There are alternative solutions to CPAP

As we all know, a solid night of sound sleep is important; so important that a person’s overall health and ability to function effectively during the day depends on it. But when normal breathing patterns are disrupted during sleep, it’s not unusual for health to deteriorate.

The major conditions that cause concern are obstructive sleep apnea (OSA) and the key symptom, excessive snoring, which is usually caused by the tongue falling back into the throat when the sleeper’s mouth is open, This blocks airflow and forces the sleeper to wake up and constantly adjust his or her position. This can occur multiple times every hour and renders restful sleep impossible. If a person can somehow close his or her mouth while sleeping, however, then the tongue won’t fall back and their sleep may not be disturbed.

The usual recommended treatment for this in the UK is by the use of a CPAP machine, to maintain and force a continuous flow of oxygen into the lungs during sleep via a facemask.

Living with a partner who has symptoms of obstructive sleep apnea (OSA) can also be a difficult proposition. At night, their snoring and gasping for air can keep you awake, and the restless shifting from position to position can prevent you from sleeping. During the day their fatigue may prevent them from being able to help out at home. However, talking with your partner about getting diagnosed is the first step toward both of you sleeping all night and waking up in the morning feeling refreshed.

Many sufferers however do not wish to wear a restrictive mask all night for a variety of good reasons – varying from claustrophobia to discomfort. As a consequence many people risk serious health problems by choosing not to be diagnosed or simply acquire the equipment and fail to adapt to using it.

As a result many Sleep Specialists and Dentists are now recommending other alternative therapies in order to lower health risks; their attitude now being that better a slightly less effective treatment than none at all, and the results have proved that this is proving an excellent solution. OSA sufferers that were previously undiagnosed are now coming forward for simpler and less invasive treatment for their possibly life-threatening problem.

This first began in the USA where awareness of Sleep Disorders is at a much higher awareness level, but has now begun to be widely accepted in the UK among leading Dental Practices. They are happy to recommend their patients to accept alternatives to CPAP. These solutions are NHS Approved products whose success levels are well recorded for all the common snoring problems amongst both men and women.

If you suspect that you or a member of your household suffers from snoring or sleep apnea, the first step is to see your dentist. He will organize a small oral appliance called a mandibular advancement device (MAD) that is worn during sleep to reduce snoring by moving the jaw forward and preventing the tongue from closing off the air passage. With your air passage open and unobstructed, snoring is greatly reduced which results in a quiet, restful sleep for you and the other members of your household.

An alternative device is a snoring chinstrap – which can be worn singly or in conjunction with the MAD if requiring extra support to close the mouth. This simple comfortable fabric product can help you and your partner get a good night’s rest and possibly prevent serious future health problems. An adjustable snoring chin strap wraps underneath a person’s jaw and over the head and is manufactured from comfortable, lightweight, and breathable fabric. It distributes tension evenly across the head and alleviates pressure points. As a result, the jaw stays closed, the tongue does not fall back, airways are more open, and sleep can occur without disturbances. It is a simple, low-cost, and non-surgical solution to a highly debilitating problem.

Together, the Custom mouthpiece and the Chinstrap are now widely diagnosed by leading dental practices in the UK for those heavy snorers who struggle with or deliberately avoid CPAP treatment for their problem. It may save their marriage – and even their life.

By John Redfern


Stopping snoring improves lifestyle and prevents heart problems

Making sure you get plenty of undisturbed sleep could increase the benefits of a healthy lifestyle and prevent heart problems, researchers suggest.

It’s important to take regular exercise and of course eat healthily as we all know – but it is even more important to stop smoking and moderate your alcohol intake – particularly later in the evening. It’s these lifestyle changes that will most protect you from heart problems and reduce the chance of early death as a result.

Researchers wanted to find out if getting a good night’s sleep – which they defined as seven hours or more a night – could enhance the benefits of healthy lifestyle changes. Several studies have already suggested that it can, and that lack of sleep is linked to a risk of being overweight, and to high blood pressure and high cholesterol. A key symptom is snoring which obviously can seriously disturb your sleep pattern – and also that of others.

