[How do you really know if the @entity28 @entity1 has XXXX ?].

@entity1 @entity1949 @entity455 @entity101 @entity387 @entity28 @entity64 @entity27 @entity2147 @entity5845 @entity583 @entity386
Obesity is known to predispose to @entity27 ( @entity27 ), a condition characterized by repeated episodes of @entity386 or @entity387 during sleep, due to the interruption of airflow through the nose and mouth. These episodes lead to the @entity1949 and to decrease in oxyhaemoglobin saturation. @entity1 with massive @entity28 , with or without daytime @entity2147 should be systematically screened for @entity27 , because many of them appear to be asymptomatic and unaware of their @entity387 . Polysomnography (PSG) in an attended hospital laboratory setting is the gold standard for the diagnosis of @entity27 . However portable recording devices can be used for screening with good sensibility and specificity, and even for diagnosis when the @entity27 index is high. However the final diagnosis can only be carried out in a sleep laboratory using PSG by highly-qualified personnel, because of the limitations of the portable recording device. There is a strong association between @entity27 and the risk of traffic accidents. It has been established that @entity27 affects quality of life. There is also increasing evidence that @entity27 is an independent risk factor for @entity455 . This has been successfully demonstrated for @entity101 by prospective studies. But the evidence remains weak for @entity583 , @entity64 or mortality. Treating @entity27 with continuous positive airway pressure (CPAP) is the treatment of choice. CPAP improves quality of life, driving simulator performance, blood pressure and sleepiness, as demonstrated by randomised placebo controlled trials. The majority of @entity27 @entity1 are currently not being offered diagnosis testing and treatment. It's a real challenge due to the epidemic increase of @entity28 prevalence. Portable recording devices could be available outside the sleep laboratory in nutrition department, where @entity5845 is treated. This emphasizes the need for a real collaboration between these departments and sleep experts.
