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The Difference Between Sleep Disordered Breathing and Sleep Apnea

by | Aug 1, 2023 | Sleep Apnea

As you likely already know, sleep health is of paramount importance as it plays a crucial role in overall well-being and quality of life. Without proper sleep, your health hangs in a precarious balance. One of the most common issues for those struggling with getting to sleep at night is snoring, which many people associate with sleep apnea or sleep disordered breathing.

But what is the difference between the two? While often used interchangeably, these terms actually encompass distinct conditions that can significantly impact your sleep quality and overall health. Understanding the nuances between sleep-disordered breathing and sleep apnea is essential for proper diagnosis and effective treatment.

 

What is Sleep Disordered Breathing?

Sleep disordered breathing is a group of conditions characterized by abnormal breathing patterns during sleep. It is a common sleep disorder that affects a significant portion of the population. In individuals with sleep-disordered breathing, the airflow through the upper airway becomes partially or completely obstructed, leading to disruptions in normal breathing patterns. These disruptions can manifest as pauses in breathing, snoring, or shallow and irregular breaths during sleep. Sleep disordered breathing encompasses a range of disorders, from mild snoring to more severe conditions like Upper Airway Resistance Syndrome (UARS) and does include sleep apnea.

One of the hallmark symptoms of sleep disordered breathing is snoring. Snoring occurs when the muscles at the back of the throat relax too much, causing the airway to narrow and vibrate during breathing. While mild snoring may not be a cause for concern, loud and persistent snoring can be indicative of underlying sleep-disordered breathing issues. UARS, another form of sleep-disordered breathing, involves increased resistance in the upper airway during sleep, leading to repetitive arousals and sleep fragmentation. Sleep-disordered breathing can also manifest as sleep apnea, a more severe condition characterized by complete or partial obstruction of the airway, resulting in repeated episodes of breathing cessation (apneas) during sleep.

Sleep-disordered breathing can have a significant impact on sleep quality and overall health. Frequent arousals and disrupted sleep patterns can lead to excessive daytime sleepiness, fatigue, and impaired cognitive function. Additionally, Sleep disordered breathing has been associated with an increased risk of cardiovascular problems, such as hypertension and heart disease. It is essential to recognize the symptoms of sleep-disordered breathing and seek professional evaluation and diagnosis from a sleep specialist. Proper identification and management of sleep-disordered breathing can improve sleep quality, enhance overall well-being, and reduce the risk of associated health complications.

 

Understanding Sleep Apnea

Sleep apnea is a common and potentially serious sleep disorder characterized by recurrent interruptions in breathing during sleep. During sleep apnea episodes, the airway becomes partially or completely blocked, leading to brief pauses in breathing, known as apneas. These apneas can occur multiple times throughout the night, disrupting normal sleep patterns and often leading to loud and persistent snoring. Sleep apnea can result in poor sleep quality, daytime sleepiness, and fatigue, impacting overall well-being and cognitive function. 

 

Types of Sleep Apnea

There are three main types of sleep apnea: obstructive sleep apnea (OSA), central sleep apnea (CSA), and mixed sleep apnea, each with distinct underlying causes. Proper diagnosis and management of sleep apnea are essential, as untreated sleep apnea can lead to an increased risk of various health issues

Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a prevalent and significant type of sleep apnea characterized by repeated episodes of breathing cessation during sleep. These episodes occur due to the partial or complete obstruction of the upper airway, which leads to brief pauses in breathing, known as apneas. Individuals with OSA often experience loud and persistent snoring and may gasp or choke as they momentarily wake up to resume breathing. OSA disrupts normal sleep patterns, causing frequent arousals throughout the night, leading to fragmented and non-restorative sleep. As a result, OSA can lead to daytime sleepiness, fatigue, and impaired cognitive function. If left untreated, OSA can have serious consequences for overall health, increasing the risk of cardiovascular problems, hypertension, and other medical conditions.

