Featured Research

from universities, journals, and other organizations

New recommendations for treating obstructive sleep apnea

Date:
September 23, 2013
Source:
American College of Physicians
Summary:
People diagnosed with obstructive sleep apnea should lose weight and use continuous positive airway pressure (CPAP) as initial therapy, according to new recommendations from the American College of Physicians.

People diagnosed with obstructive sleep apnea (OSA) should lose weight and use continuous positive airway pressure (CPAP) as initial therapy, according to new recommendations from the American College of Physicians (ACP) published today in Annals of Internal Medicine, ACP's flagship journal.

More than 18 million American adults have sleep apnea, which increases the risk of high blood pressure, heart attack, stroke, heart failure, and diabetes and increases the chance of driving or other accidents. Sleep apnea is a leading cause of excessive daytime sleepiness.

The most common type of sleep apnea is OSA, a condition in which the airway collapses or becomes blocked during sleep causing shallow breathing or breathing pauses lasting from a few seconds to minutes. The evidence shows that the incidence of OSA is rising, likely because of the increasing rates of obesity.

"Obesity is a risk factor for obstructive sleep apnea and the evidence indicates that intensive weight loss interventions help improve sleep study results and symptoms of OSA," said Molly Cooke, MD, FACP, president, ACP. Dr. Cooke is also a member of ACP's Clinical Guidelines Committee. "Plus, losing extra weight is associated with many other health benefits."

ACP recommends a mandibular advancement device (MAD) as an alternative therapy for patients who prefer it or who do not tolerate or comply with CPAP treatment.

"The evidence shows that a mandibular advancement device can effectively improve sleep study results and sleepiness," Dr. Cooke said. "However, CPAP more effectively raised the minimum oxygen saturation compared to MAD."

ACP's guideline, "Management of Obstructive Sleep Apnea in Adults," also includes advice to help physicians practice high value care. "Physicians should stress the importance of compliance with treatments, especially CPAP," said Dr. Cooke. "Doctors should weigh patient preferences and the likelihood of therapy adherence against costs before initiating CPAP treatment."

The available evidence was limited on treating OSA with surgery, which is associated with serious adverse events and should not be used as initial treatment.

ACP developed the guideline based on a systematic evidence review sponsored by the Agency for Healthcare Research and Quality.

Risk Factors and Signs of Sleep Apnea

Although OSA is more common in people who are overweight, the condition can affect anyone at any age. The risk increases as people get older. Men are more likely than women to have sleep apnea. A family history of sleep apnea also increases risk for the condition.

One of the most common signs of OSA is loud and chronic snoring. Others signs and symptoms of sleep apnea include morning headaches; memory or learning problems; inability to concentrate; feeling irritable, depressed, or having mood swings or personality changes; waking up frequently to urinate; and waking up with dry mouth or a sore throat.


Story Source:

The above story is based on materials provided by American College of Physicians. Note: Materials may be edited for content and length.


Journal Reference:

  1. Amir Qaseem, MD, PhD, MHA; Jon-Erik C. Holty, MD, MS; Douglas K. Owens, MD, MS; Paul Dallas, MD; Melissa Starkey, PhD; Paul Shekelle, MD, PhD, for the Clinical Guidelines Committee of the American College of Physicians. Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine, September 2013 DOI: 10.7326/0003-4819-159-7-201310010-00704

Cite This Page:

American College of Physicians. "New recommendations for treating obstructive sleep apnea." ScienceDaily. ScienceDaily, 23 September 2013. <www.sciencedaily.com/releases/2013/09/130923200305.htm>.
American College of Physicians. (2013, September 23). New recommendations for treating obstructive sleep apnea. ScienceDaily. Retrieved August 2, 2014 from www.sciencedaily.com/releases/2013/09/130923200305.htm
American College of Physicians. "New recommendations for treating obstructive sleep apnea." ScienceDaily. www.sciencedaily.com/releases/2013/09/130923200305.htm (accessed August 2, 2014).

Share This




More Health & Medicine News

Saturday, August 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Quintuplets Head Home

Texas Quintuplets Head Home

Reuters - US Online Video (Aug. 1, 2014) After four months in the hospital, the first quintuplets to be born at Baylor University Medical Center head home. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Patient Coming to U.S. for Treatment

Ebola Patient Coming to U.S. for Treatment

Reuters - US Online Video (Aug. 1, 2014) A U.S. aid worker infected with Ebola while working in West Africa will be treated in a high security ward at Emory University in Atlanta. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Vaccine Might Be Coming, But Where's It Been?

Ebola Vaccine Might Be Coming, But Where's It Been?

Newsy (Aug. 1, 2014) Health officials are working to fast-track a vaccine — the West-African Ebola outbreak has killed more than 700. But why didn't we already have one? Video provided by Newsy
Powered by NewsLook.com
Study Links Certain Birth Control Pills To Breast Cancer

Study Links Certain Birth Control Pills To Breast Cancer

Newsy (Aug. 1, 2014) Previous studies have made the link between birth control and breast cancer, but the latest makes the link to high-estrogen oral contraceptives. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins