Sleep Talk: Episode 56 – Sleep in the Pandemic

Originally at: https://sleephub.com.au/podcast-56/

Episode 56: Sleep in the Pandemic

The current pandemic is affecting people around the world and having a significant impact on their sleep. We discuss changes in sleep seen during the pandemic and strategies people can use to help improve their sleep during this difficult time.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk – Talking all things sleep.

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Audio Timeline / Chapters:

  • 00:00 – 02:08 Introduction
  • 02:08 – 21:13 Theme – Sleep in the Pandemic
  • 21:13 – 22:42 Clinical Tip
  • 22:42 – 25:40 Pick of the Month
  • 25:40 – 27:07 What’s Coming Up?

Next episode: Sleep and Pain

Links mentioned in the podcast:

Presenters:

Regular hosts:

Dr Moira JungeDr Moira Junge is a health psychologist working in the sleep field, who has considerable experience working with people with sleeping difficulties in a multidisciplinary practice using a team-based approach. Moira is actively involved with the Australasian Sleep Association (ASA) and a board member of the Sleep Health Foundation. She has presented numerous workshops for psychologists and is involved with Monash University with teaching and supervision commitments. She is one of the founders and clinic directors at Yarraville Health Group which was established in 1998. 

Connect with Moira on Twitter – @MoiraJunge

Dr David CunningtonDr David Cunnington is a sleep physician and director of Melbourne Sleep Disorders Centre, and co-founder and contributor to SleepHub. David trained in sleep medicine both in Australia and in the United States, at Harvard Medical School, and is an International Sleep Medicine Specialist, Diplomate Behavioral Sleep Medicine and Registered Polysomnographic Technologist. David’s clinical practice covers all areas of sleep medicine and he is actively involved in training health professionals in sleep.

Connect with David on Twitter – @DavidCunnington. David also regularly posts information on sleep to his Facebook page.

Need more information about how you can sleep better?

At Sleephub we understand the struggle people endure with sleeping problems which is why we have created a comprehensive FAQs page with information for those seeking information about sleep disorders and potential solutions.

Check our resources or take our Sleep Wellness Quiz for a free assessment of elements that may be keeping you from a …

Best Chin Straps For CPAP Masks

Originally at: https://snoozeez.com/best-chin-straps-for-cpap-masks/?utm_source=rss&utm_medium=rss&utm_campaign=best-chin-straps-for-cpap-masks

The CPAP chin strap is incredibly functional for CPAP patients who snore at night. Chin straps are very useful in keeping your mouth closed at the time of sleeping, and also helps prevent dry mouth signs in the morning. Breathing out and in by the nostrils is the most ideal way to sleep. But, most […]

The post Best Chin Straps For CPAP Masks appeared first on Snooze EZ.

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Who Is Most at Risk for Sleep Apnea? 5 Key Factors

Originally at: https://www.sleepdallas.com/blog/sleep-apnea-treatment-risk-for-disorder/

Man with sleep apnea sprawled out in bed

The unfortunate truth is that virtually anyone could have or potentially develop sleep apnea; if you snore or find yourself feeling exhausted during the day, you should definitely seek a diagnosis for the disorder no matter what your personal risk level is. That said, some patients are more likely to develop sleep apnea than others, and there are a number of key risk factors that can tell you whether you should be worried about your breathing potentially being interrupted at night. Keep reading to learn about 5 factors that could eventually lead to needing sleep apnea treatment in Irving.

1. Excess Weight

Obesity and sleep apnea are very closely related. When fat deposits start to build up around the upper airway, the chances of the airway becoming blocked during the night increase substantially. Such obstructions can occur multiple times every night, forcing you to wake up frequently for air and causing oxygen levels in your blood to drop. Furthermore, people with sleep apnea are also more likely to gain weight due to the lack of rest interfering with the hormones responsible for controlling appetite; needless to say, gaining more weight could make your sleep apnea even worse, leading to a vicious cycle.

2. Narrowed Airway

The narrower the airway, the easier it is to obstruct. Some patients just naturally have airways that are narrower than usual; there’s also a chance that unremoved tonsils or adenoids could become enlarged and prevent air from flowing freely.

3. Smoking

There’s seemingly no end to the different ways that smoking can have a negative impact on your health. Using any kind of tobacco product could lead to inflammation in the upper airway, and that in turn could cause an obstruction. It has been found that smokers are three times as likely to have obstructive sleep apnea as nonsmokers.

4. Family History

While your personal environment and lifestyle have a major influence on whether or not you develop sleep apnea, it’s important to note that having family members with sleep apnea does tend to increase personal risk. This could be for one of several reasons, such as an inherited narrow airway or a disposition to obesity.

