Restless Leg Syndrome

Restless legs syndrome (RLS), or Willis-Ekbom disease, is a condition that causes a strong urge to move the legs, typically accompanied by an uncomfortable sensation. This sensation usually occurs in the evening or at night when sitting or lying down. Moving the legs eases the discomfort for a short time.  

There are two types of restless leg syndrome: early onset and late onset. 

Early onset restless leg syndrome is diagnosed before the age of 45, usually runs in your biological family, and progresses slowly. 

Late-onset restless leg syndrome is diagnosed after the age of 45 and progresses more quickly. 

Restless leg syndrome affects between 7% and 10% of the U.S. population and is more common among Caucasian people and females. 

The symptoms of restless leg syndrome include: 

  • An uncomfortable sensation in the legs that causes the urge to move them 
  • A temporary feeling of relief when the legs move 
  • Sensations that worsen while resting 
  • Twitchy legs or leg jerks in the evening and while sleeping 

Restless leg syndrome symptoms can affect sleep and can cause: 

  • Sleep disruptions, difficulty falling or staying asleep 
  • Fatigue or daytime sleepiness 
  • Behavior or mood changes 
  • An urge to get out of bed to stretch or move the legs 
  • Depression or anxiety 
  • Difficulty paying attention, remembering things, or concentrating 

When a person experiences restless leg syndrome, they feel sensations that make them want to move their legs and feet. These sensations include: 

  • Crawling 
  • Itching  
  • Aching  
  • Throbbing 
  • Pulling or tugging 
  • Burning 

There isn’t a known cause for restless leg syndrome. However, researchers believe it may be caused by an imbalance of dopamine, the brain chemical that sends messages to control muscle movement. 

Other factors that may contribute to the risk of developing restless leg syndrome include: 

  • Genetics  
  • Medications, such as antihistamines, antidepressants, or anti-nausea medications 
  • Having an underlying medical condition, such as an iron deficiency 

Other medical conditions can cause restless leg syndrome, including: 

  • Anemia 
  • Pregnancy 
  • Diabetes 
  • Kidney disease 
  • Peripheral neuropathy 
  • Substance abuse disorder 

There are several triggers, such as alcohol, caffeine, nicotine, stress, and certain medications, that can make restless leg syndrome symptoms worse. 

To diagnose restless leg syndrome, a healthcare provider will perform a physical exam to review your symptoms and ask about your medical and family medical history. They may also perform a neurological exam, blood tests, and recommend an overnight sleep study. The criteria they will use to confirm a diagnosis of restless leg syndrome include: 

  • You have the urge to move your legs, usually occurring with uncomfortable sensations like aching or pulling. 
  • Symptoms begin or worsen during periods of rest or inactivity. 
  • You have partial or total relief when stretching, walking, or exercising the affected muscles. 
  • Your symptoms are worse or only occur in the evening or at night. 
  • Another medical condition didn’t cause your symptoms. 

Treating restless leg syndrome includes taking medications or changing your routine at home by following recommended at-home therapies to help relieve your symptoms and help you feel more comfortable.  

If you are experiencing any symptoms of restless leg syndrome, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Health Benefits of Tai Chi

Integrative health is a progressive approach to healthcare in which leading treatment services offered by modern medicine are combined with a deep understanding of the nature of illness, healing, and wellness.  

This approach combines modern and holistic medicines to help prevent the onset of disease, address existing chronic conditions, and promote healing in patients at the center of a treatment plan that considers their physical, emotional, and social needs. 

A treatment plan that accomplishes this is tai chi. Tai chi has been a tenet of traditional Chinese medicine (TCM) for centuries. Sometimes called meditation in motion, tai chi is a series of exercises that help bring harmony between the body’s energy and mind, by using slow, highly coordinated movements and physical postures with meditation and controlled breathing, aimed to energize and balance the body’s energy, known as qi, pronounced “chi”. According to traditional Chinese principles, when the qi is balanced, the body functions at its best.  

Although tai chi is a low-impact exercise with movements that look leisurely, these movements are bodyweight exercises with physical demand.  

