sleep apnea Archives - Amazing Health Advances

Does Your Child Snore? When to See a Doctor

The AHA! Team — Wed, 19 Mar 2025 05:16:12 +0000

Morgan deBlecourt via Duke Health – Childhood Snoring Can Signal Sleep-Disordered Breathing or Sleep Apnea Does Your Child Snore? If your child snores, don’t ignore it. Consistent snoring in children can be a sign that they’re not breathing well at night. This can reduce the quality of your child’s sleep and affect growth, development, behavior, and overall health. Here Duke Health pediatric ear, nose, and throat (ENT) doctor Janet Lee, MD, who specializes in treating pediatric sleep disorders, answers questions about when childhood snoring is concerning and whether your child should see a doctor. Is Snoring Normal in Kids? It is common for children to snore for a few days or weeks when they have a cold or another respiratory virus. It becomes concerning, Dr. Lee said, when snoring persists for three months or longer. It’s especially concerning if your child chokes, gasps, or stops breathing for short periods during sleep. These may be signs that your child is experiencing sleep-disordered breathing or obstructive sleep apnea. What Causes Snoring in Children? Snoring in children occurs when the upper airway narrows, making it difficult to breathe normally. This can be caused by: Enlarged tonsils and/or adenoids Obstructed nasal passages (for example, deviated septum, enlarged turbinates, etc.) Being overweight Environmental allergies or asthma Small or narrow palate, jaw, or voice box Poor muscle tone Other medical conditions like heart or lung disease, Down Syndrome, or Cerebral Palsy What Are Other Red Flags of a Sleep Disorder? Loud snoring, pauses in breathing at night, and gasping during sleep are the most obvious signs of breathing difficulty that affects sleep quality. Other signs include restless sleep, regular tiredness despite having enough sleep (9-14 hours, depending on age), mouth-breathing while sleeping, or bed-wetting after being previously being potty trained at night. What’s the Big Deal with Childhood Snoring? “Sleep affects a lot of different systems,” Dr. Lee said. “When it comes to children, you have to consider its effects on physical health, especially for kids who have other health issues. You also need to consider how poor sleep can affect development.” Ironically, children who don’t sleep well may experience hyperactivity. They may also struggle to stay awake or concentrate at school, feel irritable, or have behavior problems. What Should I Do About My Child’s Snoring? If you’re concerned about your child’s snoring and sleep quality, ask your pediatrician for a referral to or make an appointment with a pediatric ENT or a pediatric sleep specialist. “Our role is to identify whether your child has a breathing problem. Then we start looking for where that problem is,” Dr. Lee said. These specialists may recommend an overnight sleep study in a specialized pediatric sleep lab. You will accompany your child while sleep technologists monitor and observe your child sleeping. Your child may also benefit from an endoscopy — a doctor passes a flexible camera through your child’s nose or mouth to inspect their anatomy. This can be done while your child is awake or under general anesthesia. What Are the Potential Treatment Options? Based on your child’s test results, symptoms, and your family’s preferences, a doctor may recommend medication, surgery, lifestyle changes, or a continuous positive airway pressure (CPAP) device to help your child breathe and rest better at night. For children older than three, the most common and effective treatment is surgically removing the tonsils and adenoids. Many children are able go home the same day. Why Choose Duke for My Child’s Care? Duke is one of a handful of centers in the North Carolina with a pediatric sleep lab, designed with your child’s comfort in mind and staffed by specially trained technicians. Duke offers the highest level of care for all kids with sleep-disordered breathing or obstructive sleep apnea, from the simplest cases to the most complex, including children who have other medical conditions. If you’re on the fence about seeking care for your child’s snoring, Dr. Lee said it’s worth seeing a doctor. “As parents, sometimes we’re so used to a symptom or behavior that we don’t see it anymore. Having another, expert pair of eyes can be helpful. Then we can make a decision about next steps together.” To read the original article click here.

