Sleep Apnea Death Risks
Sleep Apnea Linked to Car Wrecks, Diabetes, Heart Attack, Pregnancy Woes
Sleep Apnea and Diabetes
While evaluating older, obese men for a sleep apnea study, Botros and his
Yale colleagues noticed that about a third of the patients suffered from
diabetes as well as sleep apnea.
To see whether the two conditions were related, the researchers kept track
of nearly 600 sleep apnea patients for up to six years. Compared with similar
men without sleep apnea, the patients were more than two-and-a-half times more
likely to develop diabetes.
The more severe the sleep apnea, the higher the patients' risk of
"We know that by measuring markers in the blood that the body of a person
with sleep apnea is in a highly inflammatory, highly excitatory state," Botros
says. "This state increases stress hormones, and we think the insulin-making
pancreatic beta cells are affected."
Botros and colleagues are now looking at whether CPAP treatment can reduce
sleep apnea patients' diabetes risk.
Sleep Apnea and Pregnancy Complications
Sleep apnea is more common among obese people. But the extra weight gain
during the third trimester of pregnancy often puts a woman at risk of sleep
apnea, says Hatim Youssef, DO, of the University of Medicine & Dentistry of
New Jersey-Robert Wood Johnson Medical School.
Youssef and colleagues noticed that in their hospital, women tended to have
low blood oxygen levels at night if their BMI (body mass index, a measure of
weight according to height) went over 35. A BMI of 30 is considered obese for
people who are not pregnant.
So the researchers analyzed the 2003 medical records of 4 million U.S. women
who delivered babies. Only 452 of these 4 million women had sleep apnea. But
these 452 women were much more likely than other women to experience
- Women with sleep apnea were twice as likely as other women to have
- Women with sleep apnea were four times more likely than other women to have
pregnancy-induced high blood pressure.
"I absolutely think women whose BMI goes over 35 when they are pregnant
should be assessed for sleep apnea," Youssef tells WebMD. "We really are
pushing our obstetric colleagues to have this on their radar because sleep
apnea is very treatable. It may help to treat this condition, which is
dangerous to the mother and to the fetus."
Obesity isn't the only risk factor for sleep apnea in pregnant women,
Youssef says. He suggests that women with preeclampsia or high blood pressure
are also at higher risk.
Sleep Apnea and Heart Attack, Heart Death
Having sleep apnea for four or five years raises a person's risk of having a
heart attack or dying by 30%, find Neomi Shah, MD, and colleagues at Yale
Shah's team followed 1,123 patients evaluated for sleep apnea. More than 500
of these patients had 15 or more low-oxygen events per hour of sleep.
After adjusting for other heart risk factors, these patients were 30% more
likely to have a heart attack or die over a four-and-a-half year period. The
more severe the sleep apnea, the higher the risk of heart attack or death.
"There is some evidence to make us believe that when sleep apnea is
appropriately treated, the risk of heart disease can be lowered," Shah says in
a news release.