"please keep me updated about oximeters "
Sleep Apnea Forum Bringing Power to the Patient
New? Free Sign Up
Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:
CPAP machines, Sleep Apnea surgery and dental appliances.
CPAP Supplies
Latest Activity
When was sleep apnea first identified or reported?
Thomas Roger Williams posted this question to "articles" section instead of here, so reposting here:
"i want to know is this a western phenomina cause by poor diet?
and any interesting investigations as to why it is so previlent
and what can we do to prevent problems before they occur
is it cause by vitamin B deficency and the like"
"i want to know is this a western phenomina cause by poor diet?
and any interesting investigations as to why it is so previlent
and what can we do to prevent problems before they occur
is it cause by vitamin B deficency and the like"
Views: 152
Replies to This Discussion
-
Permalink Reply by D. W. Conn on
-
Interesting topic.
Apnea my have been accurately described in the publication of Dickens, but it has been illustrated in paintings for generations.
Take a look at the painting by John Henry Fuseli “The Nightmare”. This image is clearly formulated by either REM related Sleep Paralysis or awakening and having the feeling of not being able to breath. (Such as Central Apnea).
In earlier text we can read of the Old Hag or the rage against man from Lilith the first wife of Adam. Lilith will steal the breaths of men or newborn children while they sleep. Her destiny is to torment man. Personally it is my opinion these myths and legends were created to explain those dreadful nocturnal deaths that have plagued mankind or should I say hominid-kind.
It is certain that from the australopithecine’s africanus, afarensis and beyond, animals have suffered from sleep apnea. If there is a brain and it is injured Central apnea existed. Obstructed Apnea too existed in the early animal kingdom.
Dr. Parks is correct about when apnea was identified. Taking another look, maybe turn your head to the right, and hold your tongue just so and it isn’t hard to see that apnea has more than likely plagued air breathers since the trading of gills for lungs ions ago.
-
Permalink Reply by Claire A. Murray on
-
My sleep technician noted that he saw as many thin people as overweight people with sleep apnea. Might I suggest that weight gain and sleep apnea are a "chicken or egg" conundrum. If you aren't sleeping and breathing properly, this can affect proper circulation and processing of food. Once overweight, it's even more difficult to lose weight. Or, being overweight, there is a tendency for the jaw area to move into a position causing obstruction. I've had sleep apnea since very young, but only got overweight later in life. I suspect that many years of sleep deprivation may have contributed to my weight gain and made it more difficult to lose. But now that other parts of my body are functioning better, because I'm being treated properly, I believe I can focus on weight loss with better results.
Rock Conner RRT said:Dr. Park's comment was thorough & I agree from a meta perspective, though I would add that the US OSA patient population I have observed, most notably including myself, there are an extraordinary number of subjects who are obese and beyond. That observation leads me to painfully conclude that many, and perhaps most US OSA patients have personally overeaten their way into their condition.
-
Permalink Reply by Mary Z on
-
Do you think this tendency to sleep apnea since we lost our gills is an example of survival of the fittest?
I know without modern medicine I would not survived before there were glasses or medicine for hypothroidism.
Before my sleep apnea was treated I could not stay awake, I would have not been good for anything in those early hunting and gathering cultures.
Mary Zimlich
-
Permalink Reply by 99 on
-
Rock Hinkle has gone all elvis
in tennessee excuse my poor spelling when people get married they say Ha Ha instead of i do
-
Permalink Reply by RockRpsgt on
-
The King lives on!
99 said:Rock Hinkle has gone all elvis
in tennessee excuse my poor spelling when people get married they say Ha Ha instead of i do
-
Permalink Reply by Mack D Jones, MD, SAAN on
-
Clair, I thought you would find this interesting.
Legendary snorers in history:
Napoléon Bonaparte: Overweight, with a short, thick neck, Bonaparte was thought to have had a nasal blockage.
Winston Churchill: Overweight, drank considerably, smoked cigars.
President Grover Cleveland: Weighed 280 pounds, had a fleshy, thick neck and enjoyed his beer.
President Franklin Delano Roosevelt: Suffered from hypertension and sleep apnea.
President Theodore Roosevelt: Said to be a snorer "of deafening proportions," TR put on weight later in life and died in his sleep at age 60.
Queen Victoria: She stood 5 feet 2 and had a 46-inch waist. During carriage rides her ladies-in-waiting were instructed to keep her from napping — and snoring — by moving her pillows around.
Source: ourgoodhealth.org
Those who snore way too often are sawing logs to make their coffin...MJ
Claire A. Murray said:My sleep technician noted that he saw as many thin people as overweight people with sleep apnea. Might I suggest that weight gain and sleep apnea are a "chicken or egg" conundrum. If you aren't sleeping and breathing properly, this can affect proper circulation and processing of food. Once overweight, it's even more difficult to lose weight. Or, being overweight, there is a tendency for the jaw area to move into a position causing obstruction. I've had sleep apnea since very young, but only got overweight later in life. I suspect that many years of sleep deprivation may have contributed to my weight gain and made it more difficult to lose. But now that other parts of my body are functioning better, because I'm being treated properly, I believe I can focus on weight loss with better results.
