A Better Sleep

A Better Sleep WHAT IS HEALTHY SLEEP? Practical tips, observations and advice toward
A BETTER SLEEP

Sleep and Longevity: Is Lack of Sleep a Killer?Sleep is well-known to affect overall health, but does it influence longe...
01/08/2025

Sleep and Longevity: Is Lack of Sleep a Killer?

Sleep is well-known to affect overall health, but does it influence longevity? Evidence suggests that the answer is yes. Multiple studies have examined this connection, revealing critical insights into the relationship between sleep duration and mortality.

In the 2008 Busselton Health Study in Australia, researchers investigated sleep's impact on conditions like pulmonary disease, diabetes, and cancer. Meanwhile, the Wisconsin Sleep Cohort offered valuable data on the dangers of sleep deprivation. Though ethically challenging to study extreme deprivation, existing research points to significant risks.

The Whitehall Study (UK) found that individuals reducing sleep from seven hours to five hours or less faced a 1.7-fold increase in all-cause mortality and a two-fold increase in death from cardiovascular problems. A 2010 review further explored potential mechanisms, solidifying the connection between inadequate sleep and health risks, including motor vehicle accidents.

Warning Signs of Sleep Deprivation

Experts recommend seven to eight hours of quality sleep per night for adults. Chronic sleep deprivation has a cumulative effect, manifesting as symptoms such as:

1. Yawning and Fatigue
Even a single night of poor sleep can lead to persistent yawning, daytime grogginess, and impaired coordination, increasing risks of accidents.

2. Forgetfulness
Sleep is crucial for memory consolidation. Sleep deprivation disrupts this process, leading to struggles with routine tasks and impaired verbal reasoning.

3. Mood Disturbances
Lack of sleep can heighten irritability, anger, and sadness. Chronic deprivation increases the risk of anxiety and depression.

4. Cognitive Impairment
Concentration issues from insufficient sleep can reduce attention spans, impair decision-making, and harm relationships and job performance.

Sleep Duration and Mortality

Both short and long sleep durations predict mortality. Future research must focus on understanding the physiological and psychological mechanisms linking sleep and lifespan. Factors such as sleep quality, societal influences, and individual sleep needs require deeper exploration. Targeted interventions, like improving sleep hygiene to reduce obesity and cardiovascular risks, could offer life-extending benefits.

As we embrace a 24-hour society, prioritizing consistent, restorative sleep is essential—not just for daily function but for a longer, healthier life.

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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https://www.wellnesseducationdubai.com/podcast-show
01/02/2025

https://www.wellnesseducationdubai.com/podcast-show

The Matt Marney Fitness Show is a culmination of Matt’s experience and passion around well-being. The show contains guest interviews and solo shows covering a wide range of topics that all about helping you show up better for the game of life.

01/01/2025
A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU THINK? IF YOU LIKE IT ...
12/31/2024

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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A sleep study is a small device that is worn overnight. It is designed to monitor your breathing at night to diagnose sleep apnoea and other conditions.NEWS...

A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU THINK? IF YOU LIKE IT ...
12/31/2024

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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This video explains the basics of obstructive sleep apnoea and and upper airway resistance syndrome UARS and how to diagnose it.NEWSLETTERIf you would like m...

12/31/2024

A note for dentists

What New Biomarker Research Reveals About OSA Treatment
When a patient's AHI drops from 24 to 7 events per hour, we typically celebrate. But what's happening beneath those numbers? Recent research reveals a complex story about mandibular advancement therapy (MAT) and its effects on inflammatory biomarkers - insights that could transform how you approach OSA treatment.

The Stakes Are Higher Than We Thought

Consider this: every time your OSA patient's airway collapses, it triggers more than just a spike in their AHI. Each episode launches a cascade of inflammatory responses that could increase their risk of cardiovascular disease. With OSA affecting up to 13% of your patient population, understanding these inflammatory markers isn't just academic - it's crucial for comprehensive care.

