overweight pilotsFAA has now revised its policy for pilots who now will be allowed to keep flying while being evaluated for the sleep apnea disorder.Facing a backlash from pilots and aviation lobbying groups, the FAA has reversed course on a controversial medical policy that would have grounded overweight pilots until they underwent screening for obstructive sleep apnea.
The FAA’s new medical screening guidance follows more than a year of lobbying efforts on behalf of several aviation organizations, including AOPA, the National Business Aviation Association and the Experimental Aircraft Association. As first revealed by the agency late in 2013, the FAA’s chief federal air surgeon sought to require that any pilot with a body mass index (BMI) of 40 or greater, and a neck size of 17 inches or greater, undergo obstructive sleep apnea screening prior to receiving a medical certificate.
The new policy, which takes effect March 2, will require overweight pilots who are diagnosed with OSA to receive treatment to continue flying.
AOPA President Mark Baker and NBAA President and CEO Ed Bolen both applauded the policy change, calling the revised guidelines a “common-sense approach” to medical certification.

Excercise For Good Sleep and Health in 2013

excerciseHolidays are usually filled with excitement, fun, food, stress, family and friends, and kindness. This New Year brings good news for everyone with a perfect opportunity to turn things around. It is now time to begin with few basics such as quitting on smoking, 30 minutes of exercise, five days a week (walking is great), eating lots of fresh fruits and vegetables, and achieving a reasonable body weight.

When we talk about goals, it’s very important to set them, but even more important is to sustain them. You don’t want to quit trying after six weeks because the goal was too ambitious. The goal we should all have is to move to a healthier lifestyle. We want to make the changes feel natural so that they’re self-reinforcing. You’ll feel better when you start exercising and eating healthier food, and our hope is that you won’t want to lose that feeling. Read the rest of this entry

People sleep significantly better and feel more alert during the day  if they get at least 150 minutes of exercise a week, a new study  concludes.

A nationally representative sample of more than 2,600 men and women,  ages 18-85, found that 150 minutes of moderate to vigorous activity a  week, which is the national guideline, provided a 65% improvement in  sleep quality. People also said they felt less sleepy during the day,  compared to those with less physical activity.

The study, out in the December issue of the journal Mental  Health and Physical Activity, lends more evidence to mounting  research showing the importance of exercise to a number of health  factors. Read the rest of this entry

University of Chicago scientists have dovered important new relationships between obesity, sleep-disordered breathing (SDB) and cognitive processing among elementary school children.

“The intricate interdependencies between BMI, SDB and cognition shown in our study are of particular importance in children, as their brains are still rapidly developing,” says study author Karen Spruyt, PhD, assistant professor in the Department of Pediatrics at the Pritzer School of Medicine. “Rising rates of obesity in children may amplify these relationships. Public health campaigns targeting obesity should emphasize not only the health benefits but the potential educational benefits of losing weight.”

The findings were published online ahead of print publication in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine. Read the rest of this entry

Obstructive sleep apnea (OSA) is a common yet underdiagnosed condition. The aim of our study is to test whether prediabetes and type 2 diabetes are associated with obstructive sleep apnea (OSA) in extremely obese (BMI [greater than or equal to] 40 kg/m2) subjects.

One hundred and thirty seven consecutive extremely obese patients (99 females) from a controlled clinical trial [MOBIL-study (Morbid Obesity treatment, Bariatric surgery versus Intensive Lifestyle intervention Study) (ClinicalTrials.gov number NCT00273104)] underwent somnography with Embletta(R) and a 2-hour oral glucose tolerance test (OGTT). Read the rest of this entry

SleepApneaDisorder/[ Press Release]/ Philadelphia, Pennsylvania / Childhood obesity in Pennsylvania is at 29.7% according to the National Conference of State Legislatures. Pennsylvania weight loss problems mount as the state will pay $4.138 billion in annual medical costs of obesity.

One in three children are overweight or obese. If one’s child is overweight or obese, would they give them HCG weight loss? BMI (Body Mass Index) greater than 30 = obesity.

Childhood obesity has increased over 300% in the past 30 years according to the CDC (Center for Disease Control). Obesity among children aged 6 to 11 years increased from 6.5% in 1980 to 19.6% in 2008. Obesity among adolescents aged 12 to 19 years increased from 5.0% to 18.1% during the same time period. Read the rest of this entry

Just a month ago, the FDA approved the use of the Lap-Band® weight loss surgery procedure for patients with a Body Mass Index (BMI) of 30 or over that also suffered from obesity related diseases (comorbidities) such as type II diabetes, high cholesterol high blood pressure and sleep apnea. This loosening of the qualification guidelines for Lap-Band® surgery will have a profound effect on New Jersey residents who are seeking to undergo bariatric surgery in the future. Before this announcement, only patients with BMIs of 40 or more with no comorbidities or BMIs of 35 or more with one or more comorbidities could qualify.  A BMI of 30 or over qualifies a person as obese while 40 or over is considered severely obese.

The new regulations have opened up bariatric surgery as a weight loss option for thousands of New Jersey residents who would not have qualified for bariatric surgery under the old guidelines. According to the Centers for Disease Control 23.9% of New Jersey residents had a BMI greater than or equal to 30. As an example, while a typical 5’9” male with comorbidities needed to weight 237 lbs to qualify under the old criteria, they now only need to weigh 203 lbs. Read the rest of this entry

People with fibromyalgia who are also obese have greater sensitivity to pain, more impaired sleep,sleep disorders like obstructive sleep apnea, and less physical strength than their non-obese counterparts, according to new findings from a prospective study.

Obesity seems to be a big barrier to fibromyalgia patients getting better,” said lead author Akiko Okifuji, PhD, professor in the Department of Anesthesiology’s Pain Research and Management Center at the University of Utah, Salt Lake City (J Pain 2010;11:1329-1337).

Previous research demonstrated that in the United States, obese individuals generally have a heightened sensitivity to nociceptive pain and a higher frequency of painful conditions, such as headache and back pain (e.g., Psychiatry Res 1983;8:119-125), and as many as 75% of patients with fibromyalgia are overweight or obese. Although the current study did not address why the correlation between weight and pain exists, the investigators concluded that weight reduction interventions may be pivotal to treating fibromyalgia. Read the rest of this entry

Obstructive sleep apnea (OSA) is a common disorder in modern society and closely associated with obesity. Because Obstructive sleep apnea (OSA) increases the likelihood of complications in the perioperative period, preoperative recognition is very important for bariatric patients.

Polysomnography (PSG) remains the gold standard for diagnosis, but it is a time-consuming and expensive examination. Researchers therefore aimed at identifying practical clinical predictors of Obstructive sleep apnea (OSA) for bariatric patients.

From April 2006 to December 2007, 101 morbid obese patients [41 men and 60 women, mean age 30.3?±?8.5, mean body mass index (BMI) 43.3?±?6.9] who underwent PSG before bariatric surgery were retrospectively studied. Read the rest of this entry
Successful results of palatal implants in the treatment of obstructive sleep apnea (OSA) have been reported in the short term; however, there are limited data in the long-term results.
 The aim of a recently concluded research study was to evaluate the long-term results and to determine factors that predicted the responders in patients undergoing palatal implants in the treatment of obstructive sleep apnea(OSA).
A study was undertaken on 92 obstructive sleep apnea(OSA) patients. Palatal implants were conducted to stiffen the soft palate and data were analyzed. Patients tolerated the procedure well. Read the rest of this entry
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