Research proves that you can’t be both ‘Fat’ and ‘Fit’

The new research was announced first at the European Congress on Obesity that took place last week in Portugal. The idea that people can be fat, but medically fit, is a myth, say those involved. Their early work, which is as yet unpublished, involved looking at the GP records of 3.5 million people in the UK for the 20 years from 1995 to 2015, but applies worldwide.
The term “fat but fit” refers to the theory that if people are obese, but all their other metabolic factors such as blood pressure and blood sugar are within recommended limits, then the extra weight will not be harmful.

Young Woman Measuring Her Waist

They tracked people who were obese at the start of the study (defined as people with a body mass index of 30 or more) who had no evidence of heart disease, high blood pressure, high cholesterol or diabetes at this point.

They found these people who were obese but “metabolically healthy” were at higher risk of developing heart disease, strokes and heart failure than people of normal weight.

Dr Mike Knapton, from the British Heart Foundation, said: “It’s not often that research on this scale and magnitude is able to clarify an age-old myth.

“These findings should be taken extremely seriously and I’d urge healthcare professionals to take heed.”

“What was new from this study for me is that it showed that people who were overweight or obese were at increased risk of heart disease even though they may have been healthy in every other respect.

“Just being overweight puts you at increased risk of heart attack and stroke.”

According to the British Heart Foundation, the normal heart health advice applies – not smoking, eating a balanced diet, exercising regularly and limiting alcohol intake – can all help keep people healthy. However other studies have suggested that is not always the amount of fat that matters but where the excess fat is carried on the body that can affect fitness and health. For example, weight around the middle may be more damaging than weight distributed evenly around the body.

Being overweight can exacerbate an existing milder snoring problem, because one of the primary causes of the turbulence in the throat is the narrowing of the airway due to neck fat. Losing weight can help alleviate the problem by reducing fat in the neck and helping to open the airway.

Technically, snoring is the sound of air turbulence in the back of the throat caused by a narrowing of the airway, and the sound of someone snoring is really the sound of someone who is having difficulty in breathing. The most frequent myth about snoring is that it is harmless or even humorous. Nothing could be further from the truth. It is widely recognised that snoring is a sign of a potentially life-threatening sleep disorder if not prevented or controlled. It also causes ‘snacking’ which is associated with sleep disorders generally.

Snoring is a common condition that can affect anyone, although it occurs more frequently in men and people who are overweight and because of this it has a tendency to worsen with age.

When trying to locate the cause or causes for your snoring, you need to be methodical because without identifying where the source of the problem lies, it may prove difficult to cure. The first thing to consider is body fat, as obese people are very likely to snore. In short, men are more prone to putting on fat in the neck area than women; fat which squashes the throat, leaving less room to breathe.

Products are readily available to open the airway. The C-PAP machine is one of the most recognizable treatments, and is used to prevent both snoring, and sleep apnoea.

It’s easier though to purchase and use an appliance that uses a method called boil-and-bite and shapes it to your dental profile, and SleepPro have a range of these that are both inexpensive and simple to use. You bite into it as you do a sports mouth guard and it keeps the jaw in a stable position.

Other options include custom-fitted mouthpieces provided by dentists, but these are very expensive, and the same custom-fitted alternatives can be bought online for much less. They are equally effective and have been thoroughly tested by the NHS who list the range of UK made SleepPro products as their top recommendation, and even issue them to patients.

Losing weight is the ideal answer but in the meantime help is available this way, and together they offer a great joint solution.

John Redfern


New Guidelines for treating Obstructive Sleep Apnoea (OSA)

If you already suffer from sleep apnoea, or think that you or your partner may have this dangerous problem, and it remains undiagnosed for whatever reason, then the new rules that have been issued in the United States will have some real meaning for you.

The American College of Physicians (ACP) has published new clinical practice guidelines regarding the management and treatment of OSA in adults. It deals with the known detrimental effects of the problem, and discusses the limitations of the various available treatments. These findings endorse those of the AASM – the American Academy of Sleep Medicine but take recommendations further.

As ever, the USA is ahead of the UK in dealing with this huge problem, partly because it is so much more widespread in the community there. Much of this can be linked to obesity, a major problem in the USA, and which is rapidly becoming so here due to changes in our diet, lower exercise levels in youth, and sedentary occupations now being the largest group by far versus manual workers. Alcohol also often plays a significant role in the equation – mostly due to the high calorific intake and the effect that alcohol can have on sleep hygiene.

What is OSA?

OSA disrupts breathing during sleep, and this is usually as a result of the muscles and soft tissues in the throat relaxing and collapsing to block the airway. It can last for about 10 seconds or even more. It affects people of all ages, but particularly those of us in middle age, and particularly the elderly.

However, we believe that around 80% of cases remain undiagnosed. OSA is easy to treat but when left undiagnosed and untreated, is linked with a range of serious health concerns that include heart disease and stroke, diabetes and high blood pressure, called hypertension. Fatigue becomes a huge problem too.

