Sleep Apnea

March 2 – 8 is National Sleep Awareness Week

The National Institutes of Health estimates that sleep-related problems affect 50 to 70 million Americans of all ages and socioeconomic classes. Sleep disorders are common in both men and women. One of the most common sleep disorders is obstructive sleep apnea or some variant of sleep disordered breathing.

What is Obstructive Sleep Apnea (OSA)?

Obstructive sleep apnea is caused by obstruction of the upper airway. During sleep, the muscles in the back of the throat relax causing the upper airway to become smaller. This is especially true during the deepest stages of sleep called Rapid Eye Movement or REM sleep. A hypopnea is a decrease in airflow, while an apnea is a pause in airflow.  Apneas and hypopneas can occur due to blockage or if respiratory effort is not initiated.  During a sleep study the number of apneas and hypopneas per hour are documented.  This is called your apnea/hypopnea index or AHI. In some individuals the upper airway can actually collapse, causing a blockage of air movement into the lungs. When airflow is stopped for at least 10 seconds it is referred to as apnea. These apneas can occur many times each hour and hundreds of times each night.


Health Risks of Untreated Sleep Apnea

1. High blood pressure

Studies have shown that sleep apnea can cause high blood pressure, also known as “hypertension.”

2. Heart disease

Untreated sleep apnea is a risk factor for heart disease, which is the leading cause of death in the U.S. Sleep apnea increases your risk for an irregular heartbeat, coronary artery disease, heart attack and congestive heart failure.

3. Stroke

Sleep apnea increases your risk for stroke, the fourth leading cause of death in the U.S., according to the CDC.

4. Brain damage

The damage caused by sleep apnea affects brain structures that help control functions such as memory, mood and blood pressure.

5. Depression

Research shows that depression is common in people with sleep disordered breathing.

6. Diabetes

Sleep apnea is associated with impaired glucose tolerance and insulin resistance.

7. Obesity

Obesity is a key risk factor for sleep apnea. But there is increasing evidence that sleep apnea also may promote weight gain. Sleep apnea can fragment sleep, reducing daytime energy and physical activity. It can also disrupt metabolism. Sleep apnea may alter the levels of hormones that regulate your appetite, which may lead you to eat more.


Signs and Symptoms of Sleep Apnea

  • Excessive daytime sleepiness (hypersomnia)
  • Loud snoring, which is usually more prominent in obstructive sleep apnea
  • Episodes of breathing cessation during sleep witnessed by another person
  • Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
  • Awakening with a dry mouth or sore throat
  • Morning headache
  • Difficulty staying asleep (insomnia)
  • Attention problems

4 Ways to Fight Sleep Apnea

  1. The most common treatment for moderate to severe sleep apnea is the use of CPAP(Continuous Positive Airway Pressure). CPAP therapy works by creating positive air pressure within the back of the throat, preventing airway collapse and apnea. This positive pressure pushes out on the walls of the throat, creating an “air splint” within the airway in much the same way that water pressure within a garden hose pushes out on the walls of the hose preventing it from collapsing.
  2. Maintain a healthy weight. Dietary weight loss can lower a person’s risk and reduce the severity of OSA.
  3. Get a full seven to eight hours of sleep each night Sleep seems to play a role in helping the body manage its weight. People who sleep for fewer hours each night tend to have a higher body mass index (BMI) than people who sleep longer. Studies also have linked sleep to some of the hormones that help control body weight and appetite.
  4. Avoid drinking alcohol at night Alcohol disrupts sleep and can make episodes of OSA more frequent and severe.

If you are currently using CPAP therapy for your sleep apnea and need supplies, NBN Medical Boutique carries a full line of CPAP machines and accessories. CPAP therapy services are available through NBN Infusions.


Before starting any new health related plan, speak to your doctor to discuss the best options for you!


NBN Medical Boutique Specials for the month of March!

CPAP Cleaning Supplies – (mask wipes, spray, and concentrated cleanser to clean the mask and tubing)

Pur-Sleep Aromatherapy – (to help desensitize CPAP, claustrophobia, and anxiety when using the CPAP)

Visit  or call 856-669-6442

Sleep Apnea Study Uncovers More Hidden Dangers for Women

Sleep apnea study uncovers more hidden dangers for women

Sleep apnea study uncovers more hidden dangers for women


Sleep apnea study uncovers more hidden dangers for women


NBN Infusions delivers comprehensive services to patients of all ages, from pediatric to geriatric, providing a full range of care for Home Infusion Therapy. NBN Infusions on-site, licensed pharmacy can provide prescription medications, equipment, supplies and skilled nursing care needed for Home Infusion Therapy.

Home Infusion Therapy is a more convenient and cost-effective option than traditional inpatient therapy, with care administered in the comfortable surroundings of one’s own home. Home Infusion Therapy allows for a more active role in one’s own health care. It can also ease stress and anxiety that is sometimes associated with inpatient treatment, resulting in better patient outcomes.


(Medical Xpress)—There’s more bad news for women with sleep apnea. A new study from the UCLA School of Nursing shows that the body’s autonomic responses—the controls that impact such functions as blood pressure, heart rate and sweating—are weaker in people with obstructive sleep apnea but are even more diminished in women.

Women with obstructive sleep apnea may appear to be healthy—having, for instance, normal resting blood pressure—and their symptoms also tend to be subtler, which often means their sleep problem is missed and they get diagnosed with other conditions.

“We now know that sleep apnea is a precursor to bigger health issues,” said Paul Macey, lead researcher on the study, which appears Oct. 23 in the peer-reviewed journal PLOS ONE. “And for women in particular, the results could be deadly.”

Obstructive sleep apnea is a serious disorder that occurs when a person’s breathing is repeatedly interrupted during sleep, sometimes hundreds of times. Each time, the oxygen level in the blood drops, eventually resulting in damage to many cells in the body. The condition affects more that 20 million adults in the U.S. and is associated with a number of serious health consequences and early death. Women are much less likely to be diagnosed than men.

For the study, men and women—both with and without obstructive sleep apnea—had their heart-rate responses measured during three physical tasks:

The Valsalva maneuver: Subjects breathe out hard while the mouth is closed.

A hand-grip challenge: Subjects squeeze hard with their hand.

A cold pressor challenge: A subject’s right foot is put in almost-freezing cold water for a minute.

In all three tests, changes to the normal heart rate were lower and delayed in patients with obstructive sleep apnea, compared with healthy controls. The researchers found that the difference was even more pronounced in women.

“The heart-rate results for these tests show that the impact of sleep apnea, while bad in men, is more severe in women,” Macey said. “This may mean that women are more likely to develop symptoms of heart disease, as well as other consequences of poor adaptation to daily physical tasks. Early detection and treatment may be needed to protect against damage to the brain and other organs.”

The next step in the research is to see if the autonomic responses improve with treatments such as continuous positive airway pressure (CPAP), the usual sleep apnea therapy, in which a machine is used to help an individual breathe easier during sleep. Researchers also intend to investigate the affect of other treatments.

The study was funded by the National Institutes of Health and the National Institute of Nursing Research. Other authors of the study included Rajesh Kumar, Mary Woo, Frisca Yan-Go and Ronald Harper, all of UCLA.


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