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New Sleep Apnea Treatment Offers CPAP Alternative

The AHA! Team — Mon, 03 Mar 2025 06:38:22 +0000

Duke Health – People with obstructive sleep apnea who haven’t found relief may benefit from a new pacemaker-like device that keeps the airway open during sleep. When other options have failed, “this treatment has allowed us to achieve a whole new level of success,” said Matthew Ellison, MD, an otolaryngologist at Duke, the first center in North Carolina to implant the hypoglossal nerve stimulator. Why a New Approach to Treating Sleep Apnea Is Needed The most common type of sleep apnea occurs when soft tissue in the back of the throat blocks the airway and results in frequent, nightly breathing interruptions. This is called obstructive sleep apnea (OSA). Moderate to severe sleep apnea can increase one’s risk of stroke, heart attack, and hardening of the arteries, called atherosclerosis. Daytime sleepiness from sleep apnea can interfere with concentration and increase one’s risk of causing traffic accidents. Sleep apnea is most often treated with a continuous positive airway pressure (CPAP) machine. It involves a mask that fits over your mouth or nose while you sleep. According to Dr. Ellison, about half of people who use CPAP don’t stay with it long-term — either because it’s uncomfortable or doesn’t help their symptoms. For mild sleep apnea, non-CPAP options include lifestyle changes (weight loss and exercise) and fitted mouthpieces that adjust the lower jaw and keep the tongue from blocking the airway. For moderate to severe sleep apnea, these alternatives are rarely successful. Before the new hypoglossal nerve stimulator system, sleep apnea surgery options repositioned or reshaped tissue in the palate or throat. However, relief from these surgeries may fade over time because the tissues can relax or due to weight fluctuations. “That leaves many patients with untreated sleep apnea who could benefit from hypoglossal nerve stimulation,” Dr. Ellison said. The pacemaker-like device works by stimulating the hypoglossal nerve, which keeps the airways open and allows people with sleep apnea to get a good night’s sleep. Its effectiveness has been proven in clinical trials, which show it significantly improves sleep apnea and relieves symptoms such as snoring and daytime sleepiness. How Does Hypoglossal Nerve Stimulation Work? Hypoglossal nerve stimulation, also called upper-airway stimulation, involves three components that are inserted under the skin of your neck and chest using two incisions. A sensor near your lungs detects your breathing patterns. A stimulator in your neck area delivers mild signals to the nerves that control your tongue, causing the tongue and throat muscles to shorten and moving your tongue and palate forward — which keeps your airway open. A small pacemaker-like device placed just below your collarbone coordinates the stimulation with your breathing, turning on just before you inhale, and turning off in between breaths to allow your tongue to relax. There’s also a small remote control that turns on the stimulator before you go to sleep. You can set the system to run for the number of hours you want to sleep. A built-in delay gives you time to fall asleep before stimulation begins, and you can pause it if you get up for a bathroom break. If the stimulation is bothersome, the device can be reprogrammed. “People like being able to control it,” Dr. Ellison said. “Some like it to be off when they wake up, while others prefer to wake up with it still working.” Who Is a Candidate for Hypoglossal Nerve Stimulation? Hypoglossal nerve stimulation is a good option for adults who: Have tried other methods, including CPAP specifically, without success in the past two years Have a body mass index (BMI) of less than 40 (although insurance companies may require lower BMI thresholds) Have moderate to severe obstructive sleep apnea, as determined by a sleep study performed in the last two years There are some exceptions to these general criteria, and hypoglossal nerve stimulation is not for everyone. People who are candidates for this new sleep apnea device will undergo a sedated endoscopic exam, during which a flexible camera is passed through the nostril to the throat to examine how the throat closes during sleep. “Sleep endoscopies are one tool we use to counsel our patients,” said Duke sleep surgeon Emily Commesso, MD. “The results help determine whether you will benefit from hypoglossal nerve stimulation or other sleep surgery options.” The surgery itself is done on an outpatient basis, and most people do not need narcotic pain medications afterward. After four weeks, the device can be activated. There is a process of acclimation to the hypoglossal nerve stimulator which the sleep team explains and helps you through. The device is covered by Medicare and most commercial insurance policies in North Carolina. To read the original article click here.