There are hundreds of studies on tai chi, with researchers finding that tai chi has several benefits that may help with numerous health concerns. Here are some health benefits of tai chi: 

  • According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year. A review of ten studies on tai chi and balance found that people who practiced it had up to 50% fewer falls than those who didn’t. Both the CDC and the American Geriatric Society recognize tai chi as an effective way to lower fall risk as it helps build stability and strength, increasing balance, which helps prevent falls. 
  • Research indicates that practicing tai chi can slow the progression of dementia by boosting cognition and brain health, as it can help with learning, memory, and other mental functions. Researchers found that older adults who practiced tai chi daily for 12 weeks had more activity in their prefrontal cortex, the area of the brain responsible for higher-level thinking skills. A study conducted by tai chi researcher and Chief of Geriatrics in the Division of General Internal Medicine and Geriatrics at Oregon Health & Science University, Elizabeth Eckstrom, showed that people who practiced a simple form of tai chi called Tai Ji Quan twice a week for six months improved their score on a cognitive test by one and a half points. Additionally, the study showed that if they added a cognitive challenge while practicing tai chi, such as counting backwards from 20 or spelling words backward, their scores jumped by another three points. 
  • Tai chi can bring a sense of calmness and quiet as it focuses on breathing and movement, which takes the mind away from any stressors, helping the stress melt away. One study conducted on participants who are deemed healthy but stressed showed that practicing tai chi for 12 weeks lowered their anxiety levels substantially.  
  • There are studies that have shown that tai chi can reduce blood pressure as well as or better than antihypertensive drugs or other types of exercise. In 2024, one randomized controlled trial published in the Journal of the American Medical Association (JAMA) Open Network assigned 342 people with prehypertension to two groups: one group performed four sessions of tai chi each week, and the other group performed four sessions of aerobic exercise. After a year, both groups displayed lower systolic blood pressure readings. However, the group that practiced tai chi experienced a larger decline of 7.01 mg Hg on average, compared to the aerobic group, which was 4.61 mm Hg. 
  • According to the CDC, one in five people in the U.S. lives with chronic pain that affects their daily life and activities. One review of people with chronic knee osteoarthritis found that they had significantly less pain and better physical function after practicing tai chi. The American College of Rheumatology and the Arthritis Foundation strongly recommend practicing tai chi to manage both chronic knee and hip osteoarthritis, as it helps improve muscle and core strength and coordination, leading to better joint stability. Studies have also indicated that tai chi can help people with fibromyalgia, with research showing it may relieve symptoms even better than aerobic exercise. 
  • In 2021, a review of 23 studies by the National Center for Complementary and Integrative Health found that tai chi improved the exercise capacity, lung function, and quality of life for patients with chronic obstructive pulmonary disease (COPD) due to tai chi’s focus on deep abdominal breathing and movement, which can help increase breathing efficiency and oxygen intake. 
  • Practicing tai chi can help the 10%-30% of older adults who suffer from insomnia. One systematic review of nine randomized trials published in the Journal of Sleep Disorders and Therapy reported that older adults who practiced tai chi one and a half to three hours a week significantly improved their sleep quality and had an enhanced functional ability. What’s more, Elizabeth Eckstrom’s research showed that people fell asleep 17 minutes sooner and slept 42 minutes longer after doing tai chi.  

There is also other research that has linked tai chi to lower cholesterol and inflammation levels, and evidence that it may help reduce complications of Parkinson’s disease as well. 

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

REM Sleep Behavior Disorder

Rapid eye movement (REM) sleep behavior disorder occurs when a person unknowingly, physically acts out their vivid, often bad dreams with vocal sounds and sudden, often violent arm and leg movements during REM sleep.

People don’t normally move during REM sleep, which is a normal stage of sleep that occurs many times during the night.

About 20% of a person’s sleep is REM sleep, the usual time when dreaming occurs, primarily during the second half of the night.

REM sleep behavior disorder may be linked to neurological conditions, such as:

  • Lewy body dementia
  • Parkinson’s disease
  • Multiple system atrophy

The onset of REM sleep behavior disorder can be gradual or sudden, and it can worsen over time. Episodes of the disorder occur occasionally or several times a night.

