Alzheimer's & Dementia

Study highlights wide-ranging health benefits of using CPAP machines

They can be challenging devices to wear, but new research shows CPAP machines address more than just sleep apnea
They can be challenging devices to wear, but new research shows CPAP machines address more than just sleep apnea

While effective in treating sleep apnea, continuous positive airway pressure (CPAP) machines are not the easiest to adapt to, which is why around 50% of those with sleep apnea give up on the life-saving devices. But there’s some good news for those who stick with it, with health benefits stretching further than treating obstructive sleep apnea (OSA) and its associated elevated risks of heart disease and stroke. Recent research has also linked OSA with a greater risk of developing Alzheimer's disease.

Scientists in Iceland have released the results of a two-year human study on 822 patients with moderate to severe OSA, and the results are encouraging for those who manage to stick with their CPAP treatment.

What they found was that while the CPAP machines treated their primary condition, they also reduced night-time acid reflux by 42% compared to those who used the devices sometimes, or never. The apparatus also relieved other respiratory issues such as chronic coughing and wheezing, with patients experiencing a four-fold decrease in productive morning coughing and almost a four-fold decrease in chronic bronchitis.

"When we experience heartburn or acid reflux, we are feeling stomach acid traveling up toward the throat,” said lead author Thorarinn Gislason, a professor in the department of sleep at Landspitali – The National University Hospital of Iceland. “People with obstructive sleep apnea are three times more likely to suffer regularly with night-time heartburn. Respiratory symptoms, such as coughing and wheezing, are also more common."

While not the first study to highlight the link between sleep apnea and reflux, the new research reinforces those findings. Because the machines keeps the upper airway open during sleep, the researchers believe that this helps keep the valve between the stomach and the food pipe closed, potentially blocking acid from traveling up the esophagus.

"Obstructive sleep apnea is a common condition and, although we have good ways to diagnose and treat it, many people do not realize they have this problem,” said Gislason.

Those who have been diagnosed and offered CPAP treatment should try to use the machine regularly as we are learning more and more about the health benefits that CPAP can bring."

OSA affects an estimated 30 million Americans, comparable to diabetes. By highlighting the many benefits of CPAP machines, scientists hope it can help boost compliance and uptake in using the lifesaving device.

The study was published in ERJ Open Research.

Source: Landspitali – The National University Hospital of Iceland via Medical Xpress

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7 comments
Karmudjun
Very nice article Bronwyn. Anyone with SA knows when they are adequately treated - the moment you wake up you can actually plan your day instead of stumble through a wake-up haze. I'm glad to hear that the incidence of Alzheimer's seems to be impacted by effective therapy as are HTN, type II diabetes, and obesity. But hey, enough said - your article states the positives well.
Chase
I still don't understand how the nose-only masks are supposed to work. The CPAP just blew my mouth open the moment I fell asleep.

@Karmudjun, honestly I don't feel a difference. The only reason I still use mine is because it helps my wife sleep better.
Rusty
I love mine! Will be 5 years in November. It's nice to actually sleep all the way through the night without waking up!
Eggbones
I've been using a CPAP for nearly 15 years and wouldn't put my head down for a power nap without it. It took no time to get used to and the difference is phenomenal.
SciFiHiGi
Nose only here. I don't find the pressure on my mouth to be a problem. I wear one because I stop breathing - often. Without it I also snore loudly. With it I sleep all night, which was unheard of 13 years ago. My wife appreciates not waking up in a panic because I'm not breathing or Gasping violently for air.
Eggster
@Karmudjun "Anyone with SA knows when they are adequately treated - the moment you wake up you can actually plan your day instead of stumble through a wake-up haze."

I wouldn't go quite that far. I was told that I would wake up feeling refreshed. In my experience, I still have to deal with the morning haze. I just don't feel nearly as awful/tired as I would otherwise.
Anechidna
Chase. I've been using the nose-only method for 25 years and find it automatically closes the mouth. It saved my life and the SA severity has not worsened. When I was diagnosed I was atypical, young and slender now 25 years older but not heavier. I stopped breathing every two minutes and took 30 seconds to restart. My father, I realised had, had SA and that was what caused his sudden and early death via a heart attack.