5. Being Male

Men are the most likely to develop sleep apnea, being two to three times more likely to suffer from the disorder than women. That said, women can still be at risk, especially after menopause. (The odds of sleep apnea occurring tend to increase with age for both men and women.)

Keep the above risk factors in mind if you notice possible symptoms of sleep apnea, such as being constantly tired during the day. …

Q&A About Sleep Apnea with James Nestor, Author of Breath

Originally at: https://doctorstevenpark.com/qa-about-sleep-apnea-with-james-nestor-author-of-breath?utm_source=rss&utm_medium=rss&utm_campaign=qa-about-sleep-apnea-with-james-nestor-author-of-breath

James Nestor is an award-winning journalist and author of Breath: The New Science of a Lost Art. It became an instant New York Times, Wall Street Journal, and Los Angeles Times Top 10 bestseller. I had the privilege of being interviewed for his video FAQs section for his book about obstructive sleep apnea. I strongly encourage you to read his book. 

The post Q&A About Sleep Apnea with James Nestor, Author of Breath appeared first on Doctor Steven Y. Park, MD | New York, NY | Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and Snoring.

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Tips to Help You Talk to Your Loved One About Their Sleep Issues

Originally at: https://www.sleepdallas.com/blog/loved-one-with-sleep-issues/

Tossing and turning, snoring, gasping for air, lying awake for extended periods of time, going the bathroom multiple times per night. These are all common – and frustrating – sleep issues that have a detrimental effect on sleep quality and quantity – for the sufferer, to be sure, but also for those with whom they share a bed, bedroom, or even a home. 

More often than not, sleep issues like these are a sign of an underlying sleep disorder or other health concern that needs to be addressed. And while it’s certainly unfortunate that a sleep partner may experience reduced sleep quality as well, they can actually play a significant role in the solution by insisting that their loved one seek out advice, diagnosis, and treatment from a medical professional. In fact, a recent study highlights the importance of discussing sleep disturbances and their potential consequences with a loved one or housemate, as they impact the quality of the relationship and individual qualities of life. 

The Danger of Sleep Disorders

Sleep disorders, such as obstructive sleep apnea (OSA), insomnia, and restless leg syndrome, cause interruptions to sleep patterns and other metabolic consequences that pose a serious threat to the sufferer’s overall health and well-being, especially when left unaddressed or untreated for an extended period of time. 

In the short-term, interrupted sleep can lead to a variety of concerning symptoms stemming from daytime drowsiness. Some of these include:

  • Memory issues
  • Trouble concentrating
  • Depleted motor skills
  • Poor balance
  • Mood changes 

Over time, untreated sleep disorders can cause long-term health consequences, such as weakened immunity, high blood pressure, weight gain, an increased risk for diabetes and heart disease, among many others.

Discussing Sleep Concerns with Your Loved One

If you’ve found yourself in a situation where the sleep issues of someone else are negatively impacting your sleep, it’s time to take action. Sleep concerns can certainly be a sensitive topic, but discussing them is necessary for your health, your partner’s health, and the overall health of your relationship. 

When an issue goes unacknowledged for too long, tensions can build and result in resentment. You can create a space for open dialog by noting your genuine concern for your partner’s sleep health, as well as your knowledge that while problematic, these sleep disturbances are unintentional. Below we’ve listed a few tips on how to navigate an ongoing conversation surrounding sleep concerns with your partner:

  • Record the Disturbance. You may find it helpful to record your partner during the night so that you can replay the disturbance as proof of a problem. This is helpful if your partner doesn’t acknowledge the weight

Can Acid Reflux Medications Cause Dementia?

Originally at: https://doctorstevenpark.com/can-acid-reflux-medications-cause-dementia?utm_source=rss&utm_medium=rss&utm_campaign=can-acid-reflux-medications-cause-dementia

An interesting article caught my attention regarding the association between long-term proton pump inhibitor use and rates of dementia. Researchers from the University of Rostock in Germany analyzed over 73,000 medical records from an insurance database from 2004 to 2011. What they found was that patients receiving proton pump inhibitors (PPIs) for acid reflux were found to have significantly higher rates of dementia (44%). 

My interest in this study comes from the fact that acid reflux and obstructive sleep apnea tend to go hand in hand. Obstructive episodes can create tremendous vacuum forces in the chest and throat cavities, literally suctioning up normal stomach juices into the esophagus and even the throat. Besides conservative recommendations, acid-reducing medications such as PPIs (various brands include Prilosec, Nexium, and Prevacid) are usually prescribed. All these medications work by blocking the proton pump in the acid-secreting cells in the stomach. Another class of medications includes the H2 blockers, with two common brand names seen is Tagamet or Zantac. These medications are sold over the counter, as well as by prescription. It’s estimated that the market value for acid reflux medications in 2016 was $5.66 billion. 

