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    Snoring, excessive daytime sleepiness indicators of OSA, says expert | Action Punjab


    World Sleep Day: Snoring and excessive daytime sleepiness are warning signs of Obstructive Sleep Apnea (OSA), according to Prof Naresh Panda, Head of the Department of ENT at the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. OSA is becoming more common in India as a result of urbanisation, changing lifestyles, and an increase in risk factors such as obesity and sedentary behaviour, he explained.

    According to a 2019 study published in the Indian Journal of Sleep Medicine, the prevalence of moderate to severe OSA in urban Indian population samples is around 13.7%. Another study published in the Journal of Clinical Sleep Medicine in 2018 discovered a 13.7% prevalence of OSA in a group of middle-aged urban Indians. These findings suggest that obstructive sleep apnea is a major health issue in India, particularly in urban areas.

    But what is OSA? 

    Obstructive sleep apnea is a sleep disorder characterised by repeated breathing pauses caused by upper airway collapse. These breathing interruptions can occur several times per hour, resulting in fragmented sleep and low oxygen levels in the bloodstream. 

    Symptoms:

    Common symptoms are loud snoring, daytime sleepiness, morning headaches, and difficulty concentrating.

    What happens if OSA goes untreated?

    Obstructive sleep apnea, if left untreated, can have severe physical and mental health consequences. Individuals with untreated OSA are more likely to develop hypertension, heart disease, stroke, diabetes, and depression. Furthermore, the impact of OSA goes beyond personal health, affecting productivity and quality of life while imposing a significant financial burden on individuals, families, and healthcare systems.

    What do the experts say?

    According to Dr. Sandeep Bansal, a professor of ENT, the prevalence of OSA has increased in recent years, affecting millions of people worldwide. Despite its prevalence, OSA frequently goes undiagnosed, resulting in serious health complications and financial burdens. 

    “As part of our commitment to public health awareness, we hope to shed light on the importance of recognising and treating OSA in order to reduce its consequences. Untreated OSA has significant financial implications, including increased healthcare utilisation, medication costs, productivity losses, and a higher rate of accidents and injuries,” read the press release from PGIMER.

    “Studies have shown that individuals with untreated OSA incur significantly higher healthcare expenses compared to those without the condition. While precise estimates of the global financial burden of untreated OSA may vary, studies suggest that it amounts to billions of dollars annually. The economic impact extends beyond healthcare expenditures to encompass lost productivity, disability, and reduced quality of life for affected individuals and their families,” it added.

    The statement from PGI further read, “In the Department of ENT in PGIMER, various studies have been conducted. One of those studies is where 72 patients with mild OSA were given a customised diet over 12 months and a significant reduction in baseline energy, fat, carbohydrate intake and BMI was noted and they had significant improvement in their snoring and mild sleep apnea.”

    “An observational study was conducted in 64 patients with OSA using a questionnaire to assess their dietary habits and it was found out that though most of the patients were obese, only 3.6% of them were aware of the relation between obesity and OSA and most of them had a misconception about the type of food they consumed with a high calorie of about 40kcal/kg/day. Another important study was a randomised control trial where 56 obese OSA patients’ anthropometry, blood investigations and sleep study were analysed before and after 6 months of dietary intervention which gave an eye-opening outcome where there was a significant decrease in various biochemical blood parameters, weight and BMI. Another study was conducted in which the role of DISE in titration of CPAP was seen and how it improved the efficacy of CPAP.”

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    actionpunjab
    Author: actionpunjab

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