RE: The Daily Pap
Sleep Apnea in Teens Could Lead to Behavioral Issues
Sleep apnea in teenagers has been linked to behavioral and social problems, according to a recent study‘ by the University of Arizona. In addition to these particular problems, kids who suffered from the disorder are at a much higher risk of developing issues with anger management, concentration, learning, and hyperactivity. If they are left untreated, these individuals may lose the ability to properly care for themselves as they reach adulthood.
MedicineNet reports that the study followed 263 children for a period of five years. During that time, researchers discovered that children with sleep apnea were two and three times more likely to develop behavioral problems than teens who didn’t have the disorder. However, although sleep apnea has been linked to these issues, researchers stress that it does not directly cause the aforementioned problems.
“If left untreated, [obstructive sleep apnea] negatively impacts a youth’s ability to regulate their behaviors, emotions and social interactions,” study lead author Michelle Perfec explained. “These behaviors can interfere with their ability to care for themselves and engage in socially appropriate behaviors — skills that are needed to be successful in school.”
Sleep apnea is a disorder in which the airway become obstructed during slumber. Symptoms include snoring, dry mouth, morning headache, and waking up suddenly during the night with a shortness of breath. Although snoring itself is not necessarily a sign of sleep apnea, a problem may exist if these bouts of snoring are punctuated by periods of silence.
Sleep apnea treatment might boost men's sex lives
(HealthDay News) -- In younger men, sleep apnea and impotence often go hand in hand. But a small study finds that treating the sleep disorder with a mechanical device can jump-start a guy's sex life.
Erectile dysfunction resolved in 17 of 42 men who used machines that maintain air flow throughout the night. And even those without sexual dysfunction who used the CPAP (continuous positive airway pressure) devices reported a boost in sexual performance, the study found.
While earlier studies have produced similar results, this one is especially strong, said Dr. Steven Park, an ear, nose and throat physician and sleep medicine specialist familiar with the new findings.
The study "has huge implications," said Park, of Montefiore Medical Center in New York City. "If you snore or you're tired and you're having intimacy issues, consider getting tested for obstructive sleep apnea," he said.
Sleep apnea treatments have revitalized his male patients, Park noted. "In my practice, one of the most common comments is that they're having erections again upon wakening in the morning," he said.
"Bed partners report improved relations," Park added.
The National Sleep Foundation estimates that 18 million Americans have obstructive sleep apnea, but 90 percent may not know it.
People with sleep apnea subconsciously awaken many times a night -- even dozens of times an hour -- because their airways close, disrupting their breathing. Sleep apnea sufferers often snore heavily and are tired during the day.
Erectile dysfunction is common among men with sleep apnea, said Park, author of the book Sleep, Interrupted: A physician reveals the #1 reason why so many of us are sick and tired.
"Having multiple breathing pauses at night causes a massive stress response, increasing your fight-or-flight response, and reproductive function is your last priority when you're being chased by a tiger or in even fighting off an attack," Park said.
"Also, arousal and erection are activated by the parasympathetic nervous system, which controls digestion and reproduction, so too much stress will lessen these functions," he explained.
In the new study, researchers at the Walter Reed Military Medical Center in Bethesda, Md., followed 92 men, average age 46, who began using CPAP machines after being diagnosed with obstructive sleep apnea. While sleeping, patients wear masks connected to machines that send pressurized air into the throat to keep the airway open throughout the night.
The average participant was overweight. Forty-six percent reported erectile dysfunction, and 27 percent said they had diminished libido.
After six months, the researchers found that sexual function and satisfaction improved in the CPAP device users, and erectile dysfunction vanished in 41 percent of those who'd had erection issues.
Joyce Walsleben, a sleep medicine specialist and associate professor of medicine at the New York University School of Medicine, said the devices probably boost energy by improving sleep.
"It may well have to do with increased oxygen and the production of hormones and other neurotransmitters being reset," Walsleben said.
CPAP machines aren't for everyone. They're expensive -- prices range from several hundred dollars to more than $1,000 -- and some sleep apnea patients can't tolerate them. However, other treatments, such as surgery, exist for sleep apnea.
As for whether wearing a mask-and-hose getup ruins the mood in bed, Walsleben had this to say: "I can tell you that from people I know with the device, happy bed partners are much more interested in sex -- before or after sleep -- than those who are fighting over snoring or sleeping in separate rooms."
The study -- scheduled for presentation Wednesday at the Associated Professional Sleep Societies meeting in Boston -- doesn't prove that CPAP will boost a man's performance, or resolve sexual dysfunction. It merely shows an association between apnea treatment and a happier sex life.
Treating sleep apnea often improves other risks associated with the sleep disorder, including high blood pressure.
Data and conclusions of research presented at medical meetings should be considered preliminary until published in a peer-reviewed medical journal.
Sleep Apnea May Spur Carb Cravings in Diabetics
(HealthDay News) -- People with diabetes are at increased risk for obstructive sleep apnea, which appears to boost their craving for carbohydrates, a new study suggests.
Because unrestricted carbohydrates can harm someone with diabetes, the findings point to the need for primary care doctors to screen for obstructive sleep apnea in patients with type 2 diabetes, the study authors said.
The researchers checked 55 people for diabetes, obstructive sleep apnea and carbohydrate cravings, and found that more than half of them had diabetes. Eighty-two percent of the diabetic patients had obstructive sleep apnea, and diabetic patients had nearly double the risk of carbohydrate cravings as those without diabetes.
The investigators also found that patients with sleep apnea were nearly twice as likely to have high carbohydrate cravings as patients without the sleep disorder.
Obstructive sleep apnea occurs when the tissue in the back of the throat blocks the airway, which causes people to stop breathing while they are sleeping. The condition disrupts sleep and can cause daytime fatigue, and increases the risk of other health problems such as heart disease and stroke.
The study was scheduled for presentation Wednesday at the annual meeting of the Associated Professional Sleep Societies in Boston.
The findings offer an indication of the degree that sleep apnea can affect carbohydrate craving in people with diabetes, said study co-investigator Dr. Mahmood Siddique, clinical associate professor of medicine at the Robert Wood Johnson Medical School in New Brunswick, N.J.
"Previous studies have shown that sleep deprivation may lead to changes in hormones that regulate appetite and hunger," Siddique said in a news release from the American Academy of Sleep Medicine. "These hormonal changes can lead to significant craving for high-calorie carbohydrates such as cookies, candy, breads, rice and potatoes. The current study supports previous findings by validating this in a community sample of diabetics."
People with diabetes have excess blood sugar. Because carbohydrates break down into sugar in the body, they have the greatest impact of all the food groups on blood glucose level. Carbohydrates found in fresh fruit and whole grains are generally safer for patients with diabetes than sugary carbs.
An East Coast expert said doctors should be alert for sleep apnea among their diabetic patients. "Current national guidelines on the management of diabetes need to consider sleep apnea as an independent risk factor more vigorously," study principal investigator Dr. Anthony Cannon said in the news release.
"The management of patients with diabetes and or metabolic syndrome based solely on [drug therapy], exercise and nutritional modifications without taking into account the risk of sleep apnea may not lead to optimal outcomes for patients suffering from these chronic diseases," added Cannon, the American Diabetes Association regional president for central and southern Pennsylvania and southern New Jersey.
Cannon added that sleep apnea is often undiagnosed by primary care physicians. "Public policy can play a key role in the educational awareness of the association between sleep apnea and diabetes among both physicians and patients," he concluded.
While the study uncovered an association between sleep apnea and carb cravings in diabetics, it did not prove a cause-and-effect relationship.