The research took place as follows and took 12 years in total

  1. Doctors and researchers studied almost 20,000 adults aged between 20 and 65 who had no previous history of heart problems.
  2. All of them were questioned about diet, exercise levels, whether they drank or smoke, and how much sleep they usually got each night.
  3. Then researchers recorded how many of the people in the study, which lasted about 12 years, died of heart problems, or had a heart attack or stroke during that time.

During the study period, 142 people died of heart problems, 239 had a heart attack, and 122 had a stroke – a total of 703 cases.

The key finding was that the healthier the person’s lifestyle, the less chance there was of dying of heart problems, or having a heart attack or stroke.

People who had a healthy diet, drank in moderation, didn’t smoke, and exercised often, reduced their chances of dying of heart problems, or having a heart attack or stroke, and even more if they had “sufficient sleep” every night – undisturbed by heavy snoring or sleep apnoea.

The results were conclusive and are important for us to act on immediately.

Eliminating snoring is key. Unless this is done the chance of a good night’s sleep is seriously restricted – both for the person snoring and their partner.

Tossing and turning is a familiar feeling for many and there are a number of key things that will prevent us from getting the restful night we both need and deserve.

The 5 main things that will disturb your sleep are:

  • Late night stimulants like coffee, alcohol or food
  • An uncomfortable or noisy environment including snoring by either you or your partner
  • An irregular routine – going to bed and waking up at different times each day
  • The wrong body temperature during sleep – too warm or too cold
  • Stress and a busy mind

The recent hot, humid weather across many parts of Britain has made for uncomfortable nights for quite a few people and although The Met Office says temperatures will now fall slightly, the humidity will remain fairly high.

Humidity is a big part of the problem, making it hard for sweat to evaporate. For many, getting to sleep will have been sweaty and uncomfortable, closer to the climate people associate with Bangkok rather than Birmingham.

Warm nights have been the biggest problems because in Northern Europe, most of us have mechanisms in place to keep our homes warm during the winter, but not to keep them cool during the summer. Our warmest summer nights can be a bit of a double whammy for our sleep, because we get exposed both to too much heat and too much light. So what can we do?

It’s mostly common sense and Mary Morrell, professor of sleep and respiratory physiology at Imperial College London suggests the following things to help. She recommends using thin cotton sheets, using an electric fan, opening relevant windows that don’t let in noise, cutting out late night tea, coffee and alcohol, and putting up heavier winter-style curtains to reduce the light.

All this will make for a better night’s sleep and of course we know the health benefits of that already.

By John Redfern


Sleep Apnoea and Snoring linked to Obesity

Obesity has long been considered one of the most important risk factors associated with heavy snoring and obstructive sleep apnoea – in particular visceral fat, a type that collects in the abdomen. Visceral fat is found in the abdominal cavity around the body’s organs and is thought of as a key trigger for both cardiovascular disease and diabetes. Although both men and women are at risk for OSA, more men than women are diagnosed with the condition, and the associated mortality rates are also considered to be higher in men.

Although Body Mass Index (BMI) and waist circumference were found to be very similar in the men and the women, it was men that had the greater degree by far of visceral fat in their abdomen. In addition, the incidence of OSA was higher in men and the degree of severity much greater. As well as producing higher cholesterol levels, this degree of visceral fat accumulation is associated with low blood-oxygen levels – often resulting in severe OSA.

On the other hand the researchers found no association in women between visceral fat accumulation and obstructive sleep apnoea. The only relationship found was with Body Mass Index – to be expected of course. Other studies have also found links between visceral fat and OSA, as well as the differences between the associated risks to men and women: Researchers at Pennsylvania State College of Medicine studied the relationship between visceral fat and OSA in non-obese men and women. In men, they found visceral fat associated with obstructive sleep apnoea. In women, visceral fat was not associated with OSA. However another type of fat—subcutaneous fat, located just beneath the skin in the abdomen and throughout the body—was associated with sleep apnoea in women.

