels in your body but severe sleep apnea records oxygen saturation levels that are below 90% which is considered harmful.

Sudden drops in oxygen levels in your body can strain the cardiovascular system thereby causing high blood pressure.

Are you experiencing any symptoms of sleep apnea? If so, your dentist or physician can help you get a proper diagnosis so that you can get the treatment you need.

What Is Central Sleep Apnea

Central sleep apnea occurs when the brain temporarily fails to signal the muscles responsible for controlling breathing. Unlike obstructive sleep apnea, which can be thought of as a mechanical problem, central sleep apnea is more of a communication problem.

Central sleep apnea is also much less common than obstructive sleep apnea. Some estimates claim that approximately 20% of sleep apnea cases are CSA, but many others believe that number to be much lower .

Central sleep apnea is often caused by medical problems and conditions that affect the brainstem. These different causes often lead to varying symptoms and different types of central sleep apnea.

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Treatments May Be Trial And Error Until You And Your Doctor Get It Right

When sleep apnea is mild, treatment recommendations are less clear-cut, and should be determined based on the severity of your symptoms, your preferences, and other co-occurring health problems. Working in conjunction with your doctor, you can try a stepwise approach if one treatment doesnt work, you can stop that and try an alternative. Managing mild sleep apnea involves shared decision-making between you and your doctor, and you should consider just how bothered you are by sleep apnea symptoms, as well as other components of your health that could be made worse by untreated sleep apnea.

Complications Of Untreated Positional Obstructive Sleep Apnea

Obstructive Sleep Apnoea Treatment In Pune &  PCMC

Positional obstructive sleep apnea can interfere with getting enough rest, however, complications can go far beyond just being tired. Left untreated, positional obstructive sleep apnea can have serious health consequences.

Effects of an apneic episode, such as repeated low oxygen levels, elevated blood pressure, and heart rate, can wreak havoc on the body, straining the circulatory system and the heart.

People with untreated sleep apnea, including positional obstructive sleep apnea, have an increased risk of the following:

Positional Sleep Therapy Positional sleep therapy for positional obstructive sleep apnea can be an effective form of treatment. Review the list below to choose a positional sleep therapy technique that will work best for you.

Sleep Position: Since individuals who have positional obstructive sleep apnea have the majority of apneic episodes when in a supine sleeping position, sleeping in a different position can reduce pauses in breathing.

Sleep Apnea Oral Devices:Sleep apnea oral devices hold the jaw or tongue in a specific position to minimize blocking of the airway, reducing the likelihood of sleep apnea.

CPAP Treatment: A study published in the Journal of Otolaryngology-Head and Neck Surgery involved a comprehensive systematic literature review. The review involved database searches over a 20-year period conducted using Embase, Medline, and PubMed. The research indicated that the non-adherence rate for CPAP was 34 percent.

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If You Are Concerned You Might Have Osa Talk To Your Doctor

Based on your symptoms, exam, and risk factors, your doctor may recommend a sleep study, or you might be referred to see a sleep medicine specialist. A comprehensive sleep assessment is needed to accurately evaluate sleep complaints, since sleep disorders tend to overlap. Treatment for mild OSA may improve sleep-related symptoms and your quality of life. However, there is no one-size-fits-all approach when it comes to sleep disorders, but rather a multidimensional and individualized approach to find what works for you.

Obstructive Sleep Apnea Syndrome

In obstructive sleep apnea syndrome , patients experience recurrent apnea and hypopnea episodes due to the complete or partial collapse of the upper airway. In obese people, the narrowing of upper respiratory muscles occurs because of the accumulation of fatty tissues. The obstruction in breathing due to the narrowing of the upper airway causes a marked increase in intrathoracic pressure and triggers apnea and hypoxia . There is an increased sympathetic activation due to apnea/hypoxia episodes in OSAS patients . Episodes of hypoxemia/apnea can drop the oxyhemoglobin saturation from 95% to 80%, depending on the length of the period of apnea. OSA is an independent risk factor for cardiovascular and cerebrovascular diseases. Due to the hypoxia-related to OSAS, the oxidative stress leads to overproduction of reactive oxygen species, which can cause endothelial dysfunction and result in atherosclerosis. The inflammatory marker C-reactive protein , tumor necrosis factor α , and interleukin-6 were increased in patients with OSA and significantly elevated when the AHI was 15 or greater .

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What Are The Treatment Options For Mild Sleep Apnea

Generally, for moderate to severe sleep apnea, positive airway pressure devices, such as CPAP device, is the number one recommended treatment. But these devices would not necessarily be used as the first line of defense for a mild case.

