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    Researchers from the Center for Sleep Education and Research at Case Western Reserve University in Ohio recommend the Berlin Questionnaire to health-care providers to help them identify people at high risk for sleep apnea.

    After surveying more than 1,000 people, 744 were given the questionnaire; and 100 of these participants had sleep studies done. The questions address issues such as snoring, daytime sleepiness, and a personal history of obesity or high blood pressure. The researchers believed that those who experienced two out of three of these conditions on a regular basis could be considered at high risk for apnea. Approximately 37 percent were found to be in this high-risk group.

    Their next step was to do sleep monitoring on 100 of these participants. Equipment was set up to monitor participants' respiration while they slept, and the machines recorded each incident in which breathing was interrupted and the length-of-time of each incident.

    Participants placed in the high-risk group after completing the questionnaire turned out to have the highest number of respiratory interruptions during the night. This indicates that the questionnaire itself is a good predictor of who might have a sleep apnea problem and should be further evaluated.

    Sleep apnea is classified as the cessation of breathing for more than 10 seconds per episode, at least 30 times during a night's sleep. Obstructive sleep apnea further defines the problem by identifying that the cause of the interruption in breathing is that the throat muscles relax into the airway and cause a temporary blockage. Most apneics are overweight males that snore.

    When your body is deprived of oxygen, it tries to compensate by increasing the heart rate and raising blood pressure. Both conditions can be dangerous if prolonged, or if you have an underlying cardiac or hypertensive disorder.

    Some experts estimate that sleep apnea occurs quite frequently but many physicians misdiagnose it. Very few primary-care physicians have received training in sleep problems while in medical school. The researchers hope that this simple questionnaire will be a first step in getting physicians to realize the dangers of sleep apnea and identify patients that may be at high risk.



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