Obstructive Sleep Apnea (OSA) represents a multifaceted and significant problem in men’s health. The condition develops when throat muscles relax, and the airway becomes partially or fully blocked during sleep. Several studies, including the Sleep Heart Health Study, have shown that a man’s neck circumference of 17 inches or greater (16 inches for women) to be the strongest predictor of OSA compared with other factors such as age, gender, snoring, or body mass index (BMI).
It is important to recognize the interconnectedness of OSA with other health problems and the impact of untreated OSA on overall health. Below are key points to highlight the magnitude of this problem:
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Cardiovascular Health Risks: Untreated OSA can have profound effects on cardiovascular health including an increased risk of hypertension, coronary artery disease, heart attack, stroke, and irregular heart rhythms, including atrial fibrillation.
- Impact on Testosterone Levels: OSA has been associated with lower testosterone levels in men. Disrupted sleep patterns, decreased oxygen saturation, and increased sympathetic nervous system activity may all contribute to hormone imbalances. Lower testosterone levels in men have been linked to increased body fat, reduced muscle mass and strength, and a higher risk of metabolic conditions such as obesity and type 2 diabetes.
- Increased Risk of Accidents, Daytime Symptoms and Quality of Life: Disrupted sleep patterns associated with OSA often lead to fatigue, poor concentration, delayed reaction times and excessive daytime sleepiness. It is not surprising that there is a higher incidence of accidents, including motor vehicle accidents and workplace injuries, associated with untreated OSA. Workplace performance and social interactions may also be impaired. Treating OSA is crucial for improving daytime functioning.
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Mental Health and Cognitive Function: Mental health concerns including anxiety, depression, and mood disturbances have been linked to untreated OSA. Over time, cognitive function can be significantly impaired due to Interrupted sleep and oxygen deprivation. Ultimately, decision-making abilities, attention and memory are at risk. UCLA Health reports that treating OSA with continuous positive airway pressure (CPAP) for just 12 months can almost entirely reverse the damage done to white matter in the brain.
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Relationship with Other Health Conditions: OSA exacerbates existing health conditions such as diabetes, obesity, and respiratory disorders. Treating OSA is crucial for optimizing the management of these comorbidities and reducing the impact on men's health outcomes.
At LifeStyle Medicine Inc., we are keenly aware of the effects of OSA on overall health for both men and women. Sleep history evaluations are offered to our patients. If OSA is suspected, testing options including home sleep tests are provided. Treatment options include lifestyle changes, CPAP therapy, or surgical interventions. Treating OSA not only improves quality of life but mitigates the risk of associated health concerns.
LifeStyle Medicine, Inc. in Tulsa is an Internal Medicine Concierge Practice that takes evidence-based training, functional medicine approaches and integrative medicine treatment options empowering patients to achieve their health goals.
"OSA has been associated with lower testosterone levels in men. Disrupted sleep patterns, decreased oxygen saturation, and increased sympathetic nervous system activity may all contribute to hormone imbalances."