The treatment for Apnea might include

  • Positional Therapy: If your symptoms are dependent on sleeping on your back in a supine position, then this technique may help. It includes using tools that prevent rolling onto your back and keep you stay on your sides while sleeping.
  • Lifestyle Changes:The majority of people with OSA are overweight or obese. According to Johns Hopkins Medicine, sleep apnea affects over 20 percent of people with obesity compared to about 3 percent of moderate weight. Therefore lifestyle change, such as losing weight, may help.
  • Oral Appliance:The oral appliance work as a first-line treatment for mild cases of sleep apnea. A dental device temporarily pushes your lower jaw forward and can prevent your throat from closing while you breathe.
  • Nasal Decongestants: If your sleep apnea is caused by allergic rhinitis, then this method could help.
  • Surgery: To help breathing, surgery could improve airflow through the nose.
  • Continuous Positive Airway Pressure :While you might try other treatment methods first, research showed that CPAP machines are also used for mild sleep apnea . With CPAP treatment, AHI improvements may be made.

What Is Considered Severe Sleep Apnea

Obstructive Sleep Apnea Explained Clearly – Pathophysiology, Diagnosis, Treatment

Those with obstructive sleep apnea experience periodic blockages of the airway during sleep. Over time, the disorder can affect your energy level, mood, metabolism, and heart health. Obstructive leep apnea can even lead to sudden death if you also have heart disease, according to Mayo Clinic. A diagnosis of severe sleep apnea should therefore be taken seriously. But what is considered severe sleep apnea? We explain that here, along with common treatment options.

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Treatment Approaches Depend On The Severity Of Your Osa

When sleep apnea is moderate or severe, continuous positive airway pressure is considered the first-line treatment, and is the recommended treatment by the American Academy of Sleep Medicine . CPAP, by eliminating snoring, breathing disturbances, and drops in oxygen saturation, can essentially normalize breathing during sleep. However, to be most beneficial, CPAP should be worn consistently throughout sleep. Unfortunately, many studies of OSA set a relatively low bar for treatment adherence , and do not necessarily take into account treatment efficacy .

Mild Sleep Apnea Symptoms

A person is given a diagnosis of mild sleep apnea based on an overnight sleep study called a polysomnography. Polysomnography records blood oxygen levels, brain waves, breathing patterns, eye movement, heart rate, leg movement, sleep stages, snoring, and more.

If you havent taken a sleep study and your symptoms are mild, it might be harder for you to know you are having sleep issues. But it is important to know what symptoms mild sleep apnea might cause because some of them can have a serious effect on your health over time.

People with mild apnea might snore. While snoring usually isnt cause for any alarm, consistent and loud snoring is a sign of sleep apnea. Of course, not everyone who snores has sleep apnea.

Sleepiness is another common symptom of mild sleep apnea. People with mild sleep apnea dont realize how much their sleep is being interrupted at night. All these interruptions can cause you to feel sleepy throughout your day.

Sleepiness can also cause you to have low energy and drowsiness, and might affect your cognition

High blood pressure is also common with mild sleep apnea. This is because when oxygen levels fall, brain receptors are triggered. They send messages to the blood vessels to increase oxygen to the heart and brain so that the body can keep doing its job.

Additional sleep apnea symptoms that someone with mild sleep apnea might experience include:

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What To Do Next

If you’re an Alaskan resident and you believe that you may have symptoms of sleep apnea, click the link below to schedule a free 10-minute phone consultation with one of our clinical sleep specialists. In just 10 minutes we can help you discover whether or not your symptoms warrant a sleep study to help you get diagnosed and treated for your sleep disorder.

Differences Between The 3 Types Of Sleep Apnea Explained

Understanding Mild Sleep Apnea

    Unless you are brand new to sleep apnea, you likely know by now that there are three types of sleep apnea: Obstructive, Central, and Complex Sleep Apnea. If you are new to sleep apnea treatment, then youve come to the right place to further understand it and how you can find the help you need to manage yours.

    Quality is often just as important as quantity when it comes to sleeping. For instance, if you doze off for the majority of an eight-hour flight between New York and London, youll still find yourself tired because its unlikely your body reached the stages of sleep it needed to deliver you the sufficient rest to arrive refreshed.

    But what does dozing off on a transatlantic flight have to do with sleep apnea? Living with any of the three types of sleep apnea is a similar problem: you are not only not getting quality sleep but you are also not getting enough of that quality sleep. With sleep apnea, your body is never staying in a single stage of sleep long enough for it to do what it needs to do at that stage.

