Men's Health | Bon Secours

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sleep disorders

Many men have a lack of awareness that sleep is and should be a priority. They view sleepiness as a positive sign that they must be working hard and striving toward success. They have an unhealthy acceptance of being tired and they view being tired as an acceptable way of life. Men justify their lack of sleep on work demands, full schedules and changes in life.

Sleep apnea is a common condition that affects one in four men.

  • Men are twice as likely to suffer from Obstructive Sleep Apnea as women.
  • Obesity is the most powerful risk factor for Obstructive Sleep Apnea (OSA).
  • The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure identifies Sleep Apnea as one of the leading identifiable causes of High Blood Pressure.
  • Men who are asthma suffers are 70% more likely to suffer from OSA.
  • Type 2 diabetics have an 86% risk factor for OSA
  • 4-6% of American men suffering from OSA don’t know it.
  • Sleep apnea increases risk of death for men
  • Roughly 38,000 cardiovascular deaths are in some way related to OSA According to the National Commission on Sleep Disorders Research.
  • 60% of heart failure patients have OSA.
  • Sleep disordered breathing was reported in 74% of all patients with Atrial Fibrillation.
  • Almost 60% of pacemaker patients had undiagnosed sleep apnea.
  • Up to 95% of the OSA population has been reported to have hypertension. Current hypertension guidelines recommend screening amongst

OSA patients. Studies have also demonstrated that 83% of those with refractory hypertension had unsuspected OSA.OSA patients have higher blood pressure & increased sympathetic-nerve traffic. OSA elevates sympathetic nerve activity (SNA) as a result of the reflex effects of hypoxemia, hypercapnia, and decreased input from thoracic stretch receptors. Studies have shown that SNA increased by 246 percent during the last 10 seconds of apenic events, in association with a mean increase in blood pressure from 92mm Hg in wake to 127 mm Hg in REM. This persistently elevated waking symphathetic tone suggests that OSA can cause long-term changes that might also predispose patients to stroke.

Dyken, Mark Eric, and Im, Kyoung Bin. “Obstructive Sleep Apnea and Stroke.” CHEST. December 2009.

Sleep apnea severity is higher among African-American men younger than 40 years old, even after controlling for body mass index (BMI).