WOMEN WITH SLEEP APNEA HAVE INCREASED RISK OF CANCER

WOMEN WITH SLEEP APNEA HAVE INCREASED RISK OF CANCER

By Charles Kravitz, DDS

We know that men are more at risk of developing sleep apnea. But for women who suffer from OSA the risk of developing cancer is more than your male counterparts, says a recent research published in the European Respiratory Journal. The scientists collected data of 20,000 patients with OSA. It was found that a large percent of these patients were later diagnosed with cancer.

HOW OSA INFLUENCES CANCER

The studies show that people suffering from sleep-disordered breathing have an increased risk of developing cancer and are up to five times more likely to die from the disease.
Once again the culprit is HYPOXIA. The lack of oxygen (hypoxia) caused by untreated Obstructive Sleep Apnea (OSA) can be a catalyst for a process called neovascularization (the creation of new blood vessels), giving a blood supply that can encourage tumor growth.
 Two of the key hormones that fall out of balance—cortisol and melatonin—are critical for maintaining a healthy immune system (cortisol) and for regulating the body’s circadian system (melatonin). In addition, this neurochemical balance can lead to body-wide (systemic) inflammation.


How does this relate to cancer?
Without a healthy immune system, the body can struggle to fight off the aggressive cellular behaviors that can lead to tumors. 
With an imbalance in circadian rhythms as the result of decreased melatonin, the body produces higher amounts of other substances that are risk factors for cancer (for women, higher estrogen can lead to breast cancer, and for men, higher estrogen can lead to prostate, bowel, lung, and bladder cancer). 


Systemic inflammation causes oxidative stress to the organs. Oxidation is a breakdown of tissues that is the consequence of long-term inflammation; oxidative stress refers to the damage that results from unchecked systemic inflammation, which makes it easier for cancer—an opportunistic disease—to establish itself wherever the body is most vulnerable.
Cancer cells thrive in a low oxygen environment. Hospitals will put a patient on oxygen if their O2 levels drop below 92. Untreated OSA can cause oxygen levels to drop anywhere from the 90’s, 80’s and even in the 50’s.


Sleep apnea causes sustained low blood oxygen.

One of the biggest problems with sleep apnea is the way in which it deprives the body of necessary oxygen. Frequent apneas (pauses in breathing that last at least 10 seconds, but often last much longer) lead to nocturnal intermittent hypoxia. Dentists perform exams of  patient’s mouth, neck, and airway on a regular basis while screening for oral cancer. These health screenings are important, lifesaving moments in a patient’s health journey– we can do that with a similarly deadly condition like untreated sleep apnea.


Detecting OSA and leading the way for treatment can add YEARS to a  patient’s lifespan while significantly improving quality of life. Both cancer and OSA have symptoms that can be easily recognized in the chair during a regular checkup. While checking the mouth for masses and swelling, you can also check on the Mallampati score  and be alert to possible concerns you may have. 
Sources: American Sleep Apnea Association, Centers for Disease Control, Mayo Clinic, National Institutes of Health, National Sleep Foundation, The New York Times, Wisconsin Cohort Study, World Health Organization

“HOW DO I FIND PATIENTS TO TREAT SLEEP APNEA?”

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Think about this-

A Sleep Coordinator in a dental practice asked me, “How do I find sleep apnea patients that I can treat?“

Here’s how I answered her, “They will find you.“
 
If you saw the award winning movie “Field of Dreams” you will remember Ray Kinsella (Kevin Costner) being told, “Build a field and they will come.”   He did build a baseball field in a Kansas corn field and sure enough the great legends of the game came to play there.
 
 
After you have been trained and become confident in your screening and treatment skills you’ll be pleasantly surprised at the vast number of sleep apnea patient resources.  Build your field and they will come.
 
 
These are just a few of the sources available to you:
  • word gets around that you can help them and new patients will seek you out
  • your patient base will produce enough candidates to keep your schedule filled  
  • you will be developing a network of healthcare professionals that will send you patients
  • patients you have treated will be referring their family and friends
Success in Dental Sleep Medicine, unlike in other ventures, does not have to be long and drawn out. If you focus on all the “little things“ and stay dedicated you will reach your objective in a few months.
 
Studies reveal OSA is prevalent. 
-A  study in Switzerland reported 50% of men and 23% of women had at least moderate OSA.1
-In 2002, the Sleep Heart Health study found that 24% of men and 9% of women have at least mild OSA.2

-In the Wisconsin Sleep Study Cohort, it was reported that 10% of men and 3% of women age 30 to 49 have at least moderate OSA, while 17% of men and 9% of women age 50 to 70 have at least moderate OSA.

