24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825
Fax: (361)578-5500

Medical Disorders
Resources
Basic InformationLookupsLatest News
Are Disinfectants Putting Nurses at Risk of COPD?Fat Collects in Lungs, Raising Asthma RiskDrug Limits Damage of Brain InjuryMore Patients With Heart Disease Die at Home Than in HospitalYour Noisy Knees May Be Trying to Tell You SomethingHealth Tip: 10 Ways to Reduce Injury RiskIs That Statin Doing You Any Good?Surgery Helps Tough-to-Treat Acid RefluxBrain Damage From Concussion Evident a Year LaterFor Kids With Genetic Condition, Statins May Be LifesaversNext-Gen Artificial Pancreas Boosts Blood Sugar ControlAHA News: Lowering Blood Pressure May Prevent New Brain Lesions in Older PeopleBladder Drug Can Cause Eye Damage: StudyGood News, Bad News on Concussions in High School SportsSteroid Shots for Painful Joints May Make Matters WorseHealth Tip: Broken Toe CareSleep Apnea Linked to Diabetic Eye DiseaseChildhood Risk Factors Can Predict Adult ObesityHealth Tip: Gum Disease Risk FactorsPut Safety First When Planning to Pack Food-to-GoA Parent's Guide to Managing Kids' Asthma During the FallWhat Foods Are Most Likely to Cause Acne Breakouts?Vision Problems Strike More Than 2 Billion GloballyLight Smoking Causes More Lung Damage Than Once Suspected: StudyHealth Tip: Choking First AidBy Mid-Century, Heat Waves Could Cover Far Bigger AreasGet Vaccinated Before Flu Takes Hold: CDCClose to 1,300 Cases of Vaping-Linked Illness Now IdentifiedMore Years of Football, Higher Odds for Brain Disease LaterPain Relief: When to Use Cold, When to Use HeatAHA News: High Triglycerides Caused a Diet Change – at Age 10Humans May Possess Ability to Regrow CartilageHealth Tip: Recognizing Bedbug Bites'Smartphone Slouching' More Serious Than It SoundsAHA News: What's Your Sense of Purpose? The Answer May Affect Your HealthDeep Brain Stimulation May Relieve Ringing in the Ears: StudyWhat Are the Risks of Pain Relief Alternatives to Opioids?Many ICU Admissions May Be Preventable, Large Study SuggestsCause of Paralyzing Illness in Kids Remains ElusiveFlu Season Is Coming: Here's How to Protect YourselfSinus Infections: What You Need to KnowFewer Teeth, Higher Risk of Heart Disease?Fungal Invasion May Drive Some Pancreatic CancersHealth Tip: Lowering Your Resting Heart RateYour Washer Might Be Breeding Drug-Resistant GermsCan Your Eating Habits Keep Alzheimer's at Bay?Prescription Opioids Linked to Poor Outcomes in Kidney PatientsCases of Serious Vaping-Linked Lung Injury Now Top 1,000Organic Chicken Less Likely to Harbor a Dangerous 'Superbug'Running the Numbers on High Blood Pressure
Questions and AnswersLinks
Related Topics

Diabetes

CPAP Brings Longer Life for Obese People With Sleep Apnea: Study

HealthDay News
by By E.J. Mundell
HealthDay Reporter
Updated: Apr 15th 2019

new article illustration

MONDAY, April 15, 2019 (HealthDay News) -- There's good news for the millions of obese Americans with sleep apnea: Researchers report the use of the CPAP mask may greatly increase their chances for a longer life.

Use of the continuous positive airway pressure (CPAP) mask was tied to a 62% decline in the odds for death over 11 years of follow-up.

That benefit held even after factoring in health risk factors such as heart disease, weight, diabetes and high blood pressure, said a French team of investigators led by Dr. Quentin Lisan, of the Paris Cardiovascular Research Center.

They noted that prior randomized clinical trials had not been able to find a survival benefit for CPAP, but they now believe those trials were simply too short for the effect to emerge.

In the new study, the benefit to longevity only "appears six to seven years after initiation of CPAP therapy," the team reported in the April 11 issue of the journal JAMA Otolaryngology-Head and Neck Surgery.

An expert who penned an accompanying editorial said the findings should help doctors and patients, because many people with sleep apnea balk at the notion of wearing a mask to bed each night.

"Every knowledgeable sleep specialist has had difficulty in convincing some patients of the need to treat their obstructive sleep apnea with these devices," wrote Dr. Clete Kushida, a sleep medicine researcher at Stanford University in California.

As Kushida noted, more than 55.6 million Americans over the age of 40 are thought to suffer the snoring and repeated nighttime awakenings of obstructive sleep apnea, which is often tied to obesity and age.

Sleep apnea isn't just an annoyance: It's also been tied to higher risks for heart disease, heart failure and stroke.

CPAP is the leading remedy for the condition. But can it actually extend users' lives?

To find out, Lisan's group crunched the numbers from the Sleep Heart Health Study, which began in the late 1990s and has followed more than 6,400 Americans 40 and older for decades. The study was funded by the U.S. National Institutes of Health.

The sub-analysis conducted by the French team focused on 392 participants who were severely obese and were diagnosed with severe obstructive sleep apnea. About four-fifths of the participants were men.

Eighty-one of the participants used CPAP over the 11 years of follow-up, while the other 311 did not.

The study found that the CPAP users cut their odds of dying from any cause over those 11 years by almost two-thirds, compared to nonusers.

Given this finding, the use of the therapy in obese patients "should be pursued and encouraged," Lisan's group concluded.

Two sleep specialists who weren't involved in the study agreed it provides crucial information for patients.

Dr. Homere Al Moutran helps direct otolaryngology at Staten Island University Hospital in New York City. He said the new findings echo those of a prior study published in The Lancet that followed 1,651 patients for a decade.

That study also found that "treatment of sleep apnea with a CPAP mask reduces cardiovascular events significantly," Al Moutran said.

Dr. Steven Feinsilver directs the Center for Sleep Medicine at Lenox Hill Hospital, also in New York City. He said that "although there is good evidence that treatment with CPAP improves some elements of cardiovascular risk, it has been frustratingly difficult to prove that use of CPAP is associated with improvement in mortality."

So, this new data is very welcome, he said.

"The Sleep Heart Health Study is the most important epidemiologic study in the field of sleep medicine, started more than 20 years ago," Feinsilver said. He believes this new analysis "adds to the evidence that obstructive sleep apnea is an important public health problem and that CPAP treatment is an effective treatment measure."

More information

The National Sleep Foundation offers more information on sleep apnea.