    Each type of sleep apnea is manifested in your body differently, but they all have one thing in common: they disrupt your ability to get quality sleep. Understanding the differences between each type is key to promoting healthy sleep and helping you achieve the amount of rest you need nightly to be alert and productive the next day.

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    What Is The Life Expectancy Of Someone With Sleep Apnea

    A study observing sleep-disordered breathing and mortality showed a significant, high mortality risk with untreated sleep-disordered breathing independent of age, sex, and BMI underscore the need for treatment of sleep-disordered breathing indicated by frequent episodes of apnea and hypopnea. Sleep apnea can cause other health conditions that lead to premature death.

    Key Points About Obstructive Sleep Apnea

    • Don’t risk falling asleep in a dangerous situation, such as while driving.

    • Try to set up an appointment with your doctor if your fatigue continues.

    • If obstructive sleep apnea persists over a long period without treatment, you’re at risk for major health problems and serious events. These can include cardiovascular problems like heart failure and increased blood pressure.

    Johns Hopkins Center for Snoring and Sleep Surgery

    Johns Hopkins OtolaryngologyHead and Neck Surgerys experts are now available to implant an FDA-approved hypoglossal nerve stimulator as a new treatment strategy for patients with obstructive sleep apnea . Find out how you can receive this surgical treatment.

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    Epidemiology Prevalence And Gender Differences In Osa

    The prevalence of OSA in the general population is 3 to 7% for men and 2 to 5% for women . The rates are especially high for those who are obese. The converse is also true: those with OSA are at risk for obesity. Inadequate sleep during the night and daytime sleepiness predispose patients to weight gain . The prevalence of sleep apnea in obese people who go for bariatric surgery is 77%. Polysomnographic testing is recommended for all obese people who are candidates for bariatric surgery .

    The rates of OSA vary amongst women based on their menopausal status. In premenopausal women, the prevalence of OSA is 0.6%, which is very low. Postmenopausal women who are on hormone replacement therapy have a prevalence of 0.5% however, postmenopausal women who do not use HRT have a higher prevalence: 2.7%. Post-menopausal women not on HRT have rates of OSA almost equal to that of men . The prevalence of OSA is higher in men than women, with the exception of postmenopausal women . Despite the increased prevalence of sleep apnea in men, women present with increased comorbidities, including a morning headache, insomnia, mood problems, and anxiety .

    How Is Ahi Measured

    Obstructive Sleep Apnea

    The apnea-hypopnea index represents the average number of apneas and hypopneas you experience each hour during sleep. To measure it, doctors divide the total number of apneic and hypopneic events by the total number of hours you were asleep. To register as an event, an apnea or hypopnea must last at least 10 seconds or longer.

    Doctors typically calculate AHI during a sleep study, or polysomnogram, which monitors your brain waves, blood oxygen levels, heart rate, and breathing while you sleep. Polysomnography generally takes place at a sleep laboratory, but some may be able to perform a simplified version at home.

    While the AHI is the primary measurement for diagnosing OSA, your doctor may review other metrics to better understand the severity of your OSA. For example, the oxygen desaturation index measures how many times per hour, on average, your blood oxygen levels fall below normal for 10 seconds or longer. Another important metric, especially for children, is the level of carbon dioxide in the blood. A high level of carbon dioxide may arise due to a long period of breathing at less than full capacity, even if the airway is not completely blocked.

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    What Causes Obstructive Sleep Apnea

    When you sleep, your body is completely relaxed even the muscles that help you breathe. In people with sleep apnea, these relaxed muscles combine with a narrowed airway to interrupt breathing.

    Anyone at any age can have obstructive sleep apnea, but it’s most common in middle-aged and older adults. Only about 2% of children have obstructive sleep apnea. It’s also more common in men than in women.

    But what’s frightening is that as many as 90% of people who have obstructive sleep apnea don’t know that they have it. Untreated, sleep apnea can lead to serious health problems.

    How Is Obstructive Sleep Apnea Diagnosed

    Diagnosis of obstructive sleep apnea usually involves participating in a sleep study, in which you’re observed as you sleep. You may participate in a test called a polysomnogram at a hospital or sleep center. But you may also use a take-home version of the test. Your doctor may give you a monitor to wear when you sleep that measures your oxygen levels and heart rate, to help diagnose sleep apnea.

    Your doctor will also typically do a physical exam, including an exam of the throat, neck, and mouth, and take your medical history. You’ll probably also have to answer questions about your sleep and bedtime routine, as well as your symptoms.

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