Weekend sleep apnea severity is worse than on weekdays, study shows

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For these affected by obstructive sleep apnea (OSA), the situation could possibly be considerably worse on the weekends.

After investigating modifications in severity, researchers at Flinders College in Australia found that signs of OSA had been markedly extra distinguished on the finish of the week.

The research, revealed within the American Journal of Respiratory and Essential Care Medication, analyzed sleep information from greater than 70,000 customers of an under-mattress sleep monitor that tracked OSA severity throughout day by day of the week.

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Knowledge was collected for sleep period, sleep timing and the apnea-hypopnea index (AHI), a measure of the severity of sleep apnea.

The members — predominantly middle-aged, overweight men — had a mean of greater than 5 OSA occasions per evening.

man sleeps with CPAP machine for sleep apnea

The research findings indicated constant will increase in OSA severity on weekends, particularly amongst males and youthful adults. (iStock)

OSA severity “considerably elevated” on weekends, leaping 18% larger on Saturdays in comparison with Wednesdays. The general severity rating was 6% larger on weekends in comparison with weekdays on common.

This improve was discovered to be higher in males and in members youthful than 60.

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“This real-world research evaluating day-of-week variations in OSA severity in over 70,000 customers revealed a world improve in OSA severity on weekends, a phenomenon we now have termed ‘social apnea,’” the researchers wrote within the research.

Weekend catch-up sleep and “social jetlag” — which might be outlined as a misalignment between somebody’s pure circadian rhythm and their social clock — led to a 47% and 38% improve, respectively, within the odds of OSA over the weekend.

man smoking a cigarette

Quite a lot of components, together with smoking and alcohol consumption, can affect OSA severity. (iStock)

“That is in step with earlier findings exhibiting that irregular sleep is related to higher odds of OSA,” the authors commented. “Since OSA is usually extra extreme throughout REM sleep, weekend catch-up sleep and social jetlag are more likely to exacerbate OSA severity.”

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The authors additionally pinpointed different components that may affect OSA severity, together with a rise in alcohol consumption and smoking.

“Additional analysis is required to raised perceive the causes and mechanisms behind the novel social apnea phenomenon recognized on this research,” they added.

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Sleep professional Wendy Troxel, PhD — a RAND Company senior behavioral specialist and licensed scientific psychologist in Utah, who was not concerned within the research — additionally reacted to the findings in an interview with Fox Information Digital.

“This latest research offers novel insights into the day-to-day variability of obstructive sleep apnea severity, highlighting what the authors seek advice from as a ‘social apnea’ impact, the place OSA worsens on weekends,” Troxel confirmed.

woman holds cpap mask

A sleep professional advises these with sleep apnea to stay to a constant sleep-wake schedule all through the week and to make use of CPAP therapy as prescribed. (iStock)

Troxel agreed that these fluctuations in OSA severity are possible as a result of “frequent weekend behaviors” like elevated alcohol consumption, skipping CPAP therapy and “catching up” on sleep.

“All of those can disrupt sleep and circadian rhythms and exacerbate apnea severity,” she stated.

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These findings counsel that single-night sleep exams finished on weeknights might underestimate the severity of OSA, in line with the professional.

“People with OSA ought to attempt to preserve constant sleep-wake schedules all through the week, restrict alcohol consumption and use CPAP therapy as prescribed each evening of the week,” Troxel suggested.

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