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New Sleep Apnea Treatment Offers CPAP Alternative

The AHA! Team — Mon, 25 Nov 2024 06:15:33 +0000

Morgan deBlecourt via Duke Health – People with obstructive sleep apnea who haven’t found relief may benefit from a new pacemaker-like device that keeps the airway open during sleep. People with obstructive sleep apnea who haven’t found relief may benefit from a new pacemaker-like device that keeps the airway open during sleep. When other options have failed, “this treatment has allowed us to achieve a whole new level of success,” said Matthew Ellison, MD, an otolaryngologist at Duke, the first center in North Carolina to implant the hypoglossal nerve stimulator. Why a New Approach to Treating Sleep Apnea Is Needed The most common type of sleep apnea occurs when soft tissue in the back of the throat blocks the airway and results in frequent, nightly breathing interruptions. This is called obstructive sleep apnea (OSA). Moderate to severe sleep apnea can increase one’s risk of stroke, heart attack, and hardening of the arteries, called atherosclerosis. Daytime sleepiness from sleep apnea can interfere with concentration and increase one’s risk of causing traffic accidents. Sleep apnea is most often treated with a continuous positive airway pressure (CPAP) machine. It involves a mask that fits over your mouth or nose while you sleep. According to Dr. Ellison, about half of people who use CPAP don’t stay with it long-term — either because it’s uncomfortable or doesn’t help their symptoms. For mild sleep apnea, non-CPAP options include lifestyle changes (weight loss and exercise) and fitted mouthpieces that adjust the lower jaw and keep the tongue from blocking the airway. For moderate to severe sleep apnea, these alternatives are rarely successful. Before the new hypoglossal nerve stimulator system, sleep apnea surgery options repositioned or reshaped tissue in the palate or throat. However, relief from these surgeries may fade over time because the tissues can relax or due to weight fluctuations. “That leaves many patients with untreated sleep apnea who could benefit from hypoglossal nerve stimulation,” Dr. Ellison said. The pacemaker-like device works by stimulating the hypoglossal nerve, which keeps the airways open and allows people with sleep apnea to get a good night’s sleep. Its effectiveness has been proven in clinical trials, which show it significantly improves sleep apnea and relieves symptoms such as snoring and daytime sleepiness. How Does Hypoglossal Nerve Stimulation Work? Hypoglossal nerve stimulation, also called upper-airway stimulation, involves three components that are inserted under the skin of your neck and chest using two incisions. A sensor near your lungs detects your breathing patterns. A stimulator in your neck area delivers mild signals to the nerves that control your tongue, causing the tongue and throat muscles to shorten and moving your tongue and palate forward — which keeps your airway open. A small pacemaker-like device placed just below your collarbone coordinates the stimulation with your breathing, turning on just before you inhale, and turning off in between breaths to allow your tongue to relax. There’s also a small remote control that turns on the stimulator before you go to sleep. You can set the system to run for the number of hours you want to sleep. A built-in delay gives you time to fall asleep before stimulation begins, and you can pause it if you get up for a bathroom break. If the stimulation is bothersome, the device can be reprogrammed. “People like being able to control it,” Dr. Ellison said. “Some like it to be off when they wake up, while others prefer to wake up with it still working.” Who Is a Candidate for Hypoglossal Nerve Stimulation? Hypoglossal nerve stimulation is a good option for adults who: Have tried other methods, including CPAP specifically, without success in the past two years Have a body mass index (BMI) of less than 40 (although insurance companies may require lower BMI thresholds) Have moderate to severe obstructive sleep apnea, as determined by a sleep study performed in the last two years There are some exceptions to these general criteria, and hypoglossal nerve stimulation is not for everyone. People who are candidates for this new sleep apnea device will undergo a sedated endoscopic exam, during which a flexible camera is passed through the nostril to the throat to examine how the throat closes during sleep. “Sleep endoscopies are one tool we use to counsel our patients,” said Duke sleep surgeon Emily Commesso, MD. “The results help determine whether you will benefit from hypoglossal nerve stimulation or other sleep surgery options.” The surgery itself is done on an outpatient basis, and most people do not need narcotic pain medications afterward. After four weeks, the device can be activated. There is a process of acclimation to the hypoglossal nerve stimulator which the sleep team explains and helps you through. The device is covered by Medicare and most commercial insurance policies in North Carolina. To read the original article click here.

The post New Sleep Apnea Treatment Offers CPAP Alternative appeared first on Amazing Health Advances.

