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 27, 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 27, 2014).

Share This




More Health & Medicine News

Wednesday, August 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

WHO Calls for Ban on E-Cigarette Sales to Minors

WHO Calls for Ban on E-Cigarette Sales to Minors

AFP (Aug. 26, 2014) The World Health Organization called Tuesday on governments should ban the sale of e-cigarettes to minors, warning that they pose a "serious threat" to foetuses and young people. Duration: 01:44 Video provided by AFP
Powered by NewsLook.com
Have You Ever Been 'Sleep Drunk?' 1 in 7 Has

Have You Ever Been 'Sleep Drunk?' 1 in 7 Has

Newsy (Aug. 26, 2014) A study published in the journal "Neurology" interviewed more than 19,000 people and found 15 percent suffer from being "sleep drunk." Video provided by Newsy
Powered by NewsLook.com
Does Medical Marijuana Reduce Painkiller Overdose Deaths?

Does Medical Marijuana Reduce Painkiller Overdose Deaths?

Newsy (Aug. 26, 2014) A new study found fewer deaths from prescription drug overdoses in states that have legalized medical marijuana. But experts disagree on the results. Video provided by Newsy
Powered by NewsLook.com
Official: British Ebola Sufferer Receiving Experimental Drug

Official: British Ebola Sufferer Receiving Experimental Drug

AFP (Aug. 26, 2014) A British nurse infected with Ebola while working in Sierra Leone is being given the same experimental drug used on two US missionaries who have recovered for the disease, doctors in London say. Duration: 00:44 Video provided by AFP
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