Is Sleep Apnea CPAP Useless for Folks Over 80?

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News Picture: Is Sleep Apnea CPAP Useless for Folks Over 80?

TUESDAY, Feb. 15, 2022 (HealthDay Information)

It is known as CPAP for brief, and the therapy helps tens of millions with sleep apnea breathe higher at evening. However new analysis suggests it won’t make any distinction for sufferers over 80.

“By all of the measures we tried, whether or not it was sleepiness, high quality of sleep, blood pressure, depression or anxiety, we discovered no vital distinction between the individuals [over 80] who used it and the individuals who did not,” stated researcher Dr. David Gozal. He’s chair of the division of child health on the College of Missouri’s Faculty of Drugs, in Columbia, Mo.

Usually, untreated sleep apnea can result in high blood pressure, heart bother, depression or anxiety. Research have proven that steady optimistic airway strain (CPAP) can considerably scale back sleepiness and depression, and forestall high blood pressure, the researchers famous.

It is not clear why CPAP did not assist these older sufferers, Gozal stated. It is attainable that individuals over 80 have disturbed sleep as a result of different causes or situations that are not attributable to sleep apnea. For instance, CPAP does not deal with high blood pressure not attributable to apnea, he defined.

Additionally, these older sufferers could have developed different methods of dealing with situations like depression and anxiety that make treating sleep apnea pointless, he added.

For the examine, Gozal’s workforce adopted practically 370 sufferers with sleep apnea who have been over 70 years of age and have been assigned to CPAP remedy or no remedy for 3 months.

The investigators discovered that amongst sufferers over 80, CPAP didn’t have a lot impact on sleep apnea. Though sufferers utilizing CPAP had considerably improved snoring and witnessed apnea, there have been no enhancements in apnea-related signs, similar to depression, anxiety or blood pressure ranges.

Gozal advised that the examine could have proven advantages from CPAP in some older sufferers if it had continued for longer than three months. He stated that ongoing trials would possibly reply that query sooner or later.

Whether or not an older affected person with sleep apnea ought to strive CPAP is a private alternative, Gozal famous.

“Attempt it. If it really works for you and you’re feeling higher, nice, use it. But when it is actually damaging your high quality of life, and you’re feeling that it is actually affecting every part else that means that you can take pleasure in your golden years in the very best manner, you can also make that call to make use of it or not,” he stated. “It is finally a affected person’s determination, and we now have to respect it.”

The findings have been revealed not too long ago within the journal Sleep Medicine.

Dr. Harly Greenberg, chief of the division of pulmonary, important care and sleep medication and medical director of the Northwell Well being Sleep Heart in New Hyde Park, N.Y., stated he does not take into account these findings conclusive.

“The outcomes didn’t exhibit statistically vital enchancment between the CPAP and no-CPAP teams,” Greenberg stated. “Severely sleepy sufferers, in addition to these with respiratory problems that resulted in low oxygen ranges, have been excluded from the trial. Conceivably, these sufferers would be the ones most certainly to profit from CPAP.”

Additionally, sleep apnea impacts sufferers in several methods, so a “one-size-fits-all” strategy to remedy is not the very best, he famous.

“Moderately, a personalised medication strategy to sleep apnea remedy could also be simpler,” Greenberg stated. “Some sufferers on this trial achieved enchancment in daytime sleepiness with CPAP, although the common distinction between the therapy and no therapy teams didn’t attain statistical significance.”

Greenberg added that sufferers who’ve troubling sleep apnea that features disturbed and non-restorative sleep, daytime sleepiness with impairment in operate, and heavy snoring or gasping throughout sleep must be provided CPAP.

“If there isn’t any enchancment in signs, discontinuation of remedy will be thought-about. Nevertheless, many aged sleep apnea sufferers report high quality of life advantages from CPAP remedy. These information shouldn’t be construed to disclaim remedy for these sufferers,” he stated.

Extra data

For extra on sleep apnea, head to the American Sleep Apnea Association.

SOURCES: David Gozal, MD, chair, division of child health, College of Missouri Faculty of Drugs, Columbia, Mo.; Harly Greenberg, MD, chief, division of pulmonary, important care and sleep medication, medical director, Northwell Well being Sleep Heart, New Hyde Park, N.Y.; Sleep Drugs, January 2022

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