Remembering Faces and Names Can Be Improved During Sleep

AHA Publisher — Thu, 13 Jan 2022 08:00:22 +0000

Northwestern University via Newswise – EVANSTON, Ill. — For those who rarely forget a face, but struggle with names, the remedy for boosting learning may as near as your pillow. New research by Northwestern University is the first to document the effect reactivating memory during sleep has on face-name learning. The researchers found that people’s name recall improved significantly when memories of newly learned face-name associations were reactivated while they were napping. Key to this improvement was uninterrupted deep sleep. “It’s a new and exciting finding about sleep, because it tells us that the way information is reactivated during sleep to improve memory storage is linked with high-quality sleep,” said lead author Nathan Whitmore, a Ph.D. candidate in the Interdepartmental Neuroscience Program at Northwestern. The paper, “Targeted memory reactivation of face-name learning depends on ample and undisturbed slow-wave sleep,” will publish Jan. 12 in the Nature partner journal “NPJ: Science of Learning.” The paper’s senior author is Ken Paller, professor of psychology and director of the Cognitive Neuroscience Program at Weinberg College of Arts and Sciences at Northwestern. The paper was also co-authored by Adrianna Bassard, Ph.D. candidate in psychology at Northwestern. The research team found that for study participants with EEG measures (a recording of electrical activity of the brain picked up by electrodes on the scalp) that indicated disrupted sleep, the memory reactivation didn’t help and may even be detrimental. But in those with uninterrupted sleep during the specific times of sound presentations, the reactivation led to a relative improvement averaging just over 1.5 more names recalled. The study was conducted on 24 participants, aged 18-31 years old, who were asked to memorize the faces and names of 40 pupils from a hypothetical Latin American history class and another 40 from a Japanese history class. When each face was shown again, they were asked to produce the name that went with it. After the learning exercise, participants took a nap while the researchers carefully monitored brain activity using EEG measurements. When participants reached the N3 “deep sleep” state, some of the names were softly played on a speaker with music that was associated with one of the classes. When participants woke up, they were retested on recognizing the faces and recalling the name that went with each face. The researchers say the finding on the relationship between sleep disruption and memory accuracy is noteworthy for several reasons. “We already know that some sleep disorders like apnea can impair memory,” said Whitmore. “Our research suggests a potential explanation for this — frequent sleep interruptions at night might be degrading memory.” The lab is in the midst of a follow-up study to reactivate memories and deliberately disrupt sleep in order to learn more about the relevant brain mechanisms. “This new line of research will let us address many interesting questions — like whether sleep disruption is always harmful or whether it could be used to weaken unwanted memories,” said Paller, who also holds the James Padilla Chair in Arts & Sciences at Northwestern. “At any rate, we are increasingly finding good reasons to value high-quality sleep.” To read the original article click here.

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BREAKING Health NEWS: Weight Loss Made Easier With the Use of Lipoic Acid

