The prevalence of obesity,sleep apnea, and the metabolic syndrome is rapidly increasing in India and other south Asian countries, leading to increased morbidity and mortality due to type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). 

The literature search has been carried out using the key words “insulin resistance, the metabolic syndrome, cardiovascular risk, diabetes, obesity, Asian Indians, and South Asians” in the medical search engine Pubmed (National Library of Medicine, Bethesda, MD) from 1966 to September 2009. Read the rest of this entry

SleepApneaDisorder/[Press Release]/OMAHA, NE/- Experienced dentist in Omaha, Dr. Mark Braasch of Braasch Dentistry, is now offering advanced treatment for patients suffering from sleep apnea and migraines. This dentist in Omaha, NE is trained in neuromuscular dentistry as well as the treatment for mild to moderate sleep-related breathing disorders, and has successfully treated several patients for these serious conditions from his state-of-the-art facility. Read the rest of this entry

Overweight in children is most commonly described by using BMI. Because BMI does not adequately describe regional (central) adiposity, other indices of body fatness are being explored.

Neck circumference (NC) is positively associated with obstructive sleep apnea, diabetes, and hypertension in adults. NC also has positive correlation with BMI in adults. The possible role of NC in screening for high BMI in children is not well characterized. Read the rest of this entry

Physiologic changes of pregnancy may predispose females to develop sleep disordered breathing (SDB) or protect against it. Studies evaluating outcomes of SDB symptoms in pregnancy are scarce. The goal of this study is to evaluate the prevalence of SDB symptoms in pregnancy and their relationship with pregnancy and neonatal outcomes.

A cross-sectional survey of randomly selected immediate postpartum females was performed using the multivariable apnea prediction index. Record review including demographics and medical history was performed. Main outcome measures included pregnancy and neonatal outcomes. Read the rest of this entry

If you have the disorder, you’re not breathing properly while you sleep because your airflow is blocked repeatedly throughout the night. Nearly one in four men and one in ten women suffer from it. (There are a couple of other varieties, but OSA is the most common.) And it goes hand-in-hand with type 2 diabetes. In a survey on the subject, Gary D. Foster, PhD, wrote that, “among all of the sleep disorders, OSA has the strongest association with type 2 diabetes.”  That’s even taking into account other risk factors, such as weight, sex and age.

The main risk factor for OSA is obesity. “Excess weight deposits extra fat around the thorax, reducing chest compliance and functional capacity, while increasing oxygen demand,” wrote Foster, a professor of medicine and public health and the Director of the Center for Obesity Research and Education at Temple University. Read the rest of this entry

[Press Release]-Circadiance, the world leader in soft cloth nasal CPAP masks, has launched the SleepWeaver(R) in the European Union and will launch in Canada soon. The company has secured the right to apply the CE Mark after becoming ISO 13485 certified.

“Sleep Apnea affects tens of millions of people around the world,” said David Groll, Circadiance’s CEO. “We have already established distributors in several European countries in preparation for this launch, and we anticipate the same enthusiastic reception in these new markets that we have enjoyed in the U.S. Our soft cloth mask is the answer to uncomfortable hard plastic masks that foster noncompliance. This milestone is just another step in our effort to establish global distribution for our superior cloth CPAP mask technology.” Read the rest of this entry

Migraine sufferers who experienced abuse and neglect as children have a greater risk of cardiovascular (CV) disease including stroke and myocardial infarction (MI) among others, say scientists presenting data at the American Headache Society’s 52nd Annual Scientific Meeting in Los Angeles this week. 

In a multi-center, cross-sectional study of more than 1,300 headache clinic patients diagnosed with migraine, investigators found a linear relationship between the risk of stroke, transient ischemic attack (TIA), MI, or all of these adverse outcomes and the total number of abuse types they experienced as children (physical, emotional or sexual abuse, or physical or emotional neglect.) 

Patients in the study completed a self-administered electronic questionnaire which collected information on age, gender, race, highest educational level attained, body mass index, smoking status, history of childhood maltreatment, as well as self-reported physician-diagnosed CV conditions and risk factors such as hypertension, diabetes, obesity, and obstructive sleep apnea. The Childhood Trauma Questionnaire was used to assess physical, sexual, emotional abuse and physical, emotional neglect. 

“It is clear from this work that early adverse experiences influence a migraine sufferers’ cardiovascular health in adulthood,” said Gretchen E. Tietjen, MD, of the University of Toledo College Of Medicine, who led the team from 11 neurology centers in the U.S. and Canada. “Other work has shown a link between childhood maltreatment and migraine and now we know that early abuse puts these adults at a greater risk of cardiovascular and cerebrovascular disease. 

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