Current approved treatments for OSA and sleep disordered breathing

OSA is a chronic medical disorder that requires immediate action, but also requires long term, and often lifelong. therapy. Obviously a healthier lifestyle will come high on the list from any GP but this will not stop the problem of your snoring immediately, and sometimes does not succeed at all.

As well as recommending weight loss in overweight and obese patients, it recommends and approves the following treatments as it is recognised that weight-loss intervention alone will not achieve the desired objectives.

Medical Treatments and Clinical Recommendations for OSA

CPAP Mask wearer

  • Continuous Positive Airway Pressure (CPAP) is recommended for more serious sufferers but it is readily identified that many patients reject this treatment for various reasons, particularly having to wear a mask for such long periods of time, claustrophobia, having a dry mouth, or the associated discomfort of the mask amongst others.
  • It is still however strongly recommended for chronic sufferers if acceptable.

Sweet dreams

  • Mandibular Advancement Devices (MAD’s or Splints) are fully recommended as a primary treatment route and a strong option in many cases versus CPAP. They are more readily accepted than masks and have many distinct advantages over them including, ease of wear, instant results, high rates of effectiveness and also being inexpensive by comparison – even bespoke mouthpieces or the now available self-fit versions which are highly adjustable compared to the standard oral appliance – although this may be the best starting point.
  • Strongly recommended by ACP for less severe versions of OSA.

Snoring Surgery

  • Surgery however is not listed in the ACP’s summarized recommendations, but the guideline does specifically discuss its role as a treatment for OSA. It highlights that surgical procedures, which are intended for sleep-disordered breathing, are not as effective as either CPAP or using MAD’s. Currently success rates vary greatly and can be as low as 20%, as well as it sometimes requiring several procedures.
  • Not currently recommended by ACP to American Physicians.

More and more clinics, doctors and hospitals in the USA now recommend using oral appliance technology in the form of a mouthpiece to be used when sleeping and this is now becoming more accepted as a route here in the UK, particularly now that higher quality MAD’s are NHS Approved.

By John Redfern

 

 

 

 

 

 

 

 

 

 

 


Sleep is the Cornerstone to Good Health – So You Must Stop Snoring

Part Two

Getting good quality sleep every night is imperative to both good physical and mental health. It is often said that restful sleep is the glue that keeps us functioning normally as human beings.

In this article, Sleep and Physical Health, I will describe the four specific consequences of sleep and physical health and my accompanying article will deal with four specific consequences of Sleep and Mental Health.

1. Sleep and Memory – Researchers have found that not getting enough sleep distracts the brain from focusing and being able to retain information. According to accepted authorities there are three parts to “making memories” – the acquisition phase, the consolidation phase, and the recall phase. While the acquisition phase and the recall phase happen while we are awake, it is believe that sleep is required for the consolidation phase of forming memories, or in other words, making facts or episodic-type memories stick. So, keeping late hours and “cramming” for a test as a student may not be the best strategy to performing well with recall. Better to make sure that a restful night of sleep is had before that big test.

2. Sleep and Learning – Similar to sleep and memory, it’s very difficult to learn new facts, ideas, or concepts without having first gotten adequate sleep. An interesting study was done with bees to illustrate the lack of ability to learn appropriately when not getting enough sleep. The bees’ sleep was interfered with, which caused them real difficulty in remembering experiences they had learned a day previous. It is widely accepted that this is the same with humans.

3. Sleep and Moods – All of us have experience the temper and bad mood of someone who has “woken up on the wrong side of the bed”. Lack of sleep causes irritability, and disorientation. Not getting enough sleep can cause individuals to become quite emotional. Sleep deprivation is tied to depression as well. In fact, those who are repeatedly awakened during the R.E.M. sleep state can become very angry. Extended periods of sleep deprivation can even cause hallucinations or delusions and even death in extreme cases, when it was used as part of certain types of ‘cross questioning’. It just makes sense that getting enough sleep can mitigate some of the stresses we face on a daily basis, and help to keep emotions and moods on a more even keel.

4. Sleep and Creativity and Imagination – Having good quality sleep on a consistent basis does lend itself to better creativity and imagination. The phrase “sleep on it” is actually very sound advice. During sleep our subconscious can go to work to help us solve problems. Often dreams can provide insight that we hadn’t considered during waking hours. Dreams are often the product of our imaginations, wrapped together with portions of true experience. There is an interesting BBC article covering notable examples of “dream discoveries”. Get your sleep and create something wonderful! Look out for it soon in our March Newsletter – 5 Dream Discoveries.

Some of the reasons for sleep are plain common sense, while others have yet to be discovered. For now though, there’s plenty of evidence to suggest that getting 7-8 hours of sleep per night (for adults) is the best recipe for good, sustainable health and longevity.

As we know of course, most disturbed nights are caused by someone snoring – both partners actually having a disturbed night, but for different reasons. This is so easy to prevent and with little cost. A range of NHS approved remedies from SleepPro, such as their high quality but inexpensive mouthpieces will soon solve the problem. They have a record of working well, do it quickly and are a low cost solution that is readily and quickly available without prescription.

However make sure that you keep in touch with your GP or local Clinic because they’ll give you good advice on how to stop snoring and check out if it’s caused you any health problems.
By John Redfern