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Innovative approaches help sleep apnea sufferers benefit from CPAP
Date:12/1/2011

People with obstructive sleep apnea are more likely to stick to prescribed treatment when a partner or parent is involved with their treatment, according to a team of sleep researchers.

Obstructive sleep apnea occurs when the upper airway collapses during sleep. It is the most common type of sleep-disordered breathing, and chances of it occurring become more elevated in obese people.

The first line of treatment for sleep apnea is a non-invasive in-home treatment called CPAP, continuous positive airway pressure therapy. However, if patients do not use the equipment properly, or at all, it cannot help.

Amy M. Sawyer, assistant professor of nursing, Penn State, and her team are looking for the best ways to encourage patients to adhere to the CPAP treatment.

"There is inconsistency in how people use and adhere to CPAP," said Sawyer. "Patients are expected to use CPAP for the eight hours or so that they are asleep. Unfortunately, most patients do not use CPAP for the duration of their sleep time."

A CPAP machine is connected to a nasal, oral or full-face mask. The CPAP machine delivers positive pressure by air, which keeps the upper airway open and unable to collapse -- a definitive problem of obstructive sleep apnea sufferers. Keeping the airway open prevents drops in oxygen levels during sleep and reduces sleep disturbance. As a result, people treated with CPAP have less daytime sleepiness, better cognitive function and generally feel more refreshed. Treating obstructive sleep apnea also lessens other health risks, including cardiovascular disease and diabetes.

The researchers were looking at different types of interventions to promote CPAP use, the team reports in the current issue of Sleep Medicine Reviews. Sawyer and her team looked at 80 studies to determine what works and what factors are important to consider when helping obstructive sleep apnea people start CPAP therapy.

"Collectively, these studies suggest that p
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Contact: Victoria M. Indivero
vmi1@psu.edu
814-865-9481
Penn State
Source:Eurekalert

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