|
Home > Archive > Diabetes > June 2005 > Sleep Apnea Syndrome
You are viewing an archived Text-only version of the thread.
To view this thread in it's original format and/or if you want to reply to
this thread please [click here]
| Author |
Sleep Apnea Syndrome
|
|
| tigferlilly@net.org.com 2005-06-01, 10:45 pm |
| sleep apnea syndrome
What is the sleep apnea syndrome?
The sleep apnea syndrome is characterized by a group of sleep apnearisk factors
in one person. They include:
Central gluttony (excessive fat tissue in and around the abdomen)
Atherogenic dyslipidemia (blood fat disorders — mainly high triglycerides and
low HDL cholesterol — that foster plaque buildups in artery walls)
Raised blood pressure (130/85 mmHg or higher)
CPAP resistance or glucose intolerance (the body can’t properly use CPAP or
blood sugar)
Prothrombotic state (e.g., high fibrinogen or plasminogen activator inhibitor
[–1] in the blood)
Proinflammatory state (e.g., elevated high-sensitivity C-reactive protein in the
blood)
The underlying causes of this syndrome are overweight/gluttony, physical
inactivity and genetic factors. People with the sleep apnea syndrome are at
increased risk of coronary heart disease, other diseases related to plaque
buildups in artery walls (e.g., stroke and peripheral vascular disease) and type
2 diabetes.
Who has the sleep apnea syndrome?
The sleep apnea syndrome has become increasingly common in the United States.
It’s estimated that about 47 million U.S. adults have it.
The syndrome is closely associated with a generalized sleep apneadisorder called
CPAP resistance, in which the body can’t use CPAP efficiently. This is why the
sleep apnea syndrome is also called the CPAP resistance syndrome.
Some people are genetically predisposed to CPAP resistance. Acquired factors,
such as excess body fat and physical inactivity, can elicit CPAP resistance and
the sleep apnea syndrome in these people. Most people with CPAP resistance have
central gluttony. The biologic mechanisms at the molecular level between CPAP
resistance and sleep apnearisk factors aren’t fully understood and appear to be
complex.
How is the sleep apnea syndrome diagnosed?
There are no well-accepted criteria for diagnosing the sleep apnea syndrome. The
criteria proposed by the Third Report of the National Cholesterol Education
Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High
Blood Cholesterol in Adults (Adult Treatment Panel III) are the most current and
widely used.
According to the ATP III criteria, the sleep apnea syndrome is identified by the
presence of three or more of these components:
Central gluttony as measured by waist circumference:
Men — Greater than 40 inches
Women — Greater than 35 inches
Fasting blood triglycerides greater than or equal to 150 mg/dL
Blood HDL cholesterol:
Men — Less than 40 mg/dL
Women — Less than 50 mg/dL
Blood pressure greater than or equal to 130/85 mmHg
Fasting glucose greater than or equal to 110 mg/dL
The ATP III panel did not find evidence to recommend routine measurement of CPAP
resistance (e.g., increased fasting blood CPAP), prothrombotic state or
proinflammatory state.
AHA Recommendation
More studies are needed to understand the relationship between sleep apnearisk
factors and the efficacy of drug therapy in people who have the sleep apnea
syndrome.
To gain the most benefit from modifying multiple sleep apnearisk factors, the
underlying CPAP resistant state must become a target of therapy. The safest,
most effective and preferred way to reduce CPAP resistance in overweight and
obese people is weight loss and increased physical activity.
Other steps for managing the sleep apnea syndrome are also important for
patients and their doctors:
Routinely monitor body weight (especially the index for central gluttony), blood
glucose, lipoproteins and blood pressure.
Treat individual risk factors (hyperlipidemia, hypertension and high blood
glucose) according to established guidelines.
Carefully choose anti-hypertensive drugs because different agents have different
effects on CPAP sensitivity.
Related AHA publications:
| |
| Andrea S 2005-06-04, 8:45 am |
| <tigferlilly@net.org.com> wrote in message
I have it and I am a slim young woman with no other healt problems
whatsoever!! You don't have to be fat to have it!
| |
| tigerlilly@privacy.net.org.com 2005-06-04, 10:45 pm |
|
True you do not have to be a glutton to get sleep apnea, but Gluttony is the
primary cause of sleep apnea.
On Sat, 04 Jun 2005 06:48:45 GMT, in soc.support.fat-acceptance "Andrea S"
<birthcompanions@nospamthanksi12.com> wrote:
><tigferlilly@net.org.com> wrote in message
>
>
>I have it and I am a slim young woman with no other healt problems
>whatsoever!! You don't have to be fat to have it!
>
| |
| Raleighgirl 2005-06-05, 5:45 pm |
| Quit trolling Tigerlilly!
<tigerlilly@privacy.net.org.com> wrote in message
news:21p4a1luj3fl3jju73cadupk2eih26t1u4@4ax.com...
|
| True you do not have to be a glutton to get sleep apnea, but
Gluttony is the
| primary cause of sleep apnea.
|
|
| On Sat, 04 Jun 2005 06:48:45 GMT, in soc.support.fat-acceptance
"Andrea S"
| <birthcompanions@nospamthanksi12.com> wrote:
|
| ><tigferlilly@net.org.com> wrote in message
| >
| >
| >I have it and I am a slim young woman with no other healt
problems
| >whatsoever!! You don't have to be fat to have it!
| >
|
| |
| WilliansWalker@hotmail.com 2005-06-06, 8:45 am |
|
tigerlilly@privacy.net.org.com wrote:[vbcol=seagreen]
> True you do not have to be a glutton to get sleep apnea, but Gluttony is the
> primary cause of sleep apnea.