Symptoms of REM sleep behavior disorder include:

  • Movements, such as kicking, punching, arm flailing, or jumping from bed, in response to action-filled or violent dreams, such as being chased or fighting off an attack
  • Noises, such as talking, laughing, shouting, emotional outcries, or even cursing
  • Being able to recall the dream if awoken during the episode

Usually, the nerve pathways in the brain that prevent muscles from moving are active during normal REM sleep, which results in temporary paralysis of the body. However, in REM sleep behavior disorder, the nerve pathways no longer work, causing a person to physically act out their dreams.

There are several risk factors associated with the development of REM sleep behavior disorder, including:

  • Having a certain type of neurodegenerative disorder
  • Taking certain medications
  • Having narcolepsy
  • Being male and over 50 years old

Additionally, recent evidence indicates there may also be several specific environmental or personal risk factors for REM sleep behavior disorder, including:

  • Occupational pesticide exposure
  • Farming
  • Smoking
  • A previous head injury

REM sleep behavior disorder can cause various complications, including:

  • Injury to yourself or your sleeping partner
  • Distress to your sleeping partner or other people living in your home
  • Social isolation for fear that others may become aware of your sleep disruption

To diagnose REM sleep behavior disorder, a healthcare provider reviews your medical history and symptoms. The evaluation can include:

  • Physical and neurological exam
  • Nocturnal sleep study
  • Talking with your sleeping partner

A healthcare provider uses the symptom criteria in the International Classification of Sleep Disorders, Third Edition (ICSD-3). The criteria include:

  • You have repeated times of arousal during sleep where you talk, make noises, or perform complex motor behaviors, such as punching, kicking, or running movements, that often relate to the content of your dreams
  • You recall dreams associated with these movements or sounds
  • If you awaken during an episode, you are alert and not confused or disoriented
  • A sleep study shows you have an increase in muscle activity during REM sleep
  • Your sleep disturbance is not caused by another disturbance, a mental health disorder, medication, or substance abuse

REM sleep behavior disorder can be the first indication of the development of a neurodegenerative disease, such as Parkinson’s disease, multiple system atrophy, or dementia with Lewy bodies.

Treatment for REM sleep behavior disorder may include physical safeguards and medications.

Physical safeguards make it safer for you and your bed partner.

Medications such as melatonin and clonazepam can be prescribed to help treat REM sleep behavior disorder.

If you are experiencing any symptoms of REM sleep behavior disorder, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Why Spring is A Good Time to Rebuild Healthy Routines

Spring has finally arrived, and with it comes warm weather, blooming flowers and trees, and longer days. It is a time for renewal and rejuvenation, and as we thaw out from winter, we may realize that spending most of our time indoors has caused us to fall into sedentary habits, such as binging comfort foods, not exercising, and other sluggish routines.  

However, spring is the perfect time to refresh your health goals, rebuild healthy routines, and establish new habits. Here are some ways you can reset for the season: 

Spring cleaning usually relates to deep cleaning our homes and decluttering our closets. However, it can also be a great way to reset your mindset. A clutter-free environment can help encourage mental clarity, productivity, and relaxation. You can start spring cleaning by organizing your workspaces, donating unused clothes and items, and deep-cleaning busy areas to create a space that feels new and cheerful. You can also declutter any digital spaces, such as emails, phone apps, and limit screen time, which can promote a more mindful relationship with technology. 

Warmer temperatures and longer daylight hours make springtime the perfect time to take advantage of the sun. It allows us to enjoy its benefits, as it can boost our mood and energy. The spring sun recharges us with the vitamin D we were lacking after a cold and dreary winter. The sun also helps regulate circadian rhythms, which improves sleep and overall well-being. Even taking a short daily walk during the daytime can increase mental clarity and reduce stress. It is important to note that you should put on sunscreen, wear sunglasses, wide-brimmed hats, and garments with long sleeves and pants while outside to help prevent skin cancer.  

Spring is a great time to assess your work-life balance and make the necessary adjustments that support your well-being. If you suffered from seasonal affective disorder or felt burnt out during winter, spring is an opportunity to rebalance work and life for less stress. Prioritize self-care and set boundaries. Make time for activities that bring you joy and happiness, such as engaging in your favorite hobbies, socializing with friends, or spending time with family. It is also important to schedule breaks, time outdoors, and moments of relaxation. A healthy work-life balance can increase mental clarity, motivation, and happiness, which can help you enter spring with restored energy and focus. 