-Over 50% of children diagnosed with ADHD suffer from sleep apnea
-According to a Harvard health report there are 18.9 million undiagnosed cases of obstructive sleep apnea and 40% (1.3 million) of CPAP users are non-compliant. So that alone conservatively projects 20.2 million victims of obstructive sleep apnea who may be helped by a dentist trained in Oral Appliance Therapy (OAT). 
-OSA is highly underrecognized, and it is estimated that 82% of men and 93% of women in the United States with OSA are undiagnosed.4
 
Is there any better opportunity today in dentistry?
3-3-13 EINSTEIN- DISCOVERY
 
Are you ready to build your field of dreams? 
 
Write me with any questions at cskdoc@aol.com.
 
References
  1. Heinzer R, Vat S, Marques-Vidal P, et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3(4):310-318.
  2. Young T, Shahar E, Nieto FJ, et al; for the Sleep Heart Health Study Research Group. Predictors of sleep-disordered breathing in community-dwelling adults. Arch Intern Med. 2002;162(8):893-900.
  3. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177(9):1006-1014.
  4. Young T, Evans L, Finn L, Palta M. Estimation of clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep. 1997;20(9):705-706
 

WE “FALL BACK” ON SUNDAY, NOV. 6th AND CAN GAIN AN EXTRA HOUR’S SLEEP

Before going to bed Saturday night, set your clocks back one hour.

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How are you planing to take advantage of the extra hour? In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours.

Do you sleep soundly or sleep with sound?

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Instead of “falling back” his fall, dentists have the opportunity to spring forward with Dental Sleep Medicine and help the millions of their Sleep Apnea victims.

Upcoming training seminars by DSM experts are available in the following cities:

Nov 2016

LAS VEGAS, NV –         11/04/2016 – 11/05/2016 Register Now! 
MEMPHIS, TN –             11/04/2016 – 11/05/2016 Register Now! 
OKLAHOMA CITY, OK – 11/11/2016 – 11/12/2016 Register Now! 
WASHINGTON, DC –    11/11/2016 – 11/12/2016 Register Now! 
BOSTON, MA –              11/18/2016 – 11/19/2016 Register Now! 
GREENVILLE, SC –       11/18/2016 – 11/19/2016 Register Now! 
SAN FRANCISCO, CA – 11/18/2016 – 11/19/2016 Register Now! 

Dec 2016

CHICAGO, IL –                12/02/2016 – 12/03/2016 Register Now! 
TAMPA, FL –                   12/02/2016 – 12/03/2016 Register Now! 
DENTAL STAFF BOOT CAMP – 12/02/2016 – 12/03/2016Register Now! 
DALLAS, TX –                  12/09/2016 – 12/10/2016 Register Now! 
NEW YORK CITY, NY –   12/09/2016 – 12/10/2016 Register Now! 
HUNTINGTON BEACH, CA – 12/16/2016 – 12/17/2016 Register Now! 
SALT LAKE CITY, UT –    12/16/2016 – 12/17/2016 Register Now! 
TUCSON, AZ –                  12/16/2016 – 12/17/2016 Register Now! 

SLEEP GROUP SOLUTIONS presents “Treating Snoring and Sleep Apnea in the Dental Office” to Broward County Dental Association (Florida)

Monday November 21st, 2016, 6 PM
Call BCDA 850-628-7939 for reservations
John Nadeau, VP of SGS, presents this Intro to Dental Sleep Medicine, including Medical Billing for Dentists
5-16-16 b- tip of iceberg
You can join the battle to combat this serious disease Sleep Apnea..
Get trained and prepared to help the 40 million victims of sleep apnea.
 Many of them are already your patients.
Be a shining light and stand out as a doctor who literally saves lives.
9-11-14 UNIQUE BULB

★★ Learn from the Stars ★★

Featured

                                                                                                                                                                                                                                                                       Dr. Damian Blum, a renown trainer and a star in Dental Sleep Medicine, will present a comprehensive “A to Z” introduction course to dentists and their teams in Hollywood, Florida.
https://adental.files.wordpress.com/2014/12/004.jpg
You can join the battle to combat this serious diseaseSleep Apnea..
Get trained and prepared to help the 40 million victims of sleep apnea. Many of them are already your patients.
Be a shining light and stand out as a doctor who literally saves lives.
9-11-14 UNIQUE BULB
Register with code: DBK916 and receive huge ($1130.) savings on tuition:
Only 655. with 2 auxiliaries at no charge.
(Available only by responding with this code.)
Review the course outline and register here:
 

 

ARE YOU A SMOKER?