What the Latest Research Shows

A groundbreaking systematic review analyzing 148 OSA patients has revealed critical patterns in how MAT affects inflammatory biomarkers. Here's what you need to know:

The Numbers That Matter

Treatment adherence hit 6.6 hours per night - significantly higher than typical CPAP compliance

Patient improvement tracked across 2-3 months showed consistent AHI reduction

A striking 53% reduction in AHI was observed in effective MAT users

Three-month follow-up data showed AHI dropping from 24 to 13.1 events/hour, further improving to 7.05 at six months
The Biomarker Breakthrough

Previous assumptions about inflammatory markers are being challenged. While MAT consistently improved AHI, its impact on inflammatory biomarkers tells a more nuanced story:
Short-term treatment (2 months) showed minimal effect on CRP and TNF-α

Extended therapy (3+ months) demonstrated improvements in specific markers:

IL-1β levels showed significant reduction
D-dimer concentrations decreased
TAFIa measurements improved
No significant impact on IL-6 or IL-10

Revise Your Assessment Protocol
Add cardiovascular risk screening to initial evaluations
Document baseline inflammatory markers when available
Set three and six-month follow-up benchmarks

Treatment Duration Matters

Consider extending initial treatment evaluation periods
Plan for longer-term monitoring of inflammatory markers
Set patient expectations for extended therapy timelines

Success Metrics Are Evolving

Look beyond AHI as the sole indicator of success

Include cardiovascular health markers in progress assessments
Document inflammatory marker changes when possible
Patient Education Is Key

Explain the connection between OSA and cardiovascular health
Emphasize the importance of consistent, long-term therapy
Share specific biomarker improvements to encourage compliance
Moving Forward

The evidence is clear: MAT's impact extends far beyond airway metrics. While a 53% reduction in AHI is impressive, the potential to influence inflammatory biomarkers opens new frontiers in OSA treatment. As you integrate these findings into your practice, remember that patient education and extended treatment protocols could be the key to unlocking better outcomes.

= perhaps longer follow up times will improve inflammatory marker production =

A BETTER SLEEP
Everyone deserves a better sleep.

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A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU THINK? IF YOU LIKE IT ...
12/30/2024

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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Assessing Social Contagion in Body Mass Index, Overweight, and Obesity: Insights from a Natural Experiment
Adapted from JAMA Pediatrics, 2018

Why This Matters to Sleep Health Professionals

Obesity is a well-established risk factor for sleep disorders, including obstructive sleep apnea (OSA). Understanding how social and environmental factors contribute to obesity provides valuable insights into patient care, particularly when counseling patients about lifestyle and behavioural changes. This study offers a unique perspective on how social contagion—behaviours and attitudes spreading within social networks—may influence obesity, independent of environmental or self-selection factors.

Study Objective

The study aimed to determine if exposure to communities with higher obesity rates increases individual BMI and the risk of overweight or obesity. Additionally, it explored whether these differences were due to social contagion, shared environments, or self-selection into these communities.

Study Design and Participants

This natural experiment leveraged the routine assignment of U.S. military service members and their families to installations across 38 counties with varying adult obesity rates. Participants included 1519 families:

Adults: 1314 parents (56% fathers).
Children: 1111 children aged 12 or 13 (52% boys).
Data were collected via self-reports for parents, parent and self-reports for children, and anthropometric measurements in a subset of children. The study accounted for the time spent at each installation and residence type (on- vs. off-installation).

Key Findings

Association Between County Obesity Rates and BMI

A 1-percentage point increase in the county obesity rate was linked to:
Parents:
Higher BMI (+0.08; 95% CI, 0.02-0.13).
Greater odds of obesity (aOR 1.05; 95% CI, 1.02-1.08).
Children:
Higher BMI z score (+0.01; 95% CI, 0.003-0.02).
Greater odds of overweight/obesity (aOR 1.04; 95% CI, 1.01-1.06).

Impact of Time and Residence

Associations were stronger in families with:
More time at the installation.
Off-installation residence, suggesting more exposure to the local community.
Social Contagion vs. Environmental and Self-Selection Factors

The study found no evidence that shared built environments (e.g., neighbourhood infrastructure) or self-selection into communities explained the observed associations.

These findings strongly suggest that social contagion plays a significant role in influencing BMI and obesity risk.

Clinical Implications for Sleep Professionals
Holistic Weight Management

Social dynamics within a community may influence behaviours related to diet, physical activity, and overall lifestyle—all factors that intersect with sleep health.

Weight management strategies should address not just individual habits but also the influence of social networks.
Patient Education

Emphasize how social and environmental factors can subtly affect weight and health. For example, parents and children living in communities with higher obesity rates may unconsciously adopt less healthy behaviours.
Behavioral Interventions

Incorporate behavioural counseling into treatment plans, particularly for families with shared risk factors for obesity and OSA.

Highlight the importance of social support and creating healthier community environments.
Consider Broader Social Contexts

Recognize that interventions targeting obesity must extend beyond individual behavior changes to address broader societal influences.

