Scottish Daily Mail

The high-tech ring that could help banish your snores

- By PAT HAGAN

AHI-TECH ring worn on a finger at night could detect sleep apnoea, a potentiall­y dangerous snoring condition which can increase the risk of heart attacks and strokes.

This could make it simpler to diagnose the problem — one charity estimates that almost 80 per cent of cases go undetected.

Sleep apnoea occurs when the muscles in the airways relax to such an extent that they become completely obstructed and breathing is halted for at least ten seconds.

it can be treated with continuous positive airway pressure, where a mask is worn over the face during sleep to keep airways open. But first it must be diagnosed, and this can prove difficult, partly because those affected will be unaware of what they do during sleep.

until now, the options for mak-ing an accurate diagnosis have included cumbersome home-test-ing equipment consisting of tight-fitting bands across the chest to measure breathing movements, a heart rate monitor, a breathing sensor over the face and a clip-on oxygen sensor on an index finger.

The other possibilit­y is spending a night in a sleep clinic to have a polysomnog­raphy — a test that records brain waves, oxygen levels, heart rate, breathing and even eye and leg movements during sleep.

But the ring could prove far more convenient. Made from soft silicone, it is packed with sensors which track changes in blood oxygen levels as the patient sleeps.

A fall in blood oxygen readings at night is one of the main signs of sleep apnoea. This is because, as the airways momentaril­y collapse, the amount of oxygen getting into the bloodstrea­m is reduced.

The ring is worn on the middle or ring finger of one hand, where there is a larger volume of blood flowing than in other fingers.

Attached to the ring is a small capsule containing tiny bulbs that beam red light through the skin. This light penetrates tiny blood vessels near the surface and is absorbed by a protein in the blood called haemoglobi­n, which carries oxygen around the body.

The sensor measures how much light is being absorbed, which would indicate whether someone has poor oxygen levels. Healthy oxygen saturation levels are 95 to 100 per cent. Anything below 90 per cent is a cause for concern and could indicate sleep apnoea.

The ring also contains an accelerome­ter — a tiny device that monitors arm movements through the night. This can determine how frequently someone is waking up and adjusting their body position because their breathing has been interrupte­d.

Once the brain realises breathing has stopped, it wakes you up and sends out a signal for the airway muscles to contract, which opens the airway. in mild sleep apnoea, this can happen about once every ten minutes. if it’s severe, it can happen every couple of minutes.

Very few people remember waking up at all, because they fall asleep again within seconds.

in the morning, the ring is removed and the data is sent wirelessly to a program on a mobile phone. The results can then be shared with a doctor.

The device, which needs to be charged up every three days, will be available in the UK later this year and costs around £75.

DR NEIL STANLEY, an independen­t sleep expert and member of the British Sleep Society, says the new ring could be especially helpful for those who sleep alone.

‘Most people could just ask their bed partner if they stop breathing during the night,’ he says. ‘if the answer is yes, they should see their GP. Sleep apnoea is currently underdiagn­osed and so anything that improves the identifica­tion of it is a good thing.’

Meanwhile, two medicines taken together as pills at bedtime can improve sleep apnoea.

in a pilot study of 20 patients, scientists found those who took atomoxetin­e — used to treat brain disorders — and oxybutynin, which is usually prescribed for overactive bladders, had a significan­t drop in their Apnea– Hypopnea index (a measure of the severity of sleep apnoea) after just one night. This was compared to those taking placebo pills.

The results were recently reported at the European respirator­y Society conference. The drugs are thought to act on a nerve which helps keep the airways open.

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