Rock Conner RRT said:Dr. Park's comment was thorough & I agree from a meta perspective, though I would add that the US OSA patient population I have observed, most notably including myself, there are an extraordinary number of subjects who are obese and beyond. That observation leads me to painfully conclude that many, and perhaps most US OSA patients have personally overeaten their way into their condition.
-
Permalink Reply by Lesley Ludden on
-
I have a Boston Terrier and a Pug. Both snore horribly. These types of dogs are 'bradycephalic', in other words, their faces have a smashed-in look and they have very small nostrils. Their uppers airways are generally short, and they have small or non-existant necks. My Pug has sleep apnea. I can watch her fall asleep with her head up, as she sleeps her head slowly lowers and she becomes very quiet, then suddenly her head will jerk up again as she lets out a long snort. This action is repetitive. I have tried to put a pillow or blanket under her chin to keep her head elevated, but she will not stand for it and moves to another spot as soon as I try. I have tried to put my husband's CPAP on her, but so far I can't find a way to keep it on her, and even the smallest mask leaks a good deal.
Mack D Jones, MD, SAAN said:Thomas,
Sleep apnea is a world wide problem. The incidence in Asians is 24%, Hispanics and Afro-Americans 15-16%, Caucasians 9%.
Dr Christian Guilleminault and coworkers at Standford have done tissue biopsies in the upper airways of patients with OSA and find evidence of neuromuscular pathology. In one of his first reports, I believe from the early 90's, he wasn't certain of the cause. Was it due to the trauma of longstanding vibrations from snoring or was there some as yet undetermined source of the pathology? More recent studies, show the same pathological changes again with no obvious cause. The trauma theory had fallen out of favor, if I remember correctly. So the cause is still unknown.
OSA, the result of pathological collapse of the tissues and musculature in what may already be an anatomically small upper airway, causes obesity and obesity narrows the airway even more. This magnifies the problem, i.e., OSA causes itself to get worse. Loosing the excess weight reduces the AHI, but rarely eliminates all apneas. There are a few cases reported in which the AHI is 0 after dropping to a normal BMI. The assumption here is that the obesity caused their OSA.
Why does OSA cause obesity? The sympathetic nervous systems surges (the "fight or fright mechanism") with each apnea results in elevated levels of many hormones including cortisol which drive the appetite center in the hypothalamus. There is a drop in leptin and a surge in ghrelin, both contributing over stimulation of the appetite center. Treat OSA and these hormone level drop and weight tends to be much easier to lose (some have found their weight drops without even trying).
Twenty percent of OSA patients in the US are not over weight nor obese presumably because of their genetic makeup (look at the Asians). You can be skinny and have an AHI of over 100. There is no fat surrounding the upper airway; there airways were made small and the collapsing tissues have no fat.
Loosing weight is simple. I've done it many times. It is calories in and calories out. One pound of fat contains 3500 calories. Metabolize or use up 3500 calories and you have lost one pound of fat. Because the strong drive for food is part of our instinctual brain located in the hypothalamus, hunger triggered by cortisol, etc., easily overrides the prefontal cortex's control center. But because we are rational and intelligent beings, we have found many inventive ways to overcome this hypothalamic over-stimulation. Portion control works for me. The bottom line: Stop going to the service station when your tank is full.
How do you explain OSA in dogs and cats? And who knows what other animals? I guess when we discover the cause in humans we will have the answer in animals or vice versa. - Attachments:
-
-
011.JPG, 102 KB
-
-
-
these animals are domesticated and not wild animanls i presume and even if they were wild are they feeding on western scraps
food is the link
How do you explain OSA in dog and cats? And who knows what other animals? I guess when we discover the cause in humans we will have the answer in animals or vice versa.
-
-
Most dogs have OSA, REM behavoir Disorder, and a high percentage are narcoleptic.
http://www.youtube.com/watch?v=z2BgjH_CtIA
This dog has OSA and RBD
-
Permalink Reply by birdshell on
-
I do believe that Colin Sullivan (http://www.medfac.usyd.edu.au/museum/mwmuseum/index.php/Sullivan,_C...) did the first research on sleep disordered breathing on dogs and devised the first CPAP in order to treat the disorder in canines:
http://tinyurl.com/yjlbml9
Interesting reading, IMHO.
-
-
birdshell i just want you to know how incredibly attracted i am to you right now for posting those. i mean you might as well made me my favorite dinner. Sleep is so sexy
birdshell said:I do believe that Colin Sullivan (http://www.medfac.usyd.edu.au/museum/mwmuseum/index.php/Sullivan,_C...) did the first research on sleep disordered breathing on dogs and devised the first CPAP in order to treat the disorder in canines:
http://tinyurl.com/yjlbml9
Interesting reading, IMHO.
© 2024 Created by The SleepGuide Crew.
Powered by