Warm spring weather provides the perfect temperature to move your workout outdoors. The standard minimum recommended time for moderate-intensity physical activity is 150 minutes per week. Whether it’s a morning jog, yoga in the park, evening walks, or gardening, it will do as long as your muscles are activated, and you do it consistently. Exercising in the sunshine adds a mood-enhancing benefit, as being amongst nature helps reduce cortisol levels, which improves heart health.    

The longer days of spring may also benefit sleep health. The natural light of the sun during the day helps regulate the body’s melatonin production and improve your sleep quality and energy levels. Create a relaxing evening routine by winding down with calming activities such as reading, meditating, or gentle stretching. Try to avoid consuming caffeine or heavy meals late in the evening, as they can disrupt restfulness.  

Spring is the time for new beginnings, which makes it an excellent time to focus on mental wellness. Mindfulness practices, such as meditation, deep breathing, or journaling, can help decrease stress and gain clarity. Take a few minutes each day to practice gratitude, as it can change your mindset and improve your emotional well-being. Think about establishing seasonal goals that fit your values, whether it is improving your fitness, learning a new skill or language, or creating more balance in your life. Connecting with nature, practicing self-reflection, and letting go of old habits can refresh your outlook, which can help you feel more grounded and at peace. 

This season of renewal is a great time to make dietary changes. Trade in heavy, processed foods for seasonal fruits, vegetables, and lighter meals that support digestion and energy. Focus on eating foods that are rich in nutrients, such as berries, leafy greens, citrus fruits, and lean proteins. It is also important to hydrate. Increase your water intake and try drinking herbal teas or lemon water to support natural detoxification. Evaluate your eating habits and identify areas where there can be improvement. Decrease your consumption of excess sugar, refined carbs, and artificial additives. Replace them with foods that are rich in fiber, healthy fats, and lean proteins. Add more fermented foods such as yogurt and kimchi, as they can also promote gut health, boost digestion, and immunity. 

Spring can be a seasonal reset, as it allows you to feel more energized, balanced, and refreshed. Incremental changes such as spending more time outdoors, improving your diet, prioritizing rest, and tidying up your space can make a major impact on both your physical and mental well-being. Embracing renewal and positive habits can help you enter spring rejuvenated, filled with happiness, vitality, and personal growth. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Is Sleep Apnea Diagnosed?

Sleep apnea is a common and potentially serious breathing disorder that causes breathing to stop and restart several times during sleep. These involuntary breathing pauses are called apneic events.

Sleep apnea happens when there is a blockage of the airway or when the brain fails to regulate breathing. This can prevent your body from getting adequate oxygen and lead to various health problems, including:

  • High blood pressure
  • Increased risk of heart attack, arrhythmia, and other cardiovascular problems
  • Increased risk of diabetes
  • Sleep deprivation

Common symptoms of sleep apnea include:

  • Loud snoring
  • Gasping or choking for air during sleep
  • Restless sleep
  • Breathing pauses
  • Daytime fatigue
  • Trouble staying asleep
  • Hypersomnia (excessive daytime sleepiness)
  • Dry mouth

Sleep apnea is diagnosed by a healthcare professional who may ask you about your symptoms, medical history, and sleep history. They may refer you to a sleep specialist or a sleep center to undergo testing. The most common tests for sleep apnea are:

  • Polysomnogram, an overnight sleep study conducted in a sleep lab. Here you will be hooked up to equipment that monitors your heart rate, breathing, arm and leg movements, and other functions
  • Home sleep apnea test, which is the at-home version of the sleep study. Key metrics and functions are measured with a portable device. Home sleep apnea tests may sometimes miss certain metrics. Therefore, your healthcare provider may still recommend a polysomnogram.

Once diagnosed with sleep apnea, your healthcare provider will recommend treatment based on the severity of your symptoms, general health, and age. Treatment may include lifestyle modifications, oxygen, devices such as a CPAP machine, dental appliances, orofacial therapy, or surgery.

Jamaica Hospital Medical Center’s Department of Sleep Medicine utilizes state-of-the-art technology to diagnose sleep disorders. Several testing options are available at our sleep lab in Queens. We also offer home sleep studies to diagnose obstructive sleep apnea and several treatment devices and therapies, including Inspire Therapy.  To schedule an appointment with a sleep specialist, please call 718-206-5916.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Do Using Smart Rings Actually Help You Be Healthier?

