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Insomnia Plus Obstructive Sleep Apnea Adds Up to ‘Uniquely Complex’ Combo

People with insomnia and concomitant obstructive sleep apnea (OSA) represented a fairly common, medically complex group for whom current approaches may be suboptimal, according to one study. Nationally representative data tallied over 1.07 million Americans with insomnia alone, over 1.27 million with OSA alone, and over 157,000 with comorbid insomnia and OSA, so-called “COMISA.” Results […]

Memory, Cognitive Symptoms Linked to Sleep Apnea

Memory and cognitive symptoms were tied to self-reported sleep apnea, cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) showed. In a survey of more than 4,200 U.S. adults, those who reported sleep apnea symptoms had greater odds of also reporting memory or cognitive symptoms (OR 1.88, 95% CI 1.48-2.37, P<0.001), said Dominique […]

For Kids, Sleep Study Needed to Parse out the Kind of Snoring That Means Surgery

Mild obstructive sleep apnea (OSA) was not easily distinguishable from primary snoring in children without polysomnography, analysis of randomized clinical trial data showed. The only clinical and demographic factors significantly more commonly associated with mild OSA than primary snoring were Black race (OR 2.08), obesity (OR 1.80), and high urinary cotinine levels above of 5 […]

Positive Airway Pressure Linked to Less Late-Night Heart Burn Problems

Positive airway pressure (PAP) treatment for obstructive sleep apnea (OSA) was linked to reduced respiratory symptoms and nocturnal gastroesophageal reflux (nGER), an Icelandic study found. After 2 years, full PAP users reported a decrease in both nGER (adjusted odds ratio [aOR] 0.58, 95% CI 0.40-0.86) and wheezing (aOR 0.56, 95% CI 0.35-0.88) compared with non-users, […]

Surgery May Improve Dysphagia Outcomes in Kids With Sleep Apnea

Undergoing adenotonsillectomy may improve dysphagia outcomes in children with obstructive sleep apnea (OSA) and tonsil hypertrophy compared with watchful waiting with supportive care (WWSC), a secondary analysis of the randomized CHAT trial suggested. After 7 months, the prevalence of dysphagia — difficulty in swallowing — decreased by 21.3% (95% CI 13.5-28.9) in patients who underwent […]

Sleep Quality Linked With Cognition Across Five Cohorts

AMSTERDAM — Better sleep consolidation and the absence of sleep apnea were associated with better global cognition over 5 years, a pooled analysis of sleep studies in nearly 6,000 adults showed. Across five cohorts, higher sleep maintenance efficiency (pooled β per 1% increase 0.08, P<0.01) and lower wake after sleep onset (pooled β per 1-min […]

Sleep Apnea Patients Prone to Higher Long COVID Risk

Preexisting obstructive sleep apnea (OSA) was associated with up to a 75% increased risk of long COVID in adults, an analysis from the NIH RECOVER collaboration found. Unadjusted odds of post-acute sequelae of SARS-CoV-2 (PASC) were significantly higher for adult and pediatric patients with a prepandemic OSA diagnosis, according to electronic health record (EHR) data […]

Drug reduced frequency of breathing pauses in sleep apnea

A new University of Gothenburg study has paved the way for the first drug treatment for sleep apnea. Compared to before receiving the treatment, breathing pauses decreased with on average more than 20 per hour for patients given the drug. The treatment that has been tested is carbonic anhydrase (CA) inhibition, CA being an enzyme […]

Does CPAP Therapy for Sleep Apnea Really Have Heart Benefits?

Despite the widespread belief that obstructive sleep apnea (OSA) causes cardiovascular events like strokes and heart attacks, there is actually no good evidence that treating OSA lowers the risk of such cardiovascular outcomes. Observational data showing that OSA is associated with cardiovascular outcomes like atrial fibrillation (Afib), stroke, cardiovascular death, and myocardial infarction (MI) have […]

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