Alternatives To Polysomnography For Children With Suspected Obstructive Sleep Apnoea.
Funder
National Health and Medical Research Council
Funding Amount
$357,613.00
Summary
Snoring is the cardinal symptom of obstructive sleep apnoea (OSA), a major health issue in childhood with significant impacts on cognition, behaviour and cardiovascular health. Approximately 35% of children snore but only about 10% of those have OSA. Defining OSA in a snoring child requires polysomnography, a technically challenging and expensive test. In this study we will examine a number of simple tests for their predictive power for OSA, developing a tool that will enable clinicians to diagn ....Snoring is the cardinal symptom of obstructive sleep apnoea (OSA), a major health issue in childhood with significant impacts on cognition, behaviour and cardiovascular health. Approximately 35% of children snore but only about 10% of those have OSA. Defining OSA in a snoring child requires polysomnography, a technically challenging and expensive test. In this study we will examine a number of simple tests for their predictive power for OSA, developing a tool that will enable clinicians to diagnose OSA without the need for polysomnography.Read moreRead less
Regulatory Control Of The Upper Airway Muscle Genioglossus During Sleep
Funder
National Health and Medical Research Council
Funding Amount
$329,855.00
Summary
Difficulty breathing during sleep is a major health problem. Obstructive Sleep Apnoea (OSA) is the most frequently occurring of these disorders, being found in approximately 4% of males and 2% of females. In OSA the upper airway (UA) collapses during sleep preventing airflow and causing a fall in oxygen levels in the blood. The airway collapses because during sleep muscles in the UA are unable to offset the negative pressure generated within the airway by the effort of inspiring. If the negative ....Difficulty breathing during sleep is a major health problem. Obstructive Sleep Apnoea (OSA) is the most frequently occurring of these disorders, being found in approximately 4% of males and 2% of females. In OSA the upper airway (UA) collapses during sleep preventing airflow and causing a fall in oxygen levels in the blood. The airway collapses because during sleep muscles in the UA are unable to offset the negative pressure generated within the airway by the effort of inspiring. If the negative pressure is too great and the airway collapses the person has to wake up to reopen the airway. As the UA collapses again on the return of sleep, the cycle becomes repetitive, causing sleep disruption. OSA is a significant health risk causing heart disorders, increased mortality, daytime sleepiness, reduced daytime performance and increased risk of accidents. OSA is due to two interacting factors. First, people with a narrow airway have to generate a greater negative pressure during inspiration. Second, and critically, sleep reduces activity in the UA muscles. The importance of this sleep effect is indicated by the observation that OSA patients do not obstruct while awake. Thus, a respiratory abnormality during sleep is a necessary component of the disorder. However, progress in understanding motor control of UA muscles has been slow. We argue that this is in part because research has concentrated on analysing the activity of the UA muscles, rather than measuring the individual motor units that make up the muscles. In this project we propose to investigate the sleep related activity of individual motor units in the UA muscle, genioglossus (GG). GG plays a critical role in the UA as it keeps the tongue from collapsing backwards into the airway. We anticipate that this approach will provide insights into motor control of the tongue and the role of GG in the development of OSA.Read moreRead less
Novel Approaches For Targeted Sleep Apnoea Treatment And Management
Funder
National Health and Medical Research Council
Funding Amount
$2,090,576.00
Summary
>1million Australian adults have obstructive sleep apnoea (OSA). OSA has several causes. Untreated OSA is associated with major health consequences. <50% of OSA patients tolerate the main therapy, continuous positive airway pressure. New treatments are urgently required. This proposal aims to use and develop novel approaches to identify the causes of OSA on a per patient basis, improve current therapies and management approaches and test if new targeted therapies can be used to treat OSA.
In Search Of Airways Collapse - A Multimodal Device For The Diagnosis Of Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$479,786.00
Summary
Using a combination of off-the-shelf and emerging technologies we will develop a multimodal diagnostic device that will identify and characterize the points of airway collapse that occur in patients with obstructive sleep apnoea. Using this multimodal approach will allow sleep clinicians to recommend the best form of therapeutic intervention for each individual patient rather than the current strong reliance on positive pressure facemasks.