AHA Publisher — Tue, 22 Sep 2020 07:00:57 +0000

Lori Alton via NaturalHealth365 – Obesity is widespread in the United States, with the CDC estimating its prevalence at a stunning 42.4 percent of the adult population. More than just a cosmetic or aesthetic issue, obesity – defined as a body mass index of 30 and above – is a serious medical problem. But, today, we have some exciting weight loss news to report. First, to be clear: Not only does being overweight tragically shorten lives, but it increases the risk of many other potentially life-threatening conditions – such as heart disease, stroke, type 2 diabetes, sleep apnea and certain types of cancer. And, while Western medicine has attempted to “control” obesity with pharmaceutical medications, some of these drugs have caused toxic side effects ranging from psychiatric disorders to increased risk of myocardial infarctions and strokes. This reality has fueled the search for non-toxic and effective ways to lose weight – and a new, peer-reviewed studyshows that lipoic acid may fit the bill. Study Reveals: Lipoic Acid Promotes Weight Loss and Reduces the Risk of Oxidative Stress The clinical study – conducted by Oregon State University in conjunction with Oregon Health and Science University and published in August in Journal of Nutrition – involved 62 obese but otherwise healthy adult participants. Researchers chose to study healthy subjects so that they could better determine the benefits of lipoic acid in weight loss – and not in the treatment of disease per se. To conduct the study, researchers gave 600 mg of lipoic acid supplements a day to 31 participants, while a control group of equal size received a placebo. The participants were advised to make no changes in their diets or level of physical activity. The results were unequivocal – and quite encouraging! According to study leader Balz Frei, Director Emeritus of the Linus Pauling Institute at OSU, the subjects who received the lipoic acid supplements “clearly showed a loss in body weight and fat.” Significantly, the lipoic acid didn’t just affect body mass index – which also measures muscle, fluid and bone – but the amount of excess fat shed by the subjects. The upshot was: the lipoic acid group lost up to 5 percent in weight and nearly 10 percent in body fat -and this occurred with no change in lifestyle or adjustment to diet. Female participants, as well as the most obese individuals, enjoyed the greatest benefits. The lipoic acid group also showed decreased levels of markers of inflammation and oxidative stress – both of which are implicated in the development of disease. A Beneficial “Blast from the Past” – New Study Confirms Results of Research Conducted a Decade Earlier The new OSU study was not the first research to show that lipoic acid promotes weight loss. In 2011, an intriguing Korean study was published online in the American Journal of Medicine. The study involved 360 obese adults who also experienced additional health concerns – such as high blood pressure, type 2 diabetes or high cholesterol. Participants were given either 1,200 mg of lipoic acid, 1,800 mg of lipoic acid or placebo a day for twenty weeks. They were also instructed to reduce dietary intake by 600 calories a day. The team found that the 1,800-mg group lost a clinically significantly amount of weight and shed more pounds than either the placebo group or the lower-dose group. Noting that that lipoic acid was indeed responsible for a “modest” weight loss, the team concluded that it could be recommended as a complementary obesity treatment. As an added “bonus:” Diabetic patients in the 1,800-mg group showed a substantial reduction in their A1c levels (a measure of blood sugar control over time). Studies: Anti-Diabetic Lipoic Acid Helps to Metabolize Sugar and Improve Insulin Sensitivity Lipoic acid, also called alpha-lipoic acid, is a medium-chain fatty acid produced naturally in the body. Although lipoic acid is sometimes referred to as ALA, this acronym can also refer to alpha-linoleic acid, a different nutrient). An essential cofactor for mitochondrial respiratory enzymes, lipoic acid has antioxidant and anti-inflammatory effects, and is currently used by integrative healthcare providers to treat diabetic neuropathy. When you consider this natural nutrient’s capabilities, it is not surprising that lipoic acid promotes weight loss. Studies show that it seems to regulate AMP-activated protein kinase, the metabolic “master switch” that responds to changes in cellular energy. In addition, it can help metabolize glucose (“sugar”) and fats! And, cell studies have shown that lipoic acid regenerates other important antioxidants in the body, such as CoQ10, vitamin C and glutathione. Plus, studies support its ability to improve insulin sensitivity, prevent vascular dysfunction and ease fatty liver disease. Even Modest Losses in Weight Can Help Prevent or Alleviate Dangerous Conditions Involved With Obesity Obesity and overweight can be triggered by a complex web of factors, including genetics, environment, hormonal imbalances, use of certain medications and sedentary lifestyle. Of course, poor nutrition (particularly the Standard American Diet, which features outsize servings of foods laden with unhealthy fats, sugars and chemical additives) plays a major role. While increased physical activity and reduced caloric intake are the mainstays of weight control, many struggle with these behavioral modifications. But, there is good news. Even modest weight loss – such as 5 to 10 percent of BMI – can help prevent or alleviate the health problems associated with obesity. In addition, small but significant weight loss can sometimes lead to a “springboard” effect, encouraging people to lose more weight. Maintain Healthy Weight Through Proper Nutrition and Lifestyle Choices Your integrative physician can help create a comprehensive weight-loss program that’s right for you. Many natural health experts recommend eating healthy amounts of plant-based fiber-rich foods – such as fruits, vegetables and whole grains – plus lean sources of protein including beans, grass-fed beef and wild-caught fish. In terms of exercise, many health experts suggest getting 150 to 300 minutes of moderate-intensity activity – such as fast walking, swimming or biking – per week. However, even leisurely strolling can be beneficial. For beginners, you may want to get an inexpensive pedometer to help gauge your activity level. For example, make a goal of doing 10,000 steps per day. You can increase your dietary intake of lipoic acid intake with spinach, yams, beets, tomatoes, and grass-fed beef. But, naturally, lipoic acid is available in supplementary form, with integrative doctors typically recommending 200 to 400 mg a day, taken before meals, to promote general health. Weight loss studies have used between 600 and 1,800 mg a day. But, as always, we suggest you check with your doctor before supplementing with lipoic acid. As research into the anti-aging and disease-fighting benefits of lipoic acid continues, we may soon hear of other therapeutic benefits. In the meantime, these encouraging studies support the ability of this natural nutrient to eliminate the risks associated with obesity. Sources for this article include: ScienceDaily.com, AMJMed.com, MayoClinic.org, NaturalHealth365.com To read the original article click here. For more articles from NaturalHealth365 click here.