Takeaway for Practice

This study highlights the profound impact of social contagion on obesity risk, underscoring the need for a multifaceted approach to weight management.

For sleep health professionals, these insights reinforce the interconnectedness of obesity, social dynamics, and sleep disorders, encouraging a broader perspective in patient care.

A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU THINK? IF YOU LIKE IT ...
12/30/2024

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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At a recent congress in Berlin, Germany, clinicians were updated as to recent findings on post-COVID syndromes among children and adolescents.

A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU THINK? IF YOU LIKE IT ...
12/23/2024

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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Website - www.abettersleep.ca
Website - www.abetterseleep.net

Taking stairs, packing healthy snacks, forgoing late-night caffeine, and other tips to ward off fatigue and remain alert when the sun goes down.

Does Weight Loss Make a Real Difference in OSA?Weight loss has been shown to significantly reduce the severity of obstru...
12/21/2024

Does Weight Loss Make a Real Difference in OSA?

Weight loss has been shown to significantly reduce the severity of obstructive sleep apnea (OSA), as measured by the apnea-hypopnea index (AHI). Several studies have explored the quantitative relationship between weight reduction and AHI improvement:

General Findings:

A meta-analysis suggests that a 1% reduction in body weight can lead to an approximate 2.6% decrease in AHI. However, due to variability among study populations, establishing a precise relationship remains challenging.

Specific Studies:

In a study published in CHEST, participants experienced an average weight loss of 23.3 kg, resulting in a reduction of their AHI from 31 to 8.6 events per hour.

Another study reported that individuals who lost 10 kg or more experienced a reduction in AHI of 11.3 events per hour.

Weight Loss Interventions (those obese and with diabetes):

Medical weight loss interventions have achieved an average weight reduction of 14 kg, with AHI decreasing from 23 to 12 events per hour.

Bariatric surgery has led to an average weight loss of 53 kg, with AHI decreasing from 54 to 19 events per hour.

These findings indicate that weight loss is associated with significant improvements in OSA severity. The degree of improvement in AHI correlates with the amount of weight lost, though individual results may vary. It's important to note that while weight loss can lead to substantial reductions in AHI, it may not completely resolve OSA in all individuals.

For personalized advice and treatment options, it's recommended to consult with a healthcare professional or sleep specialist.

A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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HAPPY CHRISTMAS AND A BETTER SLEEPEveryone deserves a better sleep.info@abettersleep.ca                   WHAT DO YOU TH...
12/19/2024

HAPPY CHRISTMAS AND A BETTER SLEEP
Everyone deserves a better sleep.

info@abettersleep.ca



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Obstructive sleep apnea (OSA) and other common sleep disorders affect millions of Canadians every year. When undiagnosed and untreated, these disorders can negatively impact daytime functionality, …

CHRISTMAS TRAVELCPAP Travel Tips for a Smooth JourneyAuthor: Katrina StubbsChristmas CPAP  travel tips for a smooth jour...
12/14/2024

CHRISTMAS TRAVEL

CPAP Travel Tips for a Smooth Journey

Author: Katrina Stubbs

Christmas CPAP travel tips for a smooth journey

Getting Ready to Travel with Your CPAP

Preparing your CPAP machine for travel is an important step to ensure your trip goes smoothly. Snore MD encourages everyone to start by inspecting all components, including the mask, tubing, and power cords, to confirm they are in good condition. If anything appears worn out or damaged, reach out to a Snore MD team member, and they will help you get what you need before you leave.

Some airlines require specific documentation, so it’s wise to carry your CPAP RX in the carry bag. Doing so can sometimes grant you additional carry-on space, making your journey more comfortable.

Many people prefer to invest in a smaller, more travel-friendly CPAP. Travel units are generally smaller and more compact; however, they do not always offer all the features of a regular CPAP, and your destination choice can impact whether a travel CPAP would be a good fit for you.

We at Snore MD encourage you to consider the climate and if you require extra humidity during your travels as a travel CPAP like the ResMed Airmini does not come with a humidifier but rather other technology such as Humidex, which will provide you with minimal humidity support. We will review this and various other travel tips throughout this article, and you are encouraged to reach out to your local Snore MD for any further guidance and support you may require.

Lastly, consider the climate of your destination. If you’ll be in a humid area, you might need to adjust your CPAP settings accordingly. Likewise, pack appropriate cleaning supplies to maintain the hygiene of your equipment throughout your trip.

By carefully organizing and planning ahead, you can ensure your CPAP therapy continues seamlessly during your travels.

