Mechanisms And Treatment Of Upper Airway Collapse In Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$328,668.00
Summary
Obstructive sleep apnoea (OSA) is characterized by intermittent closure of the upper airway (throat) resulting in episodes of decreased blood oxygen levels, increased blood pressure and disturbed sleep. Repetitive overnight arousals from sleep cause excessive daytime tiredness and lethargy, which have major consequences for social well-being and productivity in our community. OSA is a common condition, affecting as many as 2 to 4% of middle aged adults, and is associated with an increased cardio ....Obstructive sleep apnoea (OSA) is characterized by intermittent closure of the upper airway (throat) resulting in episodes of decreased blood oxygen levels, increased blood pressure and disturbed sleep. Repetitive overnight arousals from sleep cause excessive daytime tiredness and lethargy, which have major consequences for social well-being and productivity in our community. OSA is a common condition, affecting as many as 2 to 4% of middle aged adults, and is associated with an increased cardiovascular risk, however the mechanisms underlying the increased upper airway collapsibility in individuals with OSA are not well understood. The proposed studies represent a series of investigations into fundamental mechanisms of neural and mechanical control of upper airway patency, how these mechanisms act to stabilize the upper airway, and whether these reflex control mechanisms can be manipulated to provide a novel treatment for OSA.Read moreRead less
Prediction Of Oral Appliance Treatment Outcome In Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$280,200.00
Summary
Obstructive sleep apnoea (OSA) is a very common disorder, affecting approximately 2% of women and 4% of men in the middle-aged workforce . It is characterised by repetitive, complete or partial closure of the throat passage during sleep, resulting in sleep disturbance and low oxygen levels. OSA is recognised as a serious public health problem. There is growing evidence supporting the use of oral appliances to treat OSA. It is thought that these work by enlarging the throat passage, but this rema ....Obstructive sleep apnoea (OSA) is a very common disorder, affecting approximately 2% of women and 4% of men in the middle-aged workforce . It is characterised by repetitive, complete or partial closure of the throat passage during sleep, resulting in sleep disturbance and low oxygen levels. OSA is recognised as a serious public health problem. There is growing evidence supporting the use of oral appliances to treat OSA. It is thought that these work by enlarging the throat passage, but this remains uncertain. The aim of this project is to gain a better understanding of how such appliances work, so as to be able to predict which patients will particularly benefit from this form of treatment.Read moreRead less
The Role Of Arousal And Respiratory Control Factors In The Pathogenesis Of Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$567,924.00
Summary
Sleep apnoea (OSA) is a very common breathing disorder in sleep characterized by repetitive closure of the collapsible portion of the throat with serious effects on sleep quality and health. Basic causes of OSA are still largely unknown. We will investigate waking responses to breathing load and related respiratory control factors that we believe may be fundamental causes of OSA, and potentially explain many features of OSA including worsening in light sleep and with increasing age.
Improving Outcomes In Obstructive Sleep Apnoea Through Individualised Treatment Of Physiological Abnormalities
Funder
National Health and Medical Research Council
Funding Amount
$340,891.00
Summary
The most common treatment for obstructive sleep apnoea, continuous positive airway pressure, is only accepted by ~50% of patients. Individualised treatment options are urgently needed. In order to predict who will benefit from the common alternative therapies, my research will show how, upper airway surgery improves obstructive sleep apnoea at an individual level and develop tools that will help clinicians select patients for these therapies.
Chronotherapy Of Hypertension In Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$232,738.00
Summary
Obstructive Sleep Apnoea (OSA) is linked with excess cardiovascular disease, and this is partly attributed to increased high blood pressure (hypertension). Understanding how both conditions exacerbate hypertension and whether blood pressure control can be improved by altering the time that medication is taken will lead to improvements in health.
A Novel Optical Stimulation Method For Obstructive Sleep Apnoea Treatment
Funder
National Health and Medical Research Council
Funding Amount
$510,913.00
Summary
This project aims to develop and characterize a novel optogenetic pharyngeal stimulation system to dilate the upper airway using a light stimulus. This will provide proof-of-concept for a new minimally invasive treatment option for obstructive sleep apnoea.
Chronotherapy For Hypertension In Obstructive Sleep Apnoea
Funder
National Health and Medical Research Council
Funding Amount
$57,921.00
Summary
This randomised, double blind placebo controlled cross-over trial aims to determine whether evening ingestion of blood pressure medication results in superior blood pressure control as compared to morning ingestion in patients with high blood pressure and obstructive sleep apnoea.
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
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.
Revolution Of Sleep Diagnostics And Personalized Health Care Based On Digital Diagnostics And Therapeutics With Health Data Integration
Funder
National Health and Medical Research Council
Funding Amount
$500,000.00
Summary
Almost 1 billion people suffer from sleep apnoea. Unfortunately, the current diagnostic metric relates poorly to the symptoms and comorbidities of sleep apnoea merely measuring the frequency of breathing cessations. We aim to develop machine learning techniques to better estimate sleep apnoea severity. These techniques are implemented to high-end wearables developed in this project. Finally, we aim to design a digital diagnostic platform and create new standardised guidelines for sleep medicine.