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Cardinal Sleep Newsletter, Summer 08

Cardinal Sleep Newsletter, Summer 08

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Read reviews of latest sleep research studies, sleep news, and a column covering new topics in obstructive sleep apnea.
Read reviews of latest sleep research studies, sleep news, and a column covering new topics in obstructive sleep apnea.

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Published by: Cardinal Sleep Disorder Centers of America on Aug 07, 2008
Copyright:Attribution Non-commercial


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Sleep Spotlight:Sleep Spotlight:
Prairie State Pulmonary & Sleep Consultants
Providing medical directorship to Cardinal Sleep Disorder Centers of America” 
Experienced pulmonologists and sleep physicians, Dr. Robert Aronson,Dr. Ravi Sundaram and Dr. Omar Hussain, are now operating under thebanner of Prairie State Pulmonary & Sleep Consultants to provide con-sultative and medical directorship services to Cardinal Sleep DisorderCenters. They continue to provide the utmost level of expertise in thediagnosis and treatment of all sleep disorders.
Contact Us:
Prairie State Pulmonary & Sleep Consultants main office islocated at 3077 West Jefferson St., Suite 210-B, and the physicians areavailable for patient consultation in both pulmonary and sleepmedicine. Call (815) 773-9090 ext. 103 for more information or toschedule an appointment 
.In the expanding sleep mar-ket, Cardinal Sleep Centers hasbeen able to thrive and remaincompetitive through elevenyears of business. The number
one reason for the company’s
growing success: patient care.According to Martin Loucado,a Cardinal Sleep patient from
New Lenox, “The technician was
informative and efficient. I couldnot have been in better hands or
more satisfied.”
Kramer DME LaunchesNew Website
Cardinal Sleep Centers worksclosely with Kramer DME toprovide effective CPAP and Bi-level therapy for patients diag-nosed with obstructive andcentral sleep apnea.Now patients can visit 
Tinley Park Open House
Sept. 10th, 5 - 7:30 p.m.18401 Maple Creek DriveSuite 700
Morris Center 
Broke ground…
 July 1,
Summer Expansion
New Locations in Tinley Park, Morris
ue to the rising demand forhigh-quality sleep-related ser-vices, Cardinal Sleep DisorderCenters is expanding to offernew locations in the Chicagoarea.The company will be moving
it’s Orland Park center to Tinley
Park and will be opening a new,eighth location in Morris.At each Cardinal Sleep center,we provide experienced evalua-tion and diagnosis of all sleepdisorders, as well as varioustreatment options throughKramer DME. If requested, con-sultations with board-certifiedsleep physicians through PrairieState Pulmonary & Sleep Con-sultants also are available.(
See article below.)
Trusted Competitor
Summer 2008 Vol. 5 No. 3
The Technician was very friendly and made me feel comfortable even though I was away
from home. It was a homelike experience, and I felt at ease.”
Ida Lehmann, Joliet 
What Cardinal Sleep patients are saying…
CardinalCardinalCardinalSleepSleepDisorder CentersDisorder CentersDisorder Centers
Work Zone Update!Work Zone Update! 
Kramer DME on the Webfor information on sleep disor-dered breathing, the treatment set-up process and follow-up.Other features include a self sleep evaluation, links totrusted equipment vendors,and a community calendar formonthly postings of local sup-port group meetings, healthfairs and sleep-related events.
Check it out at www.kramerdme.com
Dr. Ravi Sundaram, Dr. RobertAronson, and Dr. Omar Hussain of PrairieState Pulmonary & Sleep Consultants.
Snooze News
The Secret to Slimming Down for Summer: Get Your Zzzs!
 As published in the Joliet Herald News
For millions of Americans, shedding unwanted pounds is a top priority,especially as the summer swimsuit season approaches. That's why theNational Sleep Foundation (NSF) and Cardinal Sleep Disorder Centersof America are reminding Americans that spending more time betweenthe sheets may be the secret to slimming down and looking great onthe beach or by the pool.People tend to forego sleep in order to make time for a work-out or other daily activities and it isoften overlooked as an important factor in the battle of the bulge.
“Many do not realize that skimping on sleep can actually make it harder to lose weight,” says Meir H. Kryger, MD, Chairman
of NSF's Board of Directors.
“Research suggests that even a modest amount of sleep deprivation
can increase appetite by altering the behavior of the hormones leptin and ghrelin, which are re-sponsible for regulating metabolism. As a result of sleep loss, people may experience strongercravings for carbohydrates and calorie-rich comfort foods such as cookies and chips, which can
lead to weight gain.”
 Recent research suggests that people who sleep less may be at a higher risk of developing Type 2
Diabetes. “Sleep deprivation and obesity can cause increased inflammation, and this inflammationmay make it harder for your body’s cells to respond to insulin,” says Dr. Omar Hussain, pul-