Managing Airport Security with Your CPAP

Navigating airport security with a CPAP machine can be straightforward with the right preparation. Understanding the TSA/CATSA guidelines is key to a smooth experience. The TSA/CATSA requires that CPAP machines be removed from their cases and placed in a separate bin for screening. To make this process easier, pack your CPAP in clear, accessible bags. This setup allows for quick removal and repacking, reducing potential delays at the security checkpoint.

For added peace of mind, having your CPAP prescription and a TSA/CATSA medical notification card/form on hand can be very helpful. These documents explain the necessity of your device and can clarify its use if any questions arise from security personnel. This can prevent misunderstandings and expedite your passage through security.

When approaching the security line, it’s useful to inform the TSA/CATSA agents that you are carrying a CPAP machine. This heads-up allows them to guide you through the appropriate procedures and reduces the likelihood of any complications. Some travellers find it helpful to wear a medical alert bracelet or carry a note from their doctor to further explain their need for the CPAP device.

For added convenience, consider using a CPAP travel case that is specifically designed to meet TSA/CATSA requirements. These cases are usually labelled and designed for easy inspection, which can save time during the security process. Ensure your CPAP and all related accessories are neatly organized within the case to facilitate quick and efficient screening.

Additionally, be aware that CPAP machines may be swabbed for explosive residue as part of the standard security protocol. This is a routine procedure and should not be cause for alarm. Simply allow the agents to perform their checks, and you will be on your way shortly.

To further streamline your experience, pack any liquids, such as distilled water, for your CPAP in accordance with TSA/CATSA liquid regulations. Snore MD would like to let you know that travel within Canada allows you to transport your distilled water as it is exempt from the 100ml rule due to medical necessity.

Typically, you are allowed to carry medical liquids over the usual limit, but it’s always wise to double-check the guidelines before your trip. Ensuring that these items are packed in clear, labelled containers will make the process smoother.

By taking these steps, you can confidently navigate airport security with your CPAP machine and focus on enjoying your journey.

Tips for Packing CPAP Gear

The team at Snore MD believes that packing your CPAP gear efficiently is crucial for a hassle-free journey. Start by investing in a sturdy, dedicated CPAP travel case. This case will keep your device and all its components organized and protected during transit. Make sure the case has compartments or pockets to separate and secure each item, reducing the risk of damage.

When it comes to packing, consider bringing extra tubing and masks. These spare parts are lightweight and compact, yet they can be a lifesaver if your primary gear gets damaged or lost. Tucking a few extra filters into your bag is also a wise move, ensuring that you can maintain optimal performance of your machine without searching for replacements on the go.

If your CPAP has a water chamber, empty it before packing to prevent leaks. You might also want to pack a small towel or cloth to wrap around the chamber for added protection. Ensure all items are dry before packing to avoid any moisture-related issues during your travels.

When organizing your gear, consider accessibility. Place frequently used items, like your mask and tubing, in easily reachable sections of your carry-on. This makes it simple to set up your machine quickly, whether you’re on a plane or settling into your hotel room.

To save space and stay organized, use resealable plastic bags for small items like filters and headgear clips. Label each bag for easy identification, especially if you have different types of masks or accessories. Keeping these smaller items contained prevents them from getting lost and makes repacking easier.

If you plan to use a portable battery, pack it alongside your CPAP equipment. This way, you have all your power solutions in one place, making it straightforward to locate and use when needed. Make sure the battery is fully charged before your trip and complies with airline regulations if you’re flying.

Don’t forget to include a copy of your CPAP prescription and any necessary medical documentation. These papers can be useful if you need to replace parts or encounter questions during your journey. Additionally, having a small repair kit with extra seals, headgear clips, and other minor components can save you from potential disruptions in your therapy.

Efficient packing of your CPAP gear ensures that you are well-prepared for any situation, allowing you to focus on enjoying your travels.

Power Options for Overseas Travel

When travelling internationally, ensuring your CPAP has a reliable power source is essential. Begin by identifying the type of power outlets used in your destination country. This will help you determine whether you need a plug adapter or a voltage converter. Many countries use different plug shapes and voltages, so it’s crucial to check these details ahead of time to avoid any issues.

For added flexibility, consider investing in a universal travel adapter. These adapters are designed to fit multiple plug types and often include USB ports for charging additional devices. A universal adapter can be particularly useful if you’re travelling to multiple countries with different outlet standards.