Recently, technology has brought us fitness trackers and smart watches that can help us track our workouts, daily steps, and even monitor our sleep, stress, heart rate, and blood oxygen levels.  

However, smart rings have become another way to track our health, and can be used to monitor movement, body temperature, sleep, heart rate, stress, as well as menstrual cycles. 

Unlike smartwatches, smart rings don’t have screens to view these health metrics. Instead, they use a Bluetooth connection to send health data to your smartphone.  

When a smart ring detects a person’s cardiovascular health, it uses infrared photoplethysmography technology (PPG), which uses a light source and a photodetector on the surface of the skin to measure the variations in blood circulation. These variations can estimate heart rate variability, blood oxygen saturation, blood pressure, and artery stiffness.  

Out of the different sensors a smart ring has, the PPG is the most studied one due to its proposed accuracy in tracking heart rate and monitoring overall cardiovascular health. However, most studies note that they are significantly less accurate than medical-grade technology.  

According to the National Library of Medicine, in a study with 35 healthy individuals, researchers compared the heart rate and heart variability measured by a smart ring with an ECG during the night. Results showed that some health parameters matched the medical-grade measurement, but most were inaccurate. 

To monitor body temperature, smart rings use a sensor called a thermistor, which estimates body temperature based on a person’s skin temperature. Smart rings also use this feature to assess stress levels and identify other bodily issues. However, a systematic review of the sensors and functionalities of wearable health technology, like a smart ring, indicates that these devices may not accurately indicate a person’s core body temperature, as researchers point out that a person’s skin temperature is a few degrees Fahrenheit lower than their body’s temperature.  

What’s more, researchers emphasize that a person’s skin temperature fluctuates based on environmental conditions. When considering these two factors, it may be assumed that the thermistor sensor won’t be accurate. 

Companies that produce smart rings have detailed the use of a variety of sensors to support women’s health. This feature relies mostly on the smart ring’s temperature feature, which they claim to use to track menstrual cycles and fertility windows. 

Numerous studies have examined the accuracy of smart rings, which have produced promising results. According to the National Library of Medicine, in a pilot study with 22 participants, researchers used a smart ring to analyze temperature changes during the menstrual cycle. They discovered that the temperature readings were consistent with oral temperatures that were taken with ambulatory equipment.  

In a separate study with 26 participants, it was found that this study was consistent with the previous study’s findings, demonstrating that smart rings could be a beneficial tool for monitoring menstruation. This study also detected that there was a significant temperature drop around ovulation, highlighting that smart rings could be an additional tool to track fertility. 

Although these results are promising based on limited studies on smart rings, further research is needed as they are not 100% accurate.  

Most of the smart rings on the market combine various metrics such as heart rate, heart rate variability, body temperature, and movement, to estimate a person’s daily stress levels and provide tips to reduce them. 

According to the National Library of Medicine, research suggests that there is a connection between stress and decreased parasympathetic regulation, the regulation that affects heart rate, heart rate variability, and respiratory rate. These are changes that a smart ring could potentially detect.  

Additionally, a study with 525 college students explored this subject further. The study indicated that sleep data from smart rings could help predict stress. Notably, some experts do not consider smart rings as promising as research, as they highlight the negative effect smart rings may have on mental health. The reason is that while smart rings are promoted as a tool to shift lifestyle habits, they may cause the opposite effect, noting that constant monitoring of health metrics can create obsessive behaviors and paranoia about a person’s well-being. It could also be harmful to a person’s self-confidence, as a person may feel like they are not meeting the expectations and goals that a smart ring sets for them. 

Smart rings can perform a sleep analysis by tracking a person’s heart rate, blood oxygen, and sleep cycles. They may also include features, such as a snoring score and a recovery metric that indicates energy levels before a person starts their day.  

Polysomnography (PSG) is used to track sleep, which uses a variety of signals such as brain activity, eye movements, muscle activity, blood pressure, heart rate, and more. Although smart rings are not as accurate as PSG, researchers have been drawn to them due to the smart ring’s potential to monitor a person’s sleep at home comfortably.  