Atrial fibrillation (AF) is the most common sustained cardiac rhythm disorder. Obstructive sleep apnea (OSA), is four times more common among patients with AF than without. OSA has been associated with a greater recurrence rate of AF after initially successful treatment of AF and treatment of OSA reduces recurrence of AF. To identify the underlying mechanisms, we aim to determine effects of OSA on atrial electrical activation and to characterize sleep apnea in AF patients in a more precise way.
Pharyngeal Wall Folding: Role In Upper Airway Collapsibility
Funder
National Health and Medical Research Council
Funding Amount
$217,274.00
Summary
In obstructive sleep apnoea (OSA) the throat closes during sleep. In order for the throat to close the surface of the throat has to fold. Mathematical models predict that the more folds present, the more stable a structure will be. This research will examine how folding of the airway surface of the throat is achieved in subjects with and without OSA. It will also develop ways of changing the folding patterns using bench, animal and human studies. This will result in new treatments for OSA.
The Influence Of Sleep On The Behaviour Of The Upper Airway Muscles, Genioglossus And Tensor Palatini
Funder
National Health and Medical Research Council
Funding Amount
$295,880.00
Summary
The human airway has limited bone or cartilage support and muscular activity is required to keep the airway open. Central activation of these muscles is reduced during sleep, resulting in the disorder Obstructive Sleep Apnoea. Potential treatments include pharmocological or electrical stimulation of upper airway muscles. However, this is hampered by a lack of understanding of the control of upper airway muscles. This project will study two critical muscles, genioglossus and tensor palatini.
Sleep Disordered Breathing In Pregnancy: Frequency And Impact.
Funder
National Health and Medical Research Council
Funding Amount
$607,034.00
Summary
Sleep disordered breathing (SDB)affects up to 15% of women during pregnancy. There is some evidence that it may have adverse effects on both mother and baby, particularly it may be associated with a 7-8 fold increase risk of developing hypertension during pregnancy. This study aims to measure breathing during sleep in pregnant women to determine its role in pregnancy-related hypertension and diabetes, then treat the SDB to assess its effect on maternal and foetal outcomes.
Respiratory Phenotyping For New Targeted Approaches To Treat Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$631,370.00
Summary
>9% of Australians have obstructive sleep apnoea (OSA). OSA has several causes. Untreated OSA is associated with major health consequences. <50% of OSA patients tolerate the main therapy, continuous positive airway pressure. New treatments are urgently required. This proposal aims to use & develop novel approaches to identify the causes of OSA on a per patient basis, improve current therapies & test if new targeted therapies can be used to treat OSA in appropriately selected patients.
A Randomised Controlled Trial Of The Effect Of Substantial Weight Loss On Obstructive Sleep Apnoea.
Funder
National Health and Medical Research Council
Funding Amount
$404,061.00
Summary
Obstructive sleep apnea is now commonly recognized as a major health problem and frequently ocurrs in overweight or obese individuals. Several studies have now demonstrated that weight loss can be an effective treatment for sleep apnea in those with a weight problem. But, it is extremely difficult to achieve and sustain the major weight loss required to adequately treat this condition. Modern obesity surgery is the only reliable method of achieving and sustaining major weight loss in very obese ....Obstructive sleep apnea is now commonly recognized as a major health problem and frequently ocurrs in overweight or obese individuals. Several studies have now demonstrated that weight loss can be an effective treatment for sleep apnea in those with a weight problem. But, it is extremely difficult to achieve and sustain the major weight loss required to adequately treat this condition. Modern obesity surgery is the only reliable method of achieving and sustaining major weight loss in very obese individuals, and several studies have found that along with weight loss there are major improvements in sleep symptoms, and sleep apnea following weight loss surgery. Despite these findings surgery is rarely advised and has never been formally tested as a therapy for sleep apnea. We propose to formally test, for the first time, the effectiveness of weight loss surgery, as an addition to best conventional therapy, in those individuals with the combination of problems; obesity and significant sleep apnea. We propose that significant weight loss, following surgery, may indeed be the best therapy for those with these combined problems, and that weight loss may have additional benefits for other common problems related to obesity, including high blood pressure, poor body image and impaired quality of life. Forty appropriate patients who suffer these combined problems will be randomly allocated to either conventional therapy for their sleep apnea and weight problems or to a similar program that includes placement of a Lap-Band, a minimially invasive form of obesity surgery. We will follow the patients for 2-years and serially measure a broad range of health and quality of life outcomes and compare the effects of each program. This study will help us assess the role of obesity surgery in this group of patients with major health problems.Read moreRead less