Key Findings

  • A study of obese men and women found that visceral fat was significantly greater in patients with obstructive sleep apnoea than those without, leading researchers to suggest that visceral fat is an important risk factor for OSA in both men and women who are obese.
  • People with visceral fat accumulations and sleep-disordered breathing were significantly more likely to experience night-time acute coronary syndrome, a serious form of heart disease.
  • There is some good news for obstructive sleep apnoea patients who use therapy to treat their sleep disorder: research has indicated that visceral fat in people with OSA can be significantly reduced with regular, long-term use of the common therapies – either CPAP or the more easily accepted mouthpiece or splint to wear at night.

It’s estimated that about 5% of adults in the United Kingdom suffer from OSA, but the disorder is considered significantly under-diagnosed, particularly among women. Sleep apnoea is associated with an increased risk of cardiovascular disease and diabetes, as well as certain forms of cancer. There is a significant belief showing that people with OSA who snore heavily have greater risk of earlier mortality than those without the sleep disorder, if the disorder is left untreated. There are indications within some research that men are at greater risk for mortality than women, though it’s clear that both men and women with obstructive sleep apnoea face elevated health and mortality risks compared to those without the disorder.

The stakes are high for people with obstructive sleep apnoea: the disorder is profoundly disruptive to sleep and can lead to serious health problems if not identified and treated. Understanding more specifically the health and lifestyle conditions that may increase risks of sleep apnoea can lead to better screening and treatment options. It’s also important to continue to evaluate the ways that risks for men and women may differ, and to create screening criteria and treatment protocols tailored to the needs of each. For both men and women, maintaining a healthy weight, with particular attention to abdominal fitness, is important for good sleep and good health.

By John Redfern


Taking Green to the Mattress: Healthier and More Comfortable Sleep

The all-around benefits of going green aren’t just about saving the environment, but also about a safer, cleaner, and healthier alternative to the many options available in the marketplace. This is especially true as it relates to your mattress, a surface that you’ll spend up to one-third of your life on.

One of the greener alternatives as it relates to mattresses is natural latex foam. For a little bit of background on latex – this mattress material is tapped much like syrup is from the maple tree. In the case of botanical latex liquid, it is drawn from the Para rubber tree. This harvest is done sustainably, leaving the tree to continue growing and producing latex for up to 30 years. And the mattress is nothing short of a delight to sleep on.

Some of the wonderful benefits that all natural latex affords the sleeper are the botanical properties inherent in the Para rubber tree – that is, the end product is a mattress that is antimicrobial. This makes it so the individual needn’t worry about having a mattress that hosts dust mites, a common concern with traditional mattress types. Bed bugs are also extremely uncommon in latex, because there is nowhere for them to flourish and reproduce (the mattress core is solid, instead of open and empty spaces). Further, given that the green latex mattress is hypoallergenic, it is unlike many of the mattresses in the marketplace that are man-made and laced with petrochemicals that can cause allergic reactions and noxious off gassing. You’ll also find all-natural latex to be mold and mildew resistant.

How often have you heard of a mattress lasting longer than 10 years? That’s another advantage of going green in the bedroom – a green mattress can last 20+ years, and is very resilient, not experiencing the sagging or getting depressions in it over time that is common with innerspring mattresses that need to be replaces every 5-7 years.

One of the best things a person can notice with consistent sleep on a surface like natural latex is the pressure-relieving comfort that is given due to the pliable, elastic latex hugging the body’s curves, and giving it the opportunity to have its weight spread out evenly upon the mattress surface. And, it’s also a proven fact that it is much healthier on the spine for it to be in alignment while asleep. This is what makes latex a favorite among chiropractors and orthopedic specialists.

In the end, a mattress is about comfort and support – two things that a botanical latex mattress excels in. With the wonders of technology, the mattress core can be produced more densely to provide adequate support, and another process used to create a surface layer that is softer and pliable, giving the feeling as it were of almost sleeping on a cloud. Going green, saving money (in the long run), being healthier, and supporting the environment with a substance that biodegrades instead of takes up space in a landfill at the end of its useful life – what more could one ask for?

Amber Merton is a writer for PlushBeds, an online vendor of natural latex mattresses and other ecofriendly mattresses, such as their soy-based memory foam sleeper sofa mattress, http://www.plushbeds.com/sofabedmattress.html.


It’s official: Getting a good night’s sleep could save your life.