Any current evidence on smart rings for tracking sleep is still very limited and conflicting. While some small studies highlight their potential. However, studies with bigger sample sizes indicate that smart rings can over- or underestimate some sleep parameters. A study in the National Library of Medicine compared the accuracy of several health technology devices on 35 individuals overnight. The study found that a smart ring surpassed the accuracy of smartwatches in various sleep parameters such as wake, light sleep, deep sleep, and REM sleep. 

Smart rings can measure a person’s physical activity with two sensors: an accelerometer that tracks movement and speed, and a gyroscope that helps determine orientation. Smart rings gather data from these motion sensors, as well as the PPG and body temperature trackers, to understand how physical activity affects the body.  

Research is limited in this area; however, a study in the National Library of Medicine focused on the accuracy of smart rings in measuring caloric expenditure and steps. The results indicated that smart rings were far from accurate, causing researchers to note the need to improve these devices, specifically their estimation of energy expenditure. 

Another study on step count was consistent with a study that indicated a smart ring overestimated step count, compared to a medical-grade device to detect motion called ActiGraph. 

A systematic review on wearable tech devices supported the findings of the studies, noting that they may be useful for estimating step count but shouldn’t be trusted to measure calorie expenditure. 

Smart rings and other wearable devices that can track a person’s health can be useful. However, it is important not to use them to self-diagnose conditions. It is important to see a healthcare provider when experiencing any symptoms to professionally diagnose conditions.  

If you are experiencing any medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Obstructive Sleep Apnea Linked to Parkinson’s Disease?

A new study conducted by Oregon Health and Science University and the Portland Veterans Administration (VA) Health Care System has found that people who have untreated obstructive sleep apnea (OSA) can have an increased risk of eventually developing Parkinson’s disease. 

Obstructive sleep apnea is a common sleep disorder that occurs when people repeatedly stop and start breathing while they sleep due to the throat muscles relaxing and blocking their airway.  

Parkinson’s disease is a progressive neurodegenerative disorder of the nervous system that worsens over time.  

The study analyzed the health records of 13,737,081 U.S. veterans collected by the Department of Veterans Affairs from 1999 to 2022. The average age of the participants in the study was 60.5 years, with 9.8% being women. 

1,552,505 participants of the study had obstructive sleep apnea. Six years after their original OSA diagnosis, there were 1.6 cases of Parkinson’s disease for every 1,000 individuals with obstructive sleep apnea, compared to those without it. 

What’s more, the study shows that because OSA causes repeated airflow blockages during sleep, it leads to low oxygen levels and briefly interrupted blood flow to the brain and blood vessels. It can also lead to ischemia-reperfusion, which occurs when blood flow is restored after a period of reduced blood supply, leading to cells becoming damaged instead of healing. When this occurs, it causes fragmented sleep and triggers the autonomic centers in the brain, making neurons and blood vessels vulnerable. Similarly, Parkinson’s disease causes neurons to slowly break down and die, affecting neurological function. 

People who are suffering from OSA can improve their sleep quality with early treatment using common treatments for sleep apnea, such as a continuous positive airway pressure (CPAP) mask or the new Inspire device. Unlike the CPAP mask, the Inspire device works inside the body with a patient’s natural breathing process, using mild stimulation to open the airway during sleep, allowing oxygen to flow naturally. The patient uses a small handheld remote to turn Inspire on before bed and off when they wake up.  could help lower their risk of developing Parkinson’s disease. 

If you would like to get tested for sleep apnea, you can make an appointment at Jamaica Hospital Medical Center’s Sleep Center by calling 718-206-5916. 

To learn more about CPAP or Inspire at Jamaica Hospital Medical Center, please visit Jamaicahospital.org or call 718-206-7110 to make an appointment with an ENT doctor.   