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Research Shows That Older Patients with Untreated Sleep Apnea Need Greater Medical Care

AHA Publisher — Tue, 21 Jan 2020 04:42:33 +0000

University of Maryland School of Medicine via Newswise – Older Patients with Untreated Sleep Apnea Cost Nearly $20,000 More a Year and Saw More Hospitalizations, New Research Shows. Newswise — BALTIMORE, MD – Obstructive sleep apnea (OSA) is a common and costly medical condition leading to a wide range of health risks such as cardiovascular disease, stroke, depression, diabetes and even premature death. Researchers at the University of Maryland School of Medicine (UMSOM) found that the medical costs are substantially higher among older adults who go untreated for the disorder. The research, which was published in the Journal of Clinical Sleep Medicine, involved a review of a national sample of Medicare claims data. The researchers measured the health care costs over a year among Medicare beneficiaries who were 65 years and older and were ultimately diagnosed with OSA. They found that patients who went undiagnosed with OSA over a 12-month period had more doctor’s appointments, emergency room visits, and hospital stays prior to being treated for the disorder. These patients on average had nearly $20,000 more in costs a year than those who were diagnosed and treated for OSA, the research found. “Sleep disorders represent a massive economic burden on the U.S. health care system,” said Emerson Wickwire, PhD, Associate Professor of Psychiatry and Medicine at UMSOM and Director of the Insomnia Program at the University of Maryland Medical Center, Midtown Campus. Dr. Wickwire, who was the Principal Investigator for this research, explained that economic aspects of diseases are increasingly recognized as important drivers of health decisions by patients, those paying for services, policymakers and ultimately the taxpayers. Medical costs among those untreated for OSA will continue to rise, Dr. Wickwire cautioned, highlighting the importance of early detection and treatment among older adults.. “We conducted the largest economic analysis of sleep apnea among older adults to date,” said Dr. Wickwire. “Medicare beneficiaries with obstructive sleep apnea cost taxpayers an additional $19,566 per year and utilized more outpatient, emergency, inpatient, prescription, and overall health care services. It’s important to realize that costs associated with untreated sleep disorders are likely to continue to accrue year after year, which is why our group focuses on early recognition and treatment.” Researchers also observed that Medicare patients with OSA were more likely to suffer from other ailments more so than those individuals without the sleep disorder. For example, OSA is linked to an increased risk for high blood pressure, diabetes, heart disease, stroke and depression. The study authors suggest that insurers, legislators, and health systems leaders consider routine screening for OSA in older patients, especially those with medical and psychiatric comorbidities, to better contain treatment costs. “The good news is that highly effective diagnostic and treatment strategies are available. Our team is currently using big data approaches as well as highly personalized sleep disorders treatments to improve outcomes and reduce costs associated with sleep disorders, “said Dr. Wickwire. The research is critical as OSA affects up to 70% of elderly nursing home residents, and these individuals are at higher risk of death. A 2016 report by the American Academy of Sleep Medicine estimated that undiagnosed OSA among U.S. adults costs $149.6 billion annually. While the report projected it would cost the health care system nearly $50 billion to diagnosis and treat every American adult with OSA, treatment would produce savings of $100 billion. The current study in JCSM is the largest analysis to date of the economic burden of untreated OSA among older adult Medicare beneficiaries. Dr. Wickwire’s research was funded by RedMed as an investigator-initiated grant. “Early detection and treatment for disorders such as obstructive sleep apnea is critical, particularly among older adults who face the risk of the most serious illnesses such as cardiovascular disease, hypertension, stroke, and diabetes,” said UMSOM Dean E. Albert Reece, MD, PhD, MBA, who is also Executive Vice President for Medical Affairs, UM Baltimore, and the John Z. and Akiko K. Bowers Distinguished Professor, University of Maryland School of Medicine. To read the original article click here.

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