Sleep is good for the heart as well as the mind, say researchers, and to get seven or more hour’s sleep each night boosts the benefits to the heart of a healthy lifestyle.

The results were conclusive. According to a large and recent European research study into cardiovascular problems, all the traditional advice on exercise, diet, drinking and smoking contributed greatly to the reduction in deaths from heart disease or stroke, but even more lives were saved by also having enough undisturbed sleep – and the elimination of snoring is always regarded as a key stepping stone in this process.

The overwhelmingly strong message from these leading European researchers into Health matters is that seeking sound advice on getting enough sleep could have a substantial impact on public health and make a huge contribution – saving vast amounts of public money on the way.

In theory, many heart and stroke deaths could be prevented or postponed.

The research programme tracked heart disease and strokes in more than 14,000 men and women for more than a decade, and by the end of the study, about 600 individuals on the research panel had suffered heart disease or stroke, and 129 of them had died as a result.

The study found that deaths were much less likely in people who followed all four positive lifestyle recommendations:

  • Taking exercise
  • Eating a healthy diet
  • Drinking alcohol in moderation
  • Not smoking

However this research emphatically establishes that combining a good night’s sleep with these other healthy lifestyle choices can reduce your risk of heart disease considerably.

Observing all four behaviours was associated with a 57% lower risk of cardiovascular disease and a 67% lower risk of dying from stroke or heart disease, they say.  But when sufficient sleep was added to the equation – combining 7/8 hours good sleep with the other four lifestyle factors, the beneficial effect was amplified considerably – resulting in a 65% lower risk of cardiovascular disease and an 83% lower risk of death from cardiovascular disease.

Research studies have previously shown a link between poor sleep and cardiovascular disease, but this is the first time that sleep has been added to the other four healthy lifestyle recommendations, and with outstandingly clear results. This major leap in effectiveness is obviously more easily gained with the elimination of any degree of a snoring problem – the biggest contributor to accepted sleep disorder.

The conclusion:

If all participants adhered to all five healthy lifestyle factors, 36% of composite cardiovascular disease and 57% of fatal cardiovascular disease could theoretically be prevented or postponed.

The expert view:

It is apparent that the public health impact of sufficient sleep, in addition to the traditional healthy lifestyle factors, could be substantial and the benefits of sleep should be considered by public health experts and parents alike.

The main message of the study is that we need to consider sleep as an important factor for health and from a public health point of view we should encourage people to get enough sleep and like all other healthy lifestyle factors this needs to be taught at home.

By John Redfern


New DVLA report blames Sleep Apnoea for 20% of Motorway accidents

Further to similar statements by Government Motoring Departments in other countries such as the USA, the DVLA in Britain has made a statement that a greater awareness of obstructive sleep apnoea (OSA) could save lives.

Surprisingly, very few of the major UK media sources have picked up on either the report or the story, with the exception of The Telegraph, and some publications in the specialist commercial motoring press like Fleet News.

Further to a new guide to the condition, the DVLA have underlined the fact that OSA is thought to cause as many as one-fifth of accidents on Britain’s motorways, and as a consequence needs greater recognition amongst all drivers, particularly commercial, as this increased knowledge and higher awareness could doubtless save lives.

Sleep apnoea recently has been closely linked to a number of fatal driving incidents involving commercial vehicles, including the death of a Newcastle pensioner who was hit by a bus and killed in 2011 after the driver allegedly fell asleep at the wheel. The bus driver was later diagnosed with OSA.

Drivers of commercial vehicles are thought to be particularly likely to develop this highly dangerous and life-disrupting sleep disorder as it has been found to have a much higher likelihood of being found amongst middle-aged men with sedentary jobs such as driving.

As a consequence the DVLA has produced a document highlighting the key facts around driving and obstructive sleep apnoea which is targeted at all drivers but especially those handling HGV vehicles. The report was developed on behalf of the DVLA and group of specialist OSA experts, and it has taken into account input not only from clinicians, but also from leading members of the haulage industry.