If you would like to learn more about Parkinson’s disease, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Foods Rich In Magnesium

Magnesium is a mineral that can be found in various foods. It helps support more than 300 different chemical processes throughout the human body, such as: 

  • Muscle function 
  • Regulating blood pressure and blood sugar levels 
  • Promoting energy production 
  • Nerve function and bone health 
  • Mental health 

When eating foods containing magnesium, experts recommend consuming between 310 and 420 milligrams (mg) of magnesium per day, depending on age and sex: 

  • Babies 6 months and younger: 30 mg 
  • 7 to 12 months: 75 mg 
  • 1 to 3 years old: 80 mg 
  • 4 to 8 years: 130 mg 
  • 9 to 13 years 240 mg 
  • 14 to 18 years (male): 410 mg 
  • 14 to 18 years (female): 360 mg 
  • 19 to 30 years (male): 400 mg 
  • 19 to 30 years (female): 310 mg 
  • 31 and older male: 420 mg 
  • 31 and older female: 320 mg 

Pregnant women should get an additional 40 mg of magnesium per day. Some, but not all, prenatal vitamins include magnesium.  

Many foods contain magnesium, including: 

  • Nuts and seeds: 
    • Roasted almonds- 1oz = 80 mg of magnesium 
    • Roasted cashews- 1oz = 72 mg of magnesium 
    • Whole flaxseeds- 1 Tbsp = 40 mg of magnesium 
    • Dry roasted peanuts- 1 oz = 49 mg of magnesium 
    • Hulled and roasted pumpkin seeds- 1 oz = 15 mg of magnesium 
    • Chia seeds- 1oz = 111 mg magnesium 
  • Legumes: 
    • Boiled black beans- ½ cup = 60 mg of magnesium 
    • Cooked and prepared edamame- ½ cup = 50 mg of magnesium 
    • Cooked lima beans- ½ cup = 40 mg of magnesium 
  • Fiber-rich whole grains: 
    • Cooked quinoa- ½ cup = 60 mg of magnesium 
    • Plain, unfrosted shredded wheat- 1 cup = 56 mg of magnesium 
  • Low-fat dairy products: 
    • Nonfat milk- 1 cup = 24 to 27 mg of magnesium 
    • Plain low-fat yogurt- 8oz = 42 mg of magnesium 
  • Greens: 
    • Cooked spinach- ½ cup = 78 mg of magnesium 
    • Cooked Swiss chard- ½ cup = 75 mg of magnesium 
    • Collard greens- ½ cup = 25 mg of magnesium 
  • Fruit: 
    • One whole avocado = 58 mg of magnesium  
    • One medium banana = 32 mg of magnesium 
    • One small papaya = 33 mg of magnesium 
    • Blackberries- 1 cup = 29 mg of magnesium 
  • Vegetables: 
    • Green peas- ½ cup = 31 mg of magnesium 
    • Sweet corn- ½ cup = 27 mg of magnesium 
    • One medium potato with skin on = 48 mg of magnesium 
  • Dark chocolate that is 70%-85% cocoa- 1oz = 64 mg of magnesium 
  • 2 liters of water- up to 240 mg of magnesium 

If you have a magnesium deficiency, a healthcare provider may suggest magnesium supplements. When magnesium is combined with other substances, it can help bring out specific benefits, including: 

  • Magnesium glycinate: helps promote sleep 
  • Magnesium citrate: helps digestion 
  • Magnesium oxide: an antacid and aid to relieve migraines 
  • Magnesium sulfate (Epsom salt): used as a muscle relaxant 

Eating a meal that contains magnesium-rich foods is the foundation of a healthy diet and is beneficial for your overall health.  

It is important to note that you should first speak with your doctor about making any changes to your diet and before taking any new supplements. To consult a physician about the best ways to get your daily amount of magnesium, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Best Sleep Postures

Everyone has a particular position they use while sleeping. However, people frequently overlook the importance of their sleeping position.  

Your sleep posture can influence how your body feels, the quality of your sleep, and even certain health conditions. Finding the right sleep position can relieve stress on the spine and joints, and may also impact factors such as a person’s breathing and risk of heartburn.  

The best sleep position is one that promotes healthy spine alignment from the hips to the head. What works best for a person depends on their health situation and what they find comfortable. 

Some sleep positions are healthier than others. For example, sleeping on the side or back is considered more beneficial than sleeping on the stomach. In either of these positions, it is easier to keep your spine supported and balanced because it relieves pressure, allowing the muscles to relax and recover.  

Spinal support is only one part of the equation. Sleeping positions can also have effects on a range of health issues, including sleep apnea, acid reflux, and pain.  

If a person is suffering from sleep apnea, the best sleep position to help reduce symptoms is to sleep on their side or stomach because it keeps their airways open while they sleep. 

