Friday, September 16, 2022

Sleep Apnea and COVID-19

Sleep Apnea is a common nighttime breathing disorder that affects more than 15 million Americans. Sleep apnea affects men and women of all ages; even children can suffer from sleep apnea.

Without treatment, living with the disorder may cause significant complications including daytime sleepiness, increased risk of heart attack and stroke, mood disorders, and poor daytime function. 

Most people who have sleep apnea do not realize that they have the condition; even though their sleep is frequently interrupted throughout the night.

People suffering from sleep apnea will wake often throughout the night due to their oxygen being restricted or completely cut off. When apnea sufferers awaken, normal breathing is restored; however, they do not enter a state of complete wakefulness.

The apneic events can continue unnoticed because sufferers do not fully awake or recognize they are waking throughout the night. With sleep apnea, breathing may temporarily stop or become shallow hundreds of times during a night’s sleep.

Sleep Apnea and COVID-19

Recent research suggests that people with sleep apnea may be at greater risk of getting COVID-19, and at risk of having more severe symptoms if they catch the virus. 

A study in Finland found that 29% of patients admitted to the hospital with coronavirus had sleep apnea, while only about 3% of the general population had the condition.

A review of the literature on the subject confirmed connections between sleep apnea and coronavirus. 

However, some of the conditions and lifestyle choices that increase the risk of sleep apnea also increase the risk of CODIV-19:

  • Obesity
  • Alcohol use
  • Smoking
  • Increased age
  • Underlying diseases

That means that it is not possible at this point to tell whether sleep apnea itself is a risk factor for COVID-19. It might be simply that sleep apnea and COVID-19 share risk factors. People who are obese and elderly might be more likely to experience sleep apnea and also more likely to have severe cases of COVID-19.

Researchers in the UK saw worse outcomes, including death, in COVID-19 patients who also had sleep apnea. 

While they hesitated to draw strong conclusions, partly because the condition is under-diagnosed in Great Britain, they strongly encouraged people with sleep apnea to be especially vigilant about wearing masks and practicing social distancing.

Action Steps

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