Professor John Stradling, a participant, and spokesman for one of the UK’s leading Sleep Clinics made the following statement this week: “It is vital that we do not push the problem underground by making it difficult for commercial drivers to admit that they have symptoms. We have worked closely with the DVLA to agree a consistent process that highlights the importance and the longer term benefits of seeking treatment quickly.”

However, OSA can be treated very quickly, and very easily, and when the main symptoms such as snoring are controlled, quality of life can be improved. However, if it is left untreated, sleep apnoea is likely to impact on a person’s general health and is known to reduce life expectancy.

The biggest worry in seeking treatment is that commercial drivers have fears about losing their licence, and as a consequence their job, but this may not be something that necessarily is a result if help is sought quickly.

The Head of Policy for the DVLA has made the following official statement:

“We understand from talking to our members that many drivers have concerns about seeking medical advice for fear of losing their licence. However this document provides answers to many questions about OSA and also offers advice on how to access treatment as quickly as possible.”

The DVLA stress that safety is their key concern – both for drivers and others – and their main objective is to encourage drivers to come forward straight away if they are experiencing any of the key symptoms such as heavy snoring coupled with regular pauses in their breathing during sleep.

The DVLA emphasises that once drivers are receiving treatment, and the main symptoms are brought under control, driving can be resumed without jeopardizing the life and safety of themselves and other road users.

The conclusion is to seek professional help quickly from experts and to preferably consult with your Dentist – or your GP. There are simple proven appliances readily available that are NHS Approved . These items include easy-to-use products such as mouthpieces and chin straps to wear whilst asleep. These are readily available and will rapidly eliminate the symptoms.

For further Government advice and information use this link OSA and Driving where you can download the new DVLA leaflet ‘Tiredness can Kill’.

By John Redfern


Do you suffer from sleep apnoea? If so – your Dentist is the key

Snoring cannot only be an embarrassing problem for some people but it’s also a medical condition that one should get rid of as fast as possible.

Today, there are a host of devices, treatments, solutions and products that are available in the market, but sadly not all of them are effective enough to bring a permanent solution to a problem which can also vary greatly in intensity – with obstructive sleep apnoea perhaps being the worst type that has been identified.

One of the most common symptoms of sleep apnoea is very heavy snoring. The simple dictionary definition of the word apnoea is that it is ‘a temporary cessation of breathing during sleep’, the term originating from ‘apnoia’, the Ancient Greek word for breathless.

As we all know well, it is vitally important to get a solid night of sound sleep; in fact, so important that a person’s overall health and their ability to function effectively during the day depend on it very much indeed. However, when our normal breathing patterns are badly disrupted during sleep, it’s not unusual for a person’s health to deteriorate alongside this.

Although today the problem of snoring is very easily solved for many people, as previously stated, in some extreme cases it can also be a sign of a much more serious medical condition known as sleep apnoea, a disorder that causes a person to actually stop breathing during their sleep.

One of the main indicators of sleep apnoea is that there will be a frequent incidence of abnormal pauses in breathing during sleep, and these can be quite frightening to an observer as each one can last for several seconds. They will happen throughout the night and be repeated many times. These episodes of apnoea are caused by a blockage, in some form or other that occurs within the airway, and this impedes the natural flow of breathing. This is often the fault of relaxed tissue in the throat that causes the airway to be closed – not a blockage by some foreign object that makes this happen.

If you are a loud, habitual snorer, and are perhaps aware of this type of incident through being told by your partner, then you should act to resolve the problem – and not delay. You should get professional help because it will not go away on it’s own. There are easy solutions available.

One main treatment for sleep apnoea is known as continuous positive airway pressure (CPAP) in which the patient is fitted with a device that keeps the airways open during sleep. It’s been proved already that CPAP can reduce the levels of daytime sleepiness and a study from the Oxford Radcliffe Hospital in the UK now shows that CPAP also has a beneficial effect on high blood pressure or hypertension.

But it’s often not popular with sleep apnoea sufferers and that can be a problem. Not only has it been found to deter many sufferers from seeking treatment, but also amongst those who have – many have tried and rejected it for a variety of reasons.

A solution to this resistance is seen to be emerging – particularly in the USA where sleep apnoea has long been seen as a really serious health problem – with the well-earned and appropriate nickname of ‘The Silent Killer’.