Voltage compatibility is another key consideration in addition to adapters. Check your CPAP machine’s power specifications to see if it can handle the voltage range in your destination country. Some CPAP machines are dual-voltage and can automatically adjust to different power inputs, but verifying this before you leave is important. If your machine is not dual-voltage, you’ll need a voltage converter to ensure it operates safely and effectively.

Portable batteries are another excellent option for powering your CPAP while abroad. These batteries provide a backup power source, which is particularly useful during long flights, layovers, or in locations where power outages are common. Before you travel, make sure the battery is fully charged and compliant with airline regulations, as some airlines have specific rules about carrying lithium batteries.

If your travels include stays in remote areas or extended periods without access to electrical outlets, a solar charger can be a valuable addition to your travel kit. Solar chargers can recharge your CPAP battery using sunlight, providing a renewable and reliable power source.

Lastly, consider bringing an extension cord or power strip with surge protection. This can be helpful if you need to plug in multiple devices or if the available outlets are not conveniently located. A power strip with surge protection can also safeguard your CPAP machine and other electronics from unexpected voltage spikes, ensuring they remain in good working condition throughout your trip.

Keeping Your CPAP Clean on the Go

Travelling with your CPAP machine requires some extra steps to maintain hygiene, but it doesn’t have to be complicated. First, pack a small, travel-sized cleaning kit. Include CPAP-friendly wipes and a compact bottle of cleaning solution that will be gentle on your equipment. These items will help you keep your machine, mask, and tubing clean without adding too much bulk to your luggage.

Consider setting a routine for cleaning your CPAP. Even while travelling, it’s important to maintain regular cleaning habits to ensure your device remains effective and safe to use. The best practice for your cleaning routine is to wash everything in the morning after waking up so that all your items have all day to dry completely. The key is to stick to a schedule that works best for you.

When cleaning your CPAP, use wipes for quick and easy sanitation of the mask and tubing. These wipes are designed to remove oils and bacteria without leaving any harmful residue. For a deeper clean, use the cleaning solution with warm water to rinse the mask and tubing. Make sure all parts are thoroughly dry before reassembling the machine to prevent any moisture buildup, which can lead to mold or bacteria growth.

If you’re staying in hotels, you can use the bathroom sink for more extensive cleaning. Fill the sink with warm water, add a small amount of the cleaning solution, and soak the mask and tubing for a few minutes. After soaking, rinse everything thoroughly with clean water and let it dry completely before use.

Some travellers find it helpful to carry a small towel or drying rack specifically for their CPAP equipment. This can speed up the drying process and ensure your gear is ready for use when you need it. By keeping these supplies handy and establishing a consistent cleaning routine, you can maintain your CPAP’s hygiene and enjoy a comfortable and effective therapy experience, no matter where your travels take you.

Ensuring Comfort with Your CPAP While Traveling
Using your CPAP while travelling doesn’t have to compromise your comfort. Start by considering a travel pillow, which can improve your sleep positioning and help avoid neck strain during long flights or car rides. This small addition can make a big difference in how rested you feel upon arrival.

Humidity settings are another key factor. Depending on the climate of your destination, you may need to adjust the humidity levels on your CPAP machine. Drier environments might require higher humidity to prevent nasal dryness and discomfort. If you’re unsure, try experimenting with different settings a few days before your trip to find what works best for you.

Noise can be a concern when using a CPAP in unfamiliar settings. A white noise machine or earplugs can help drown out any unfamiliar sounds, making it easier to fall asleep and stay asleep. These small tools can transform a noisy hotel room into a peaceful sleep environment.

Comfortable and breathable headgear is essential, especially if you’re sleeping in a different bed every night. Consider getting a new mask or headgear before your trip to ensure that it offers the best comfort and fit. This can prevent issues like mask leaks and pressure sores, ensuring you get the best possible sleep.

Finally, ensure you have easy access to your CPAP machine, whether you’re on a plane, in a hotel, or staying with friends. Keeping your device within reach makes it simpler to set up and use, reducing any hassle and helping you maintain your sleep routine.

By following these steps, you can ensure that your CPAP therapy remains comfortable and effective no matter where you travel.

You are not alone on your journey towards having quality sleep at night and feeling well-rested. If you think you are experiencing sleep apnea symptoms, don’t wait. You can book an appointment to get tested at a clinic closest to you. Our experts at Snore MD can help you decide on the best course of action!

Katrina Stubbs Sleep Clinician
Katrina Stubbs - Snore MD Kelowna BC

Address

519 Highway 33 #105
Kelowna, BC
V1X2A9

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