African-American Veterans Are Less Likely To Adhere To CPAP Than Caucasian Or Asian Veterans

Main Category: Veterans / Ex-Servicemen
Also Included In: Sleep / Sleep Disorders / Insomnia;  Conferences;  Compliance
Article Date: 11 Jun 2008 - 2:00 PDT

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African-American war veterans are significantly less likely to adhere to continuous positive airway pressure (CPAP) than Caucasian or Asian veterans, according to a research abstract presented on Monday at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS).

The study, authored by Skai W. Schwartz, of the University of South Florida, focused on 1,486 patients who were prescribed and tried CPAP between 2003-2007. Adherence information was captured on a data card by a CPAP micro-recording device. Patients were asked to return cards by mail at one month, one year and two years. Adherence was defined as percentage of days that the device was used for four or more hours.

According to the results, African-Americans were significantly less likely to use CPAP than Caucasians at all time points, as well as Asians.

"Given the importance of CPAP adherence, research into physical characteristics (e.g., anatomical versus obese etiology) or cultural differences may be warranted to explain the disparity," said Schwartz.

First introduced as a treatment option for sleep apnea in 1981, CPAP is the most common and effective treatment for obstructive sleep apnea (OSA). CPAP provides a steady stream of pressurized air to patients through a mask that they wear during sleep. This airflow keeps the airway open, preventing the pauses in breathing that characterize sleep apnea and restoring normal oxygen levels.

On average, most adults need seven to eight hours of nightly sleep to feel alert and well-rested.

The American Academy of Sleep Medicine AASM) offers the following tips on how to get a good night's sleep:

• Follow a consistent bedtime routine.
  
  
• Establish a relaxing setting at bedtime.
  
  
• Get a full night's sleep every night.
  
  
• Avoid foods or drinks that contain caffeine, as well as any medicine that has a stimulant, prior to bedtime.
  
  
• Do not go to bed hungry, but don't eat a big meal before bedtime either.
  
  
• Avoid any rigorous exercise within six hours of your bedtime.
  
  
• Make your bedroom quiet, dark and a little bit cool.
  
  
• Get up at the same time every morning.

Those who think they might have OSA, or another sleep disorder, are urged to consult with their primary care physician or a sleep specialist.

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CPAP Central, a Web site created by the AASM, provides the public with comprehensive, accurate and reliable information about CPAP. CPAP Central includes expanded information about OSA and CPAP, including how OSA is diagnosed, the function of CPAP, the benefits of CPAP and an overview of what to expect when beginning CPAP, the position of experts on CPAP, and tools for success. CPAP Central also features an interactive slide set that educates the public about the warning signs of OSA.

The annual SLEEP meeting (9-12 June, 2008) brings together an international body of 5,000 leading researchers and clinicians in the field of sleep medicine to present and discuss new findings and medical developments related to sleep and sleep disorders.

More than 1,000 research abstracts will be presented at the SLEEP meeting, a joint venture of the AASM and the Sleep Research Society. The three-and-a-half-day scientific meeting will bring to light new findings that enhance the understanding of the processes of sleep and aid the diagnosis and treatment of sleep disorders such as insomnia, narcolepsy and sleep apnea.

SleepEducation.com, a patient education Web site created by the AASM, provides information about various sleep disorders, the forms of treatment available, recent news on the topic of sleep, sleep studies that have been conducted and a listing of sleep facilities.

Source: Kathleen McCann
American Academy of Sleep Medicine

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