The trend has been set by the leading Dental Practices in the USA and it has been found to be a successful solution with many of their patients who suffer from this major and dangerous sleep disorder.

The solution is proving to be the Custom snoring mouthpiece as OSA sufferers simply accept it far more readily – and although not the ultimate in OSA treatment, which is always regarded as CPAP, this makes for a sensible alternative. After all – without it – you will remain totally untreated.

The following statement is by a leading Chicago Dental Practitioner but his point of view is widely voiced and accepted throughout the USA and Canada – and is now being followed and recommended as a treatment and solution by some leading UK Dental Practices.

“If you or a family member is aware of a snoring problem, a custom snore guard can be made to help reduce or eliminate snoring woes”.

“They resemble an athletic mouth guard, worn by many sportsmen, which is a small oral appliance worn during sleep to reduce snoring by moving the jaw forward and preventing the tongue from closing off the air passage. With your air passage open and unobstructed, snoring is greatly reduced which results in a quiet, restful sleep for you and the members of your household.”

A few minutes time with your Dentist will set you on the way to safeguard your health and eliminate many of your possible future problems.

Many sleep apnoea patients go undiagnosed – thought to be as many as 80%. OSA is well known to be closely related to diabetes, cardiovascular problems, and even possibly some forms of Cancer. Recent research has also shown close links to Alzheimer’s disease.

Discuss a Custom Mouthpiece with your Dentist. They are readily and quickly available from specialists such as SleepPro, via your Dentist, who can quickly organize an efficient, comfortable, well-fitted mouthpiece for you. It’s a very simple, inexpensive, and known effective solution to your sleep disorder and what may eventually prove to be a highly dangerous health problem.

By John Redfern


Obstructive Sleep Apnoea Increases Risk of Sudden Cardiac Death

In a recently published study, the sleeping habits of 10,701 people were studied for 5.3 years to see if there were any incidences of sudden cardiac deaths. Most of the over millions people who suffer from this disorder are undiagnosed.

During the course of the study, 142 participants died of sudden cardiac death. Most of these participants were aged 60 years and above, and had 20 or more apnoea episodes per hour of sleep. They also had oxygen saturation below 78 per cent during sleep.

Researchers of the study found that the risk of sudden death increases by double for people with sleep apnoea.

The authors of the study released a press report wherein they stated that when people breath properly during their sleep; their oxygen saturation level is 100 per cent. If due to improper breathing while sleeping, this oxygen saturation level goes below 78 per cent, the risk of sudden cardiac death increases significantly. They also revealed that people with sleep apnoea usually die from sudden cardiac arrests between midnight and six-o-clock in the morning while people without sleep apnoea mostly die of sudden cardiac arrests between six-o-clock in the morning and noon.

Sleep apnoea has also been linked with other cardiovascular conditions like high blood pressure, heart attacks and strokes, and atrial fibrillation. In its most severe form it can be treated by losing weight, implementing sleep posture changes and using devices that deliver air pressure through a mask placed over the nose while a person sleeps.

Latterly, due to the severe dislike of these breathing masks and machines, many specialists have been recommending the more readily acceptable oral mouthpiece as a useful solution – they are easier to use, instant, and highly affordable. The recommendation though is for the custom version as opposed to the off the shelf version.

Sleep apnoea is a sleeping disorder that can affect anyone. Recently it has received much attention. Nonetheless many people who have sleep apnoea have yet to have the “who me” moment. The reason the moment is so elusive for so many is that they don’t have a strong feeling that they have any problems sleeping. In some ways it’s like high blood pressure. You can have a serious problem, but be completely unaware of it until you have your blood pressure checked.

Who are most often affected by sleep apnoea?

People with sleep apnoea are most likely to be: men, overweight, over 60 years, those who consume alcohol or take sleep medicines, smoke, or have chronic rhinitis. Of course having combinations just makes it more likely.

Sleep apnoea is a sleeping disorder that can affect anyone. Recently it has received much attention. Nonetheless many people who have sleep apnoea have yet to have the “who me” moment. The reason the moment is so elusive for so many is that they don’t have a strong feeling that they have any problems sleeping. In some ways it’s like high blood pressure. You can have a serious problem, but be completely unaware of it until you have your blood pressure checked. By the way, when WAS the last time you checked your blood pressure?

