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Last week research from the Mayo Clinic in Arizona, published in the journal Sleep, suggested, not at all radically, that turning down the light on these devices could reduce melatonin suppression and improve sleepiness.
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This potential utility of even partial adherence to PAP therapy mirrors adult findings, in which improved sleepiness and quality of life have been observed in groups in which PAP use averages around 50% of each night [4], [8].
Both the DA and exercise training treatments did not improve daily sleepiness levels, confirming previous data [ 2, 10] however, the majority of the patients had scored below the cutoff point (>10.0) that declare severe daily sleepiness.
To our knowledge, only one published study has examined the impact of PAP therapy on the daytime functioning in children with OSA; Marcus and colleagues demonstrated improved daytime sleepiness after 6 months of PAP treatment, but no change in other functional outcomes, including behavior, temperament, and school performance [5].
Secondary hypotheses for the main trial include: "Education for primary care teams in problem focused therapy for patients presenting to primary care with insomnia improves daytime sleepiness, anxiety and depression, health-related quality of life and reduces hypnotic use, adverse effects and costs compared to treatment as usual including sleep hygiene".
Most healthcare professionals felt that treating their patients' OSA would improve complaints about sleepiness, symptoms at night, and the direct effect of apnea on others (89 96%).
Besides being a useful tool for coping with sleep deprivation, naps can reduce sleepiness and improve cognitive performance.
As a result, the present study was an attempt to investigate whether blue-enriched white light illumination was a practical strategy to decrease sleepiness and improve cognitive performance during night shifts.
Nasal continuous positive airway pressure (nCPAP) is first-line therapy for OSAS to reduce daytime sleepiness and improve cardiovascular and metabolic outcomes [ 24].
In a separate study among adolescents [ 26], a delay of school start time by 30 minutes led to an increase in sleep time by 45 minutes; more satisfaction with sleep; improved motivation; reduced sleepiness, fatigue and depressed mood; and improved class attendance.
Despite limited follow-up, daytime sleepiness improves with treatment of the sleep disorder in most cases.
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