Thursday, February 09, 2012

Baby Boomers At Risk-"A Not So Silent Killer"

Written by

drgreenburg

drgreenburg

Mon, November 26, 2007

Dr Jonathan Greenburg DDS

 

As the youngest of 76 million boomers are now move through their 40s, men especially over 40 are more likely to have sleep disorders than women.

 

About 37 percent of American adults ages 30-69 have at least mild OSA. In a sleep apnea cycle, breathing stops, blood oxygen levels drop, and the person wakes briefly gasping for breath. This continues hundreds of times throughout the night.Apnea is classified as a complete cessation of breathing. Each episode of sleep apnea lasts a minimum of 10 seconds

 

What causes this high prevalence of sleep disordered breathing in baby boomers? It’s not just because they are ‘boomers’; rather, it is due to the continued changes of growing older. Changes in airway anatomy occur with age. The soft palate gets longer, the pharyngeal fat pads increase in size, and the shape of bony structures around the pharyngeal airway change. All of these contribute to the increased prevalence of sleep apnea in baby boomers.

 

 

Being overweight increases sleep disordered breathing

 

Football legend Reggie White, a defensive end for the Green Bay Packers and Philadelphia Eagles, is regarded as one of the NFL’s greatest players. He died from complications related to sleep apnea and sarcoidosis at age 43.

 

Sleep apnea has an insidious and damaging impact on a person’s health. It makes patients feel chronically tired, erodes their quality of life and impairs their ability to perform safety-critical tasks, such as driving a car. It also heightens the risk of high blood pressure, heart attacks and strokes.

 

Untreated sleep apnea causes accidents and illness, undermines a person’s effectiveness in the workplace and imposes large burdens on the healthcare system.

 

While hypothyroidism is more prevalent in female baby boomers, male boomers with constant fatigue are more likely to be suspects of sleep apnea - although 80 to 90 percent of those who are go undiagnosed. As many as three million middle-aged men don’t know they have this chronic upper airway obstruction during sleep, usually associated with loud snoring.


Many people long to die peacefully in their sleep, their heart stopping while they dream and snore. But reality is different: Heart attack deaths actually hit their nadir at night, and peak between sunrise and noon.

 

The exception is people who suffer from sleep apnea. New research shows that they are far more likely to die in their sleep.

The new research, published in today’s edition of the New England Journal of Medicine, involved 112 Minnesota residents, diagnosed with sleep apnea, who died suddenly of heart-related causes. Mayo Clinic in Rochester, Minn

 

Researchers found that more than half the sleep apnea sufferers died between 10 p.m. and 6 a.m. In the general population, this was the time people were least likely to die of cardiac-related problems.

 

The literature suggests up to 80 per cent of people with sleep apnea don’t have a clue what’s going on, Research shows that a neck circumference greater than 16 inches in a woman and 17 inches in a man correlates with an increased risk for the disorder, said Dr. Robert Gunnink, medical director of REM Medical and a board-certified sleep medicine and neurology specialist.

11/27/07 1:30pm

Thanks for posting doctor!  This is great and important information (I plan on sendng this to my dad ASAP!).

 

Just wanted to mention to other posters and readers that they can review more on Sleep Apena in Understanding Sleep Apnea and Sleep Apnea Guide on our site.

 

Looking forward to reading more from you in the future.

 

All the best, SMM 

11/29/07 1:45am

To Dr. Greenburg's salient comments, I wish to add that it is critically important to know that some sleep apnea may appear to be mild, but when tested with more advanced breathing sensors, the condition may actually show up in a form called "Upper Airway Resistance."  The importance of UAR cannot be overstated,because it worsens the severity of sleep apnea.  Also, because many sleep labs in the USA still do not account for this more subtle breathing disturbance, there is a greater chance of actually missing the diagnosis of sleep-disordered breathing.

 

My new book, Sound Sleep, Sound Mind, describes a great deal of information about UAR, and you can learn more about this important component of sleep breathing at my website www.sleeptreatment.com.

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