Are you a smoker? If so, the chances are that you have obstructive sleep apnea. Smokers are three times more likely to have obstructive sleep apnea (OSA) than are people who have never smoked.
The Correlation
Smoking may irritate the tissues in your nose and throat and cause inflammation and fluid retention in your upper airway. This swelling causes a blockage which restricts air flow.
Both smoking and OSA are deadly conditions that, in combination, will wreak havoc to your quality of life and can severely shorten your life span.
FAT GUY SLEEPING
Smoking and Sleep Apnea:  1+1 = 1000
Both sleep apnea and smoking can cause all sorts of cardiovascular and respiratory health problems. OSA can lead to stroke and heart disease while smoking increases one’s chance of contracting mouth, throat and lung cancer. Studies have even shown that sleep apnea victims who smoke, generally have heightened triglyceride levels and lowered HDL levels.
The Studies
The average person loses 1.2 minutes of sleep for every cigarette they smoke, due to nicotine’s stimulating and subsequent withdrawal effects, according to a  University of Florida study in 2011.
Men’s Health reported, “People who smoke within two hours of bedtime struggle to fall asleep because the nicotine disrupts their natural sleep-wake cycle, and withdrawal symptoms set in before the morning alarm goes off, often leaving smokers feeling even more restless and agitated.”
Patients who suffer from untreated sleep apnea are rarely able to reach the cycles of deep sleep where dreaming occurs. With treatment, patients begin to dream again and it takes time to get used to it.  Vivid dreaming is a common occurrence in those who are in the process of quitting smoking and have begun sleep apnea treatment.
Conclusion
A 20012 report in Chin Med concludes: “Smoking may act as a risk factor for OSA and join with OSA in a common pathway to increase the risk of systematic injury. OSA, in turn, may be a predisposing factor for smoking. Thus, smoking cessation is recommended when considering treatment for OSA, and treating OSA may be a necessary precondition for successful smoking cessation.”
Resources
American Journal of Respiratory and Critical Care Medicine.
Johns Hopkins University 2008 
University of Florida
Chin Med
Mayo Clinic
WebMD

 

LEARN DENTAL SLEEP MEDICINE in Louisville, KY on JULY 22,23

 3-3-13 EINSTEIN- DISCOVERY

Dr. George Jones will explain the WHY and the HOW of these Obstructive Sleep Apnea connections:

  • WHY is High Blood Pressure a symptom of SA?
  • WHY is Acid Reflux (GERD) a symptom of SA?
  • WHY is Diabetes a symptom of SA?

Learn the risk factors and HOW they contribute to OSA:

  • Excess weight. Fat deposits around your upper airway may obstruct your breathing. However, not everyone who has sleep apnea is overweight. Thin people develop OSA, too.
  • A narrowed airway. You may have inherited a naturally narrow throat. Or, your tonsils or adenoids may become enlarged, which can block your airway. An enlarged or inflamed uvula will block the airway.
    Being male. Men are twice as likely to have sleep apnea. However, women increase their risk if they’re overweight, and their risk also appears to rise after menopause.
  • Age. Sleep apnea occurs much more often in adults over 60.
  • Family history. If you have family members with sleep apnea, you may be at increased risk.
  • Race. In people under 35 years old, blacks are more likely to have obstructive sleep apnea.
  • Use of alcohol, sedatives or tranquilizers. These substances relax the muscles in your throat.
  • Smoking. Smokers are three times more likely to have obstructive sleep apnea than are people who’ve never smoked. Smoking may increase the amount of inflammation and fluid retention in the upper airway. This risk likely drops after you quit smoking.
  • Nasal congestion. If you have difficulty breathing through your nose — whether it’s from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
  • Neck circumference. People with a thicker neck may have a narrower airway.
https://adental.files.wordpress.com/2014/01/1-30-14-girl-w-tapes-on-neck.jpg
Earn 16 CE credits and become The Sleep Dentist.
Brand yourself as a Doctor who understands, discovers, treats sleep  problems.
Read more about this.  www.TheSleepMagazine.com

 

https://adental.files.wordpress.com/2014/01/1-21-13-logo-dental-pros-sharing.jpg

See the two day course outline and register here: http://join.sleepgroupsolutions.com/seminars/louisville-ky/

George-Jones_2016

Dr. George Jones
Dr. George Jones is a native of Wheeling, WV and earned his BS in Chemistry from Wheeling Jesuit University. He received his Dental Degree from the University Of Florida College Of Dentistry, and relocated to coastal North Carolina in 2003. Over the years, Dr. Jones has served as a consultant and evaluator for several dental manufacturers and maintains a private practice in Sunset Beach, NC. .

WHAT ARE THE RISK FACTORS OF OBSTRUCTIVE SLEEP APNEA?