Central Sleep Apnea

Central sleep apnea (CSA) is a less common but equally significant type of sleep apnea. Unlike obstructive sleep apnea (OSA), where the airway is blocked, CSA is characterized by a lack of respiratory effort during sleep. During CSA episodes, the brain fails to send the appropriate signals to the muscles responsible for breathing, leading to temporary pauses in breathing. As a result, individuals with CSA may experience periods of shallow or irregular breathing patterns during sleep. CSA can disrupt sleep quality, leading to daytime sleepiness and fatigue. It is often associated with underlying medical conditions, such as heart failure or neurological disorders. Proper diagnosis and management of CSA are crucial, as it can have implications for cardiovascular health and overall well-being. 

Mixed Sleep Apnea 

Mixed sleep apnea, also known as complex sleep apnea, is a less common but challenging form of sleep apnea that combines features of both obstructive sleep apnea (OSA) and central sleep apnea (CSA). Individuals with mixed sleep apnea may initially present with OSA, where the airway becomes blocked during sleep, leading to breathing pauses and disruptions.  In mixed sleep apnea, the brain fails to send appropriate signals for breathing, even in the absence of airway obstruction. This combination of OSA and CSA can make diagnosis and treatment more complex, requiring a comprehensive approach to manage both types of apneas effectively.

 

Impact of Sleep Apnea on You Overall Health

Sleep apnea can have a significant impact on overall health, affecting various aspects of physical and mental well-being. The repeated interruptions in breathing during sleep lead to fragmented and disrupted sleep patterns, resulting in chronic sleep deprivation. This can lead to excessive daytime sleepiness, fatigue, and decreased alertness, which can impair cognitive function, memory, and concentration. As a consequence, individuals with sleep apnea may experience difficulties in their daily activities, such as at work or while driving, increasing the risk of accidents and injuries. Furthermore, untreated sleep apnea has been linked to an increased risk of various health issues, including cardiovascular problems such as hypertension, heart disease, and stroke. The recurrent drop in blood oxygen levels during apneas can strain the heart and blood vessels, contributing to the development or exacerbation of several different cardiovascular conditions.

 

Diagnosis and Treatment

The most important thing to keep in mind if you think that you or a loved one is suffering from sleep apnea is that this sleep disorder is common and easily treated. The diagnosis and treatment process for patients with sleep apnea typically involves several steps. First, a healthcare professional, such as a sleep medicine specialist, will conduct a thorough evaluation of the patient’s medical history and sleep patterns. They may ask the patient or their bed partner about symptoms, such as loud snoring, witnessed breathing pauses, or excessive daytime sleepiness. To confirm the diagnosis, a sleep study, or polysomnography, may be recommended. During the sleep study, the patient may spend a night in a sleep center or in a hospital equipped with the proper equipment to monitor various physiological parameters, including brain waves, heart rate, breathing patterns, and oxygen levels. This comprehensive evaluation helps determine the type and severity of sleep apnea, which is crucial for developing an effective treatment plan.

The treatment of sleep apnea often depends on the type and severity of the condition. For mild cases of obstructive sleep apnea (OSA), lifestyle changes may be recommended, such as weight loss, avoiding alcohol and sedatives before bedtime, and sleeping on one’s side. For moderate to severe OSA or central sleep apnea (CSA), the most common and effective treatment option is Continuous Positive Airway Pressure (CPAP) therapy. CPAP involves wearing a mask connected to a machine that delivers a continuous stream of air, keeping the airway open during sleep. Other treatment options may include dental devices that help keep the airway open, positional therapy, and in some cases, surgery to address anatomical issues causing airway obstruction. It is crucial for patients to work closely with their sleep medicine specialist adn their team to find the most suitable and effective treatment for their specific type of sleep apnea, as managing this condition can significantly improve sleep quality and overall health.

 

Gingras Sleep Medicine

If you or a loved one are experiencing the challenges of sleep-disordered breathing or sleep apnea, take the first step towards better sleep health and overall well-being by reaching out to Gingras Sleep Medicine today! 

Our dedicated team, led by Dr. Gingras herself, is committed to providing personalized and comprehensive care to address your specific sleep concerns. From expert diagnosis using state-of-the-art sleep studies to tailored treatment plans, we strive to help you achieve restful and rejuvenating sleep. Don’t let sleep apnea or sleep disordered breathing disrupt your life any longer—call us today at (704) 944-0562 or visit us online. Your path to better sleep starts with us!