For a person with heartburn and gastroesophageal reflux disease (GERD), the best sleeping position is on their left side, which helps make it harder for stomach acid to reach the junction between the stomach and esophagus. 

Sleeping on your side with your knees slightly bent with a small pillow between them is the best sleeping position for someone who has lower back pain, which allows the entire spine to stay in a neutral position, and that spinal alignment helps reduce neck and back pain.  

To help someone relieve their neck pain, the best sleeping position is on their back with their arms in a similar position. This reduces the overactivity of the muscles around the neck and doesn’t put more pressure on one side of their body.  

If someone is experiencing both hip and knee pain, they can reduce the pain by sleeping on their side with a pillow between their knees, which can keep the hips, pelvis, and spine aligned, easing pressure on joints and muscles.  

For women who are pregnant, the best sleeping position is on their left side with their knees bent, which improves circulation, making it easier for nutrient-rich blood to reach the placenta, and can help reduce pressure on the liver and lower back. It may also help ease swelling in the legs, feet, and hands.  

When a person has allergies or a stuffy nose, sleeping upright is the best sleeping position to help their airways stay open, allowing the stuffy nose to drain. 

Getting a good night’s sleep is important to your health and well-being. However, sometimes the position you choose to sleep in can cause or worsen breathing problems, such as sleep apnea, or aggravate back and neck pain. If any of these conditions arise, you may want to try to sleep in a different position. 

If you are having difficulty sleeping and would like help, Jamaica Hospital’s state-of-the-art sleep center can help diagnose and treat various sleep disorders. For more information or to make an appointment, please call 718-206-5916. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Sleep Apnea Complications

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. If you snore loudly and feel tired even after a full night’s sleep, you might have sleep apnea.  

There are three main types of sleep apnea. They include: 

  • Obstructive sleep apnea (OSA) is the most common form of sleep apnea. It occurs when throat muscles relax and block the flow of air into the lungs. 
  • Central sleep apnea (CSA) occurs when the brain doesn’t send proper signals to the muscles that control breathing. 
  • Treatment-emergent central sleep apnea, also known as complex sleep apnea, occurs when an individual with OSA develops CSA while undergoing therapy for their OSA.  

The symptoms of obstructive and central sleep apnea overlap, which makes it difficult to determine which type a person has. The most common symptoms of obstructive and central sleep apnea include: 

  • Loud snoring 
  • Episodes in which a person stops breathing during sleep 
  • Gasping for air during sleep 
  • Awakening with a dry mouth 
  • Morning headaches 
  • Insomnia 
  • Hypersomnia 
  • Difficulty paying attention while awake 
  • Irritability 

Sleep apnea can cause several complications, including: 

  • Daytime fatigue 
  • High blood pressure or heart problems 
  • Type 2 diabetes 
  • Metabolic syndrome 
  • Complications with medicines and surgery 
  • Liver problems 
  • Sleep-deprived partners 

To diagnose sleep apnea, a healthcare provider will evaluate your symptoms and sleep history. They may refer you to a sleep disorder center, where a sleep specialist can help determine if further evaluation is needed. An evaluation can involve overnight monitoring of your breathing and other body functions during sleep testing. Tests to detect sleep apnea include: 

  • Nocturnal polysomnography 
  • Home sleep tests 

If you have OSA, a healthcare provider may refer you to an ear, nose, and throat specialist to rule out a blockage in your nose and throat.  

To treat sleep apnea, a healthcare provider may recommend lifestyle changes, such as losing weight or quitting smoking, in mild cases. Other sleep apnea treatments include: 

  • Continuous positive airway pressure (CPAP) 
  • Other airway pressure devices 
  • Oral appliances 
  • Tissue removal 
  • Tissue shrinkage 
  • Jaw repositioning 
  • Implants 
  • Nerve stimulation 
  • Tracheostomy  

Jamaica Hospital Medical Center is one of the few hospitals in Queens to offer Inspire therapy, a breakthrough treatment option for obstructive sleep apnea (OSA) for those who cannot use continuous positive airway pressure (CPAP) therapy. 

To learn more about Inspire at Jamaica Hospital Medical Center, please visit Jamaicahospital.org or call (718) 206-7110 to make an appointment with an ENT specialist. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.