Here are some of my comments and observations about this study:

  1. Mouse models have shown increased rates of beta-amyloid buildup in mice given PPIs.
  2. PPI use was shown to block the neurotransmitter acetylcholine, potentially leading to dementia. 
  3. Untreated obstructive sleep apnea (OSA) is also associated with higher rates of dementia. In this Taiwanese insurance database study, there was an overall 1.7x increased risk of having dementia if you also had OSA. For older males (ages 50 to 59), the risk was 6x higher, and for older females (> 70), about 3x higher.
  4. In this prospective study, older women (average age 82) without dementia were found to develop higher rates of mild cognitive impairment (1.85x) if they had obstructive sleep apnea (AHI > 15).
  5. Intermittent hypoxia (low oxygen levels), which is commonly seen in patients with untreated obstructive sleep apnea has been shown to increase levels of beta-amyloid plaques in mice.
  6. Acid reflux medications do nothing to prevent acid reflux. Instead, they lower acid production in the stomach, rather than keeping stomach contents in the stomach. What comes up, however, still includes bile, bacteria, and digestive enzymes. Pepsin, a well-known stomach enzyme, has been found in the lung, ear and nasal/sinus areas.

It’s important to realize that all of the above-mentioned studies don’t prove cause and effect, but only associations. It’s hard to tease out if dementia and OSA have the same causes (leading to an association), or if needing to take …

Can Sleep Apnea Lead to an Unhealthy Heart?

Originally at: https://www.sleepdallas.com/blog/sleep-apnea-heart-health/

Man sleeping on side snoring; wife in backgroundMost people don’t realize they’re suffering from sleep apnea until they’ve received a proper diagnosis. As such, it’s fairly easy to overlook the potentially devastating effect the condition could have on your health. Sleep apnea can cause your breathing to stop 5 to 30 times every hour while you’re asleep, and the loss of oxygen can put a strain on your body – and that naturally includes your heart. Read on to learn more about the connection between breathing-related sleep disorders and heart health – and why being proactive about improving the quality of your slumber might save your life.

What Link Has Been Found Between Sleep Apnea and Heart Health?

According to Harvard Medical School, patients with untreated sleep apnea are up to five times more likely to experience a fatal heart disease. Furthermore, roughly 47 to 83 percent of patients with cardiovascular disease are also found to have sleep apnea. Note that this link may be partially due to the fact that heart problems and breathing-related sleep disorders are both connected to obesity. That said, the direct effect of sleep apnea on your heart cannot be overlooked.

How Does Sleep Apnea Damage Your Heart?

During sleep apnea, breathing is repeatedly stopped, causing oxygen levels in your body to drop. As a result, your brain will release adrenaline due to the stress that a lack of oxygen places on your body. If adrenaline levels remain high for an extended amount of time, your blood pressure will rise. High blood pressure can easily lead to stroke and heart disease – two leading causes of death and disability in the United states.

Do You Have Sleep Apnea?

It’s estimated that about 20 percent of adults have some form of sleep apnea. Anyone can suffer from the condition, but it tends to be more common in men as well as people who are overweight. The most noticeable sign of sleep apnea is typically loud snoring, which will most likely be reported by a roommate or sleeping partner. Other symptoms are more subtle, but they might include chronic exhaustion, insomnia, occasionally waking up gasping for air, general irritability, and weight gain.

What to Do About Sleep Apnea

The good news is that you can reverse much of the impact sleep apnea has on your health by having the disorder properly treated. After having a sleep study performed, you can talk to a sleep dentist about getting an oral appliance that keeps your airway open so that you don’t have to worry about it becoming blocked at night. Different appliances might be used depending on your needs and the severity of …

To Breathe, or Not to Breathe, That is the Question: The Face Mask Controversy

Originally at: https://doctorstevenpark.com/to-breathe-or-not-to-breathe-that-is-the-question-the-face-mask-controversy?utm_source=rss&utm_medium=rss&utm_campaign=to-breathe-or-not-to-breathe-that-is-the-question-the-face-mask-controversy

I couldn’t understand why my head was throbbing. I wasn’t feeling well at all. There was no fever or any other signs or symptoms of an infection. I had eaten a healthy dinner before starting my 12-hour overnight shift in the ICU. 

It was 3 AM, and my four patients were relatively stable. I decided to go to the break room to eat a snack. A few minutes after taking off my N95 mask, my headache went away completely. I felt my scalp with my fingers and noticed two deep crevices where the tight elastic bands had left their marks. The mask had clearly cut off blood flow to my scalp.

