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News: November 11, 2009

Treatment for Sleep Apnea Can Improve Golf Game

November 11, 2009

Men with obstructive sleep apnea (OSA) who received nasal continuous positive airway pressure (NCPAP or NPAP) treatments not only improved their health, but also lowered their golf handicap by as much as three strokes, according to research presented at CHEST 2009, the 75th annual assembly of the American College of Chest Physicians (ACCP).

Obstructive sleep apnea is a condition in which a person as episodes of stopped breathing during sleep. Symptoms include abnormal daytime sleepiness, lethargy, memory difficulties, and poor concentration. The treatment goal is to keep the airway open so that breathing does not stop, usually with a treatment of continuous positive airway pressure, or CPAP.

Dr. Marc Benton and colleagues from Morristown Memorial Hospital in Madison, New Jersey studied 12 golfers who were diagnosed with moderate to severe OSA. At the beginning of the study, each man completed both the Epworth sleepinesss scale (ESS) and a sleep questionnaire developed by the study authors. The Epworth Sleepiness Scale is an evaluation of daytime sleepiness and is helpful in the diagnosis of sleep disorders. It is validated for use primarily in patients with obstructive sleep apnea.

The treatment group began NPAP treatments and played 20 rounds of golf over a period of 3 to 5 months. A control group was also formed of 12 subjects who did not receive NPAP treatment.

At the end of the study, the treatment group showed improvements to their ESS and sleep questionnaire scores, indicating better sleep was achieved with the treatment. In addition, the group treated with NPAP also had a lowered golf handicap index.

"More so than many sports, golf has a strong intellectual component, with on-course strategizing, focus, and endurance being integral components to achieving good play," said Dr. Benton, of Atlantic Sleep and Pulmonary Associates in Madison. "OSA can lead to daytime sleepiness, fatigue, and cognitive impairment, all side effects which can negatively impact a person's ability to golf to the best of one's ability."

Dr. Benton said also "Through treatment with NPAP, we can improve many cognitive metrics, such as attention span, memory, decision-making abilities, and frustration management, which may, in turn, positively affect a person's golf game."

Compliance with respiratory therapy is a common issue in the treatment of patients with sleep apnea. Studies estimate that compliance rate in men can be as low as 40%. Reasons cited for noncompliance include discomfort, inconvenience, cost, noise, or embarrassment. Finding effective ways to increase compliance can be difficult for many healthcare providers.

"Providers typically attempt to maximize compliance with NPAP by promoting its medical benefits or warning patients of the risks involved in not being treated, but this approach does not always work," said Dr. Benton. "In the case of this study, the possibility of improving one's ability to play golf appears to have been a significant motivation to improve treatment compliance."



Archive issues: (50)

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November 11, 2009 | Treatment for Sleep Apnea Can Improve Golf Game

Men with obstructive sleep apnea (OSA) who received nasal continuous positive airway pressure (NCPAP or NPAP) treatments not only improved their health, but also lowered their golf handicap by as much as three strokes, according to research ...

November 10, 2009 | More Insurance Companies Are Paying For Alternative Medicine

Alternative medicine which was once thought to be controversial and experimental is now gaining newfound respect within the medical community. In fact so much respect that more insurance companies are beginning to pay for alternative medicine.  More and more doctors trained in Western medicine are allowing alternative therapies are beginning to understand the power of alternative medicine and are attempting to blend Eastern and ...

November 9, 2009 | Two Antibiotics Linked to Birth Defects

Most antibiotics used during pregnancy are safe, but researchers have found a link between two commonly prescribed drugs and birth defects.  The study, part of the National Birth Defects Prevention Study and published in the November issue of Archives of Pediatrics and Adolescent Medicine, is the first analysis of antibiotic use in pregnancy. Researchers analyzed data from 13,155 mothers in 10 states whose infants had birth ...

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