In most cases, except for the tell-tale symptoms, which I will mention momentarily, the only way you might know you have sleep apnoea is if someone has complained that you snore like a Saturn 5. In many cases the person sleeps through the apnoea event without waking up or sensing that anything is out of the ordinary.

How can I tell if I have sleep apnoea?

There are two types of sleep apnoea, obstructive and central but the most common by far is obstructive.

The most common symptom is daytime sleepiness. As humans, we have very complex sleep cycles, and these cycles must run uninterrupted for you to be fully rested and refreshed. Sleep apnoea interrupts these cycles everywhere from 5 to 30 times per hour, which can turn 7 hours of sleep into just 1 or 2 hours of effective sleep, and this makes you feel tired and sleepy while you’re awake.

The next most likely symptom, aside from someone telling you that you snore horribly, is waking up with a dry mouth or slightly sore throat. This symptom indicates you were breathing through your mouth most of the night.

What causes obstructive sleep apnoea?

Sleep apnoea occurs most often when a person is sleeping on their back. It occurs because when you are in that position, and as the muscles of the throat relax, the passageway for airflow begins to collapse. The diaphragm continues to contract but there is no airflow into the lungs. During exhalation what air is in the lungs is exhaled normally and during the next inhalation the collapse happens again. Eventually, a shortage of oxygen causes you to move slightly or turn your head, the muscle tone of the throat returns briefly and you breathe normally for several breaths. Then it happens all over again.

Through slight adjustment of your jaw, the mouthpiece mentioned previously helps to keep your airways open during sleep and prevents the apnoea.

Is it really a big deal?

YES Number 1

A study published on June 11, 2013, in the Journal of American College of Cardiology, found that in people (mean age = 53 years) with severe sleep apnoea, i.e. occurring more than 20 times per hour, there was a 60% increase in the risk of sudden cardiac death during sleep. In people with more than 20 episodes per hour, there was an 81% increase in risk, compared to those without apnoea.

YES Number 2

In a presentation given at the May, 2013 American Thoracic Society 2013 International Conference, a link was established between sleep apnoea and Alzheimer’s disease. It was noted that Alzheimer’s disease improved once treatment for sleep apnoea began and it may be that treatment for sleep apnoea might evolve into a form of treatment for Alzheimer’s disease.

YES Number 3

Sleep apnoea has also been associated with increased risk for hypertension, diabetes, and liver dysfunction.
So spread the word. Sleep apnoea, although it is destructive to your health, should not be neglected because it is very easily treatable.

By John Redfern


What causes snoring? The Daily Mail tries to find the answer and the solution.

Perhaps you’re reading this after suffering yet another night of disturbed sleep thanks to snoring. It is estimated that between a third and a half of the UK population snores – perhaps even as many as 30 million people.The noise we associate with the problem is generated by vibration, as air rushes past the slack tissues in the mouth, nose or throat.

Although the Daily Mail only evaluated 6 snorers in total for this lead article in the newspaper, it was done extremely thoroughly and it has produced some interesting conclusions and recommendations.

The project was carried out on their behalf by a leading authority, Dr Guy Leschziner, who is currently a sleep physician at Guy’s and St Thomas’ NHS Trust, and also at London Bridge Hospital Sleep Centre.

“The classic image of the snorer is the overweight older man, but it affects everyone, Snoring is viewed as a bit of a joke – but for many people it can have a major impact on their health, as well as causing marital strife, It can also induce real anxiety in single people because they worry their snoring will put new partners off.”

“The problem is many people don’t really know what provokes their snoring.”

He goes on to describe all the possible key triggers that may be instrumental in someone snoring heavily, and there are many – including a thick neck with extra fat, sleeping on your back, a deviated septum, an allergy or cold, and numerous lifestyle factors such as alcohol, sleeping pills and obesity.

He emphasises how serious the health consequences of snoring can be, and how important it is to find the appropriate treatment for each individual – and proceeds to evaluate 6 persistent snorers as an example of this.