After returning to the nursing station in front of my patients, I noticed that I was more clear-headed and less anxious. The few minutes of escape from my mask with unrestricted blood flow to my scalp and normal breathing without a mask was liberating.

The Face Mask Controversy

During the past few months of the coronavirus pandemic, there have been a number of recommendations by The World Health Organization (WHO) and the US Centers for Disease Control (CDC) that have been reversed, or even contradictory. The recommendation for using a face-mask is one of such guidelines, with conflicting studies, changing recommendations, and even a study publication retraction. 

Several studies from past pandemics as well as recent ones suggest that using a face mask (non-N95) may lower the rate of virus transmission. Other studies have refuted such findings. However, I am not going to address whether or not face masks can potentially reduce infections. There are so many variables that affect rates of transmission, I don’t think there ever will be a definitive answer. What I wish to focus on in this blog article are the documented side-effects of using a face mask.

Comparing Apples to Oranges

In contrast to rigorously controlled research studies, regular people who wear face masks us a variety of different masks. There are countless other variables, such as the fit, facial shapes and sizes, mask materials, and even your ability to breathe normally without a mask. To ask whether or not a face mask works is not the right question. What we should be asking is, to what degree does a specific type of mask, if worn and used properly, offer protection from transmitting or being infected with the coronavirus, compared to the potential side effects. Just like any prescription medication, there are side effects. Some people will have more side effects than others.

Known Complications of Face Mask Use

Any type of mask or covering over your nose and …

The Surprising Link Between Vitamin D and the Sleep Neurotransmitter Acetylcholine [Podcast #91]

Originally at: https://doctorstevenpark.com/gominak3?utm_source=rss&utm_medium=rss&utm_campaign=gominak3

Interview With Doctor Stasha Gominak

Please join me on this fascinating interview with Dr. Stasha Gominak, where she will give us an update on Vitamin D and the gut biome. Dr. Gominak’s two past interviews were two of the most popular downloaded podcast episodes.

In this 84 minute interview, she will discuss:

  • How vitamin D is linked to acetylcholine, an important brain neurotransmitter
  • Acetylcholine’s role in sleep
  • New findings about vitamin B5 (pantothenic acid).

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Show Notes

Dr. Stasha Gominak’s website

 

The post The Surprising Link Between Vitamin D and the Sleep Neurotransmitter Acetylcholine [Podcast #91] appeared first on Doctor Steven Y. Park, MD | New York, NY | Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and Snoring.

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Sleep Talk: Episode 55 – Medication in Pregnancy

Originally at: https://sleephub.com.au/podcast-55/

Episode 55: Medication in Pregnancy

Pregnancy can be a challenging time, particularly for women with sleep disorders such as narcolepsy who rely on medications to manage symptoms. There isn’t clear information to guide either women or their healthcare providers on what to do during pregnancy. To discuss managing women with narcolepsy during pregnancy we spoke to Dr Michael Thorpy from Montefiore Medical Centre, New York.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk – Talking all things sleep.

Leave a review and subscribe via Apple Podcasts

Audio Timeline / Chapters:

  • 00:00 – 02:36 Introduction
  • 02:36 – 26:29 Theme – Medication in Pregnancy
  • 26:29 – 27:46 Clinical Tip
  • 27:46 – 30:40 Pick of the Month
  • 30:40 – 32:36 What’s Coming Up?

Next episode: Sleep and Pain

Links mentioned in the podcast: 

Presenters:

Guest interview:

Dr. Michael Thorpy is Director of the Sleep-Wake Disorders Center at the Montefiore Medical Center, Bronx, New York. Both a clinician and a well-published researcher, Dr. Thorpy serves as Professor of Clinical Neurology at Albert Einstein College of Medicine. In addition, Dr. Thorpy served on the National Sleep Foundation (NSF) Board of Directors and founded and directed the NSF’s National Narcolepsy Registry, which was located at Montefiore Medical Center. He is past Chairman of the Sleep Section of the American Academy of Neurology. He is President of the New York State Society of Sleep Medicine (NYSSSM). He has published extensively on narcolepsy, insomnia, and sleep disorders. His 14 print books include “The Encyclopedia of Sleep and Sleep Disorders”. He has published more than 100 peer-reviewed articles, including publications in journals such as The New England Journal of Medicine. Dr. Thorpy’s computerized textbook on sleep medicine, SleepMultiMedia (available on DVD-ROM), is the only one of its kind.

Regular hosts:

Dr Moira JungeDr Moira Junge is a health psychologist working in the