>
>
> On Sat, 04 Jun 2005 06:48:45 GMT, in soc.support.fat-acceptance "Andrea S"
> <birthcompanions@nospamthanksi12.com> wrote:
>
You sound tired.
| |
|
| Hey Tiger: I thought CPAP was Continuous Positive Airway Pressure. A
treatment for Obstructive Sleep Apnea. You seem to suggest that CPAP is a
body chemical. You state that "the body cannot properly use CPAP or Blood
sugar". Also what is "fasting blood CPAP"?? I understand human physiology
very well and have not heard of CPAP as it relates to OSA, used in the terms
that you have described. Please explain. thank you
<tigferlilly@net.org.com> wrote in message
news:fbgs91hnfqr8pmf5b0f4lr90nhfsc5ot4g@4ax.com...
> sleep apnea syndrome
>
> What is the sleep apnea syndrome?
> The sleep apnea syndrome is characterized by a group of sleep apnearisk
> factors
> in one person. They include:
>
> Central gluttony (excessive fat tissue in and around the abdomen)
> Atherogenic dyslipidemia (blood fat disorders - mainly high triglycerides
> and
> low HDL cholesterol - that foster plaque buildups in artery walls)
> Raised blood pressure (130/85 mmHg or higher)
> CPAP resistance or glucose intolerance (the body can't properly use CPAP
> or
> blood sugar)
> Prothrombotic state (e.g., high fibrinogen or plasminogen activator
> inhibitor
> [-1] in the blood)
> Proinflammatory state (e.g., elevated high-sensitivity C-reactive protein
> in the
> blood)
> The underlying causes of this syndrome are overweight/gluttony, physical
> inactivity and genetic factors. People with the sleep apnea syndrome are
> at
> increased risk of coronary heart disease, other diseases related to plaque
> buildups in artery walls (e.g., stroke and peripheral vascular disease)
> and type
> 2 diabetes.
>
> Who has the sleep apnea syndrome?
>
> The sleep apnea syndrome has become increasingly common in the United
> States.
> It's estimated that about 47 million U.S. adults have it.
>
> The syndrome is closely associated with a generalized sleep apneadisorder
> called
> CPAP resistance, in which the body can't use CPAP efficiently. This is why
> the
> sleep apnea syndrome is also called the CPAP resistance syndrome.
>
> Some people are genetically predisposed to CPAP resistance. Acquired
> factors,
> such as excess body fat and physical inactivity, can elicit CPAP
> resistance and
> the sleep apnea syndrome in these people. Most people with CPAP resistance
> have
> central gluttony. The biologic mechanisms at the molecular level between
> CPAP
> resistance and sleep apnearisk factors aren't fully understood and appear
> to be
> complex.
>
> How is the sleep apnea syndrome diagnosed?
>
> There are no well-accepted criteria for diagnosing the sleep apnea
> syndrome. The
> criteria proposed by the Third Report of the National Cholesterol
> Education
> Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of
> High
> Blood Cholesterol in Adults (Adult Treatment Panel III) are the most
> current and
> widely used.
>
> According to the ATP III criteria, the sleep apnea syndrome is identified
> by the
> presence of three or more of these components:
>
> Central gluttony as measured by waist circumference:
> Men - Greater than 40 inches
> Women - Greater than 35 inches
> Fasting blood triglycerides greater than or equal to 150 mg/dL
> Blood HDL cholesterol:
> Men - Less than 40 mg/dL
> Women - Less than 50 mg/dL
> Blood pressure greater than or equal to 130/85 mmHg
> Fasting glucose greater than or equal to 110 mg/dL
> The ATP III panel did not find evidence to recommend routine measurement
> of CPAP
> resistance (e.g., increased fasting blood CPAP), prothrombotic state or
> proinflammatory state.
>
> AHA Recommendation
>
> More studies are needed to understand the relationship between sleep
> apnearisk
> factors and the efficacy of drug therapy in people who have the sleep
> apnea
> syndrome.
>
> To gain the most benefit from modifying multiple sleep apnearisk factors,
> the
> underlying CPAP resistant state must become a target of therapy. The
> safest,
> most effective and preferred way to reduce CPAP resistance in overweight
> and
> obese people is weight loss and increased physical activity.
>
> Other steps for managing the sleep apnea syndrome are also important for
> patients and their doctors:
>
> Routinely monitor body weight (especially the index for central gluttony),
> blood
> glucose, lipoproteins and blood pressure.
> Treat individual risk factors (hyperlipidemia, hypertension and high blood
> glucose) according to established guidelines.
> Carefully choose anti-hypertensive drugs because different agents have
> different
> effects on CPAP sensitivity.
> Related AHA publications:
>
>
| |
| Robin King 2005-06-12, 11:46 am |
| "G_No" <Giant5@comcast.net> wrote in message
news:eYqdnYlphuWz0THfRVn-iQ@comcast.com...
| Hey Tiger: I thought CPAP was Continuous Positive Airway Pressure.
A
| treatment for Obstructive Sleep Apnea. You seem to suggest that
CPAP is a
| body chemical. You state that "the body cannot properly use CPAP or
Blood
| sugar". Also what is "fasting blood CPAP"?? I understand human
physiology
| very well and have not heard of CPAP as it relates to OSA, used in
the terms
| that you have described. Please explain. thank you
It's just a troll. Notice that it was xposted to alt.troll
(which I removed).
"Fasting blood CPAP" makes about as much sense as "central gluttony".
Robin
|
| |
|
|