The six persistent snorers were put through a ‘snoring MOT’ to establish the cause — this included a nasal endoscopy, where a flexible tube with a camera is inserted through the nostril, and a sleep apnoea test to measure how many times they stop breathing in an hour. A score of 10 is classified as sleep apnoea.Candidates were also assessed for daytime sleepiness.

Dr Leschziner and Miss Elfy Chevretton, an ear, nose and throat consultant, analysed the results, giving a fascinating insight into this universal problem.

Each of the named participants had their lifestyle and problem examined in detail, right down to their height, weight, and resultant BMI – and an expert analysis was made for each one of them. This uncovered contributory problem areas such as narrowed nasal passages, a deviated septum, a broken nose, short oversized neck, large tonsils and even a cat allergy – all of which were major contributors to the problem of snoring in each case.

A suggested treatment followed that was based on their full case analysis and the recommendations varied according to each individual’s problem, including surgery in one case, where there had been a badly broken nose.

Some were advised to stop smoking, lose weight, or make other sensible lifestyle adjustments that were part causes to the condition.

Most of them had some level of sleep apnoea where the CPAP method is the usual recommendation but of course many individuals find this hard to maintain due to either claustrophobia, or one of the several side effects involved. Current opinion is that where CPAP is difficult for the sufferer to use then they should use a mouthpiece instead, as this is preferable as next option and will help the problem without the side effects. For some it was also suggested they should try a chin strap if that suited them better due to having an open mouth whilst sleeping.

In the case of sufferers who had jaw problems, for whatever reason, the mouthpiece was the first recommendation each time, and in one case, that of overbite, a custom device was suggested instead of surgery.

All the individuals had different problems and different causes but the recommendation was always the same – do something about it.

The key recommendation to all snorers was to stop ignoring the problem and to either take specialist advice, or get treatment in one form or another, or to do both.

It can, and will save lives – yours if you are the one who snores.

By John Redfern


Rugby Latest: The 2013 British & Irish Lions tour Australia – with Mouthpieces

Never has a Lions Squad been so well prepared for what can only be described as the toughest Tour destination possible – Australia.

Every day the BBC will focus on the detail of the Squad’s day with surprising content revealed on Day One. Getting up at 6.45am for the first training session of the day taking place in the portable cryotherapy chambers, which subject you to temperatures as low as Minus160C and speed up a player’s physical recovery, must be a bit of a shock to anyone who has not experienced it before.

The Team is thoroughly equipped in every way as you can imagine and the resultant baggage can apparently only be described as incredible.

Here’s a quote or two from Prop, Adam Jones, of Ospreys and Wales.

“The first day we met up in London we had to make sure we’d got all the right kit. There’s a hell of a lot: six sets of Adidas training kit, eight T-shirts, a couple of pairs of shorts and tracksuits, a jacket to wear to the stadium for the anthems, two Thomas Pink blazers, six shirts, two pairs of shoes, underwear, you name it. Just as well we don’t have to check all that in ourselves.”

Basically they had everything that they could possibly need in terms of both personal and support equipment – and I mean everything.

Adam continues “I was rooming with (England prop) Mako Vunipola during our first week down at the Vale of Glamorgan base we use with Wales, and I can confirm the rumours are true. He is a phenomenal snorer. I snore myself but I’m not a particularly deep sleeper so with Mako barely three feet away from me, the ear plugs were well and truly wedged in.”

It sounds like the hotel could be well and truly shaking….or maybe not.

“We left camp on Thursday and spent a few nights at home before returning to London on Sunday for a bit more training and then the farewell dinner. I had to make an emergency trip to the dentist while I was home. It was nothing to do with my teeth though. I lost my mouthpiece. I think I put it in my car after my last game for the Ospreys and it’s disappeared.”

So I had to get my mouth measured up to get a new one fitted, so they can send it out to me. A bit of a pain, but probably just as well, as I only had one spare, so I need some new ones”

He should have gone to SleepPro ….. who wish you guys Good Luck down under….and as a matter of fact, we have them now in Red, in White, and in Blue…. conveniently patriotic to mark the occasion.

By John Redfern