monologist who provides sleep consultations to Cardinal Sleep Centers.Diabetes and obesity are both on the rise in the U.S., causing many Americans to suffer serioushealth complications. In order to help fight these conditions and promote healthy lifestyles for allAmericans, NSF and Cardinal Sleep Centers are sending a wake up call to remind people that sleep
is as important as diet and exercise … only easier!
 In addition to mounting scientific evidence, the results of NSF's 2008
Sleep in America
poll, re-leased in early March 2008, suggests that sleep loss and obesity are linked. According to the poll,people who are overweight/obese are more likely than people of normal weight to spend less timein bed on workdays (6.82 hours vs. 7.12 hours) and to sleep less than 6 hours per night (17%vs.12%). NSF's 2008 poll also reveals that having a weight problem can have a negative impact onone's health and safety. According to the results, those who are overweight/obese are more likelyto:Have been told by their doctor that they have a sleep disorder (18% vs. 6%).Have driven drowsy at least once a month in the past year(35% vs. 26%).Be at risk of having a sleep problem such as obstructive sleepapnea (20% vs. less than 1%) and restless legs syndrome(14% vs. 4%).For people with sleep disorders, getting adequate sleep mayrequire the help of a healthcare professional.For more information about sleep disorders and for tips for
getting a good night’s sleep, visit 
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For more information on this articleplease contact Community Relationsat info@cardinalsleep.com or(815) 773-9090 ext. 300
In no way are the suggestions in thisnewsletter to be taken as medical advice, please seek proper medical attention from a medical professional.
For some patients, OSA only occurs when they sleep in a particular position. Positional OSA, can be treated bykeeping the patient sleeping on their side. In the past, patients typically achieved side sleeping by wearing ashirt with tennis balls attached in pockets on the back. If the patient rolled on their back, they would feel dis-comfort and would roll back onto their side. Now there are new devices on the market that prevent the patientfrom being able to roll onto their back in the first place.There are a variety of positional pillows available to help keep the patient sleeping on their side. At KramerDME, we carry a side-sleeping pillow that is contoured to hold the shoulder in place. This design makes it moredifficult to roll over, but at the same time is more comfortable for a patient sleeping on their side. Other newideas include a t-shirt equipped with foam-type tubes. Unlike the tennis balls that move you because youawoke from being uncomfortable, the foam tubes stop the patient from rolling onto their back to begin with.The last new product is a belt that is worn with a wedge on the back which also stops the patient from rollingonto their back. All of these new devices can be seen on display at Kramer DME. As with any positional therapy, these devicesare not yet covered by insurance, but many of them are both effective and affordable treatment options.
What’s New in OSA?
Marsha Cronkrite, R. PSG. T. Clinical Administrator
From the Medical Director’s Desk:
The Association of Sleep Duration & Weight Gain
Robert Aronson MD, ABSM
Medical Director, Cardinal Sleep Disorder Centers of America
In recent decades the prevalence of obesity in our society has more than doubled, to 31%, while at the same time there has been a parallel decrease in reported sleep times in the U.S. as influencessuch as all-night television and the internet become more prevalent. Might these parallel trendsreflect some effect of chronic sleep restriction on weight?Acute sleep loss is known to increase ghrelin (the hunger hormone produced by the stomach) andreduce leptin (the satiety hormone produced by fat cells). Such sleep loss also affects carbohy-drate metabolism. Chronic reduced sleep duration has been shown to be associated with in-creased risk for diabetes.Patel et. al. (Am. J. Epidemiol. 2006; 164:947-954) examined the relationship between reportedsleep duration and incident weight gain over 16 years in the Nurses Health Study. Those sleeping5 hours or less gained 1.14 Kg. more than those sleeping 7 hours, while those sleeping 6 hoursgained 0.71 Kg. more. The likelihood of becoming obese (BMI>30) were significantly higher inboth short sleeping groups. The likelihood of major weight gain (>15 Kg. was also significantlyhigher in the short sleeping groups). Adjustment for physical activity and dietary intake did not alter the relationships.While the mechanisms of short sleep associated weight gain are not known, in addition to altera-tions of appetite mechanisms as described above, sleep may also affect metabolic rate and fatiguemay decrease daytime physical activity. The study could not assess for potential common etiolo-gies of sleep loss and weight gain, such as depression. Overall, the study showed that reducedsleep time is associated with increased weight gain.Does this work carry implications on whether treating sleep pathologies that shorten and frag-ment sleep, such as providing CPAP therapy OSA, will lead to weight loss? Thus far evidence at-tempting to answer this question are inconclusive, and await further research.
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