12 Year old study claims "Mild OSA should not be treated." Thoughts?

Here is the study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564770/

What do yall make of this? Has there been any further discussion on this since 2007?

My diagnosis had 7.1 AHI so this feels important to me.

12 Year Olds, should put away their #2 pencils. and pay more attention to their teachers. They need to have less thoughts also. Jim

It says right in the first little bit of their report that even mild OSA can cause symptoms and does have negative effects.

If you could treat that, why not?

elavi001 wrote: ↑

Wed Jul 24, 2019 4:17 pm

Here is the study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564770/

What do yall make of this? Has there been any further discussion on this since 2007?

My diagnosis had 7.1 AHI so this feels important to me.

Are you in the habit of taking medical advice from 12 year olds??

elavi001 wrote: ↑

Wed Jul 24, 2019 4:17 pm

Here is the study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564770/

What do yall make of this? Has there been any further discussion on this since 2007?

My diagnosis had 7.1 AHI so this feels important to me.

Sorry about the elementary school responses you've received.

My take: I went from initially having severe obstructive sleep apnea to moderate several years later, and then learned after a recent sleep study that I had 7 events an hour which is mild sleep apnea. Several reasons for this which aren't relevant to your question. I still use my machine and will continue until more proof comes out on this issue. I'm so used to it now that I wonder if I could sleep without it. And I'm comfortable knowing I'm getting the oxygen I need.

I'm sure others will drop by and comment on this... hopefully they won't be bullies from grade school.

I don’t think this study is from a 12 year old. I think it means that this study is 12 years old. For a matter of fact I believe that all apnea should be treated.

I suspect the article is based on the concept that insurance companies don't see it as bad enough to pay for treatment, unless there are other heatlh issues present. I'm sure most doctors would like to see it treated. And it should be. But it can be hard to lower the minimum conditions required to get coverage.

elavi001 wrote: ↑

Wed Jul 24, 2019 4:17 pm

Here is the study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564770/

What do yall make of this? Has there been any further discussion on this since 2007?

My diagnosis had 7.1 AHI so this feels important to me.

1. IT'S NOT A STUDY, it's an OPINION piece by one idiot. At the bottom "I conclude" Don't you people ever read anything before posting?
2. It's been refuted. Read the studies that are listed on the side under 'cited by other articles in PMC' For instance "Of note, our results showing that there is an increased risk of CKD even in patients with mild OSA may be of particular importance, as there has been disagreement regarding treatment for patients with mild OSA [47, 48]. Thus, our result may present a different perspective on the clinical management of patients with OSA." (47 being the opinion piece you referenced).

Stop grasping for reasons not to treat yourself and have a better life.

Should this heretic who suggested an alternative view of treatment be burned at the stake? No room for open discussion? Please excuse the OP for their inquisitive nature and open mindedness.

It is a review not a study pointing out "conflicting results / conflicting evidence / conflicting expert / conflicts of interest". and sure are a bit old.

conflicting results have been reported for patients with mild to moderate OSA using CPAP in order to improve blood pressure, reduce cardiovascular risk and mortality.

"For example, in a retrospective analysis of OSA only those patients with an AI greater than 20 had substantial mortality over 9 years and those patients also benefited from treatment with CPAP or tracheostomy." This statement makes no sense. Littner likely did not reed the published study in 1988.

Tracheostomy is old practice and certainly no longer recommended.
If you lose hope of ever getting another good night sleep, you are at higher risk of suicide.

That said, you may want to listen to your body, trust your self. Experience on your own. Find the way you can get the rest you need.

bombaynone wrote: ↑

Thu Jul 25, 2019 3:05 am

Should this heretic who suggested an alternative view of treatment be burned at the stake? No room for open discussion? Please excuse the OP for their inquisitive nature and open mindedness.

How about pointing out one post where the OP is "being burned at the stake".

You're just lying.

I see a few posts making light hearted fun at the wording of the title, I see some posts encouraging the OP to continue treatment, and I see some posts pointing out that the article is NOT a study, they even quote the article and explain why.

You're so desperate to be a hero around here you make up crap so you can swoop in to fight enemies that aren't there.

Dog Slobber wrote: ↑

Thu Jul 25, 2019 7:27 am

You're so desperate to be a hero around here you make up crap so you can swoop in to fight enemies that aren't there.

He doesn't seem to understand that his self appointed feel good moderator status doesn't hold much water here.
I have come to the conclusion that he really just wants to stir up trouble. He knows exactly what he is doing.
He may find himself out of a self appointed job if he continues to stir up trouble. I am getting more than a little fed up with it.

No one said anything hateful to the OP...some blunt truths maybe but certainly nothing hateful or "burning at the stake" quality.
Some people blasted the "study" which is actually nothing more than one man's opinion about where the line should be for using cpap.
You know what they say about opinions....something along the lines that "everyone has one".
Hell, in other parts of the world the "opinion" is that anything under 15 AHI doesn't need to be treated.

When people come to a cpap help forum....what do they expect to get? This isn't the "help me avoid cpap" forum...I think that would be another forum.

Pugsy wrote: ↑

Thu Jul 25, 2019 7:49 am

Hell, in other parts of the world the "opinion" is that anything under 15 AHI doesn't need to be treated.

When people come to a cpap help forum....what do they expect to get? This isn't the "help me avoid cpap" forum...I think that would be another forum.

Yup, in Canada the "expert" recommendation is not to treat mild OSA except for "lifestyle interventions" i.e. weight loss in those who are overweight

https://www.cadth.ca/news/cadth-recomme ... leep-apnea

The questions I want to ask the opening poster are:

What led you to have a sleep study ? Did you have symptoms of OSA ? Do you have any other conditions that often co-exist with OSA such as hypertension, T2 diabetes, nocturia, heart disease, etc. Treating OSA, even mild OSA, is often very beneficial should this be the case. It can even be argued that OSA leads to these conditions, or at least contributes to their development.
Are you using your machine every night, all night? Is your treated AHI generally quite low, and if not, is the AHI comprised mainly of obstructives and hypopneas or are the events centrals?
Do you have insomnia?

Some fortunate folks experience very obvious, immediate benefits from XPAP, but for others it takes a while and of course a period of adjustment to sleeping with this stuff. You have been at this now for about a year (I read that in another thread of yours) but maybe your treatment is not optimal. This happens a lot!

So, the main thing to figure out is if your XPAP treatment is optimized. This can be done by looking closely at your data in software like Oscar and adjusting your CPAP settings if necessary.

Stick around and see what others here suggest. This is the one of the very best CPAP forums. Often heated debates erupt and this is because people care.

All: Please lighten up. I volunteer to be burned at the stake.

bombayone wrote: ↑

Thu Jul 25, 2019 9:50 am

All: Please lighten up. I volunteer to be burned at the stake.

Self immolation might be helpful.
Be sure to post before and after pictures.

JPB