Learn Dental Sleep Medicine in Louisville, KY on  July 22-23.

 

 3-3-13 EINSTEIN- DISCOVERY

Dr. George Jones will explain the WHY and the HOW of these Obstructive Sleep Apnea connections:

  • WHY is High Blood Pressure a symptom of SA?
  • WHY is Acid Reflux (GERD) a symptom of SA?
  • WHY is Diabetes a symptom of SA?

Learn the risk factors and HOW they contribute to OSA:

  • Excess weight. Fat deposits around your upper airway may obstruct your breathing. However, not everyone who has sleep apnea is overweight. Thin people develop OSA, too.
  • Neck circumference. People with thicker necks may have narrower airways. Women- greater than 15″ diameter and men-17″ diameter are at greater risk.
  • A narrowed airway. You may have inherited a naturally narrow throat. Or, your tonsils or adenoids may become enlarged, which can block your airway. An enlarged or inflamed uvula will block the airway.
    Being male. Men are twice as likely to have sleep apnea. However, women increase their risk if they’re overweight, and their risk also appears to rise after menopause.
  • Age. Sleep apnea occurs significantly more often in adults over 60.
  • Family history. If you have family members with sleep apnea, you may be at increased risk.
  • Race. In people under 35 years old, blacks are more likely to have obstructive sleep apnea.
  • Use of alcohol, sedatives or tranquilizers. These substances relax the muscles in your throat.
  • Smoking. Smokers are three times more likely to have obstructive sleep apnea than are people who’ve never smoked. Smoking may increase the amount of inflammation and fluid retention in the upper airway. This risk likely drops after you quit smoking.
  • Nasal congestion. If you have difficulty breathing through your nose — whether it’s from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
https://adental.files.wordpress.com/2014/01/1-30-14-girl-w-tapes-on-neck.jpg
Earn 16 CE credits and become The Sleep Dentist.
Brand yourself as a Doctor who understands, discovers, treats sleep  problems.
Read more about this.  www.TheSleepMagazine.com

 

https://adental.files.wordpress.com/2014/01/1-21-13-logo-dental-pros-sharing.jpg

See the Two day course outline and register here: http://join.sleepgroupsolutions.com/seminars/louisville-ky/

http://sleepgroupsolutions.com/2.0/speakers/73/dr-george-jones

Dr. George Jones is a native of Wheeling, WV and earned his BS in Chemistry from Wheeling Jesuit University. He received his Dental Degree from the University Of Florida College Of Dentistry, and relocated to coastal North Carolina in 2003. Over the years, Dr. Jones has served as a consultant and evaluator for several dental manufacturers and maintains a private practice in Sunset Beach, NC. .

 

MAY IS NATIONAL STROKE AWARENESS MONTH

Be aware that untreated Sleep Apnea is a major risk factor of strokes. One out of 15 adults has moderate to severe sleep apnea and men with moderate to severe sleep apnea are 4 times more likely to have a stroke.
A 2014 study published in the Journal of Clinical Sleep Medicine showed that people with moderate to severe obstructive sleep apnea were four times more likely to have a stroke even when results were adjusted for factors like obesity, cholesterol levels, hypertension, and smoking.
                                                               **************
How?  Simply stated, when there are repeated cessations in breathing, as in Obstructive Sleep Apnea, adequate oxygen is not carried to the brain.
7-14-12 BRAIN
                                       ********************************************* 
The National Stroke Foundation explains that “sleep apnea can be an after effect of stroke, but can also be the cause of a first time or recurrent stroke. The condition causes low oxygen levels and high blood pressure, both of which can increase the risk of a future stroke.”
Isn’t this another good reason for you to get a sleep test?
5-16-16 tip of iceberg
 Read the signs and symptoms from the Center of Disease Control (CDC):

OSA HAS NO REGARD FOR AGE, GENDER OR FAME

Legendary Dolphins coach Don Shula was hospitalized and treated because of sleep apnea and fluid retention, said his wife Mary Anne Shula.

SHULA

Shula is the winningest coach in NFL history (with 347 regular-season and playoff victories) and is a Pro Football Hall of Famer. He is also the owner of a successful chain of steakhouses throughout the country.

The 86-year-old was treated and released from the Aventura Hospital and Medical Center. Dr. Barry Freydberg, a Dental Sleep Medicine expert, and lecturer for Sleep Group Solutions, screens and treats patients for snoring and sleep apnea says, “I am glad to hear his sleep apnea was treated, Nearly 18 million people remain undiagnosed with sleep apnea.”

Sleep apnea contributed to the premature death of star Green Bay Packers defensive end Reggie White in 2004.