Here is something to think about

When people think about factors effecting aging and beauty, most people think of poor diet, lack of exercise, smoking, and daily cleansing routines. But research is telling us we need our beauty sleep. In a study, published in the Journal of Clinical Sleep Medicine in September 2013, it concluded that patients with obstructive sleep apnea that are adherent to PAP therapy are perceived to be more youthful, alert, and more attractive. In the April 2, 2019 ACP Internist Weekly, they share a study in which participants were rated 6 years younger after using CPAP therapy for sleep apnea. The study showed before and after photos to 704 observers. The observers were unaware that the patients had apnea.

woman with aging skin from sleep apnea, OSA

The beauty industry too recognizes poor sleep hygiene or sleep apnea has an adverse effect on skin aging. In a clinical trial commissioned by Estée Lauder and conducted by physician-scientists at University Hospitals (UH) Case Medical Center found that poor sleepers demonstrated increased signs of skin aging. They also gave a worse assessment of their own skin and facial appearance than people who sleep well.

The research team, led by Dr. Elma Baron, presented their data at the International Investigative Dermatology Meeting in Edinburgh, Scotland.

“Our study is the first to conclusively demonstrate that inadequate sleep is correlated with reduced skin health and accelerates skin aging. Sleep deprived women show signs of premature skin aging and a decrease in their skin’s ability to recover after sun exposure,” Baron said in a press release. “Insufficient sleep has become a worldwide epidemic. While chronic sleep deprivation has been linked to medical problems such as obesity, diabetes, cancer and immune deficiency, its effects on skin function have previously been unknown.”

The study involved 60 pre-menopausal women between the ages of 30 and 49, with half of them falling into the poor quality sleep category. Researchers evaluated the women’s skin and conducted a variety of skin challenge tests including ones involving UV light exposure. The classification was made on the basis of average duration of sleep and the Pittsburgh Sleep Quality Index, a standard questionnaire-based assessment of sleep quality.

Sleep Apnea and Aging

Researchers found that those who didn’t sleep well exhibited more signs of skin aging including fine lines, uneven pigmentation and reduced skin elasticity. The researchers also found that those who enjoyed quality sleep were more quick to recover from stressors to the skin such as sun and environmental toxins.

And, in another piece of bad news for those who don’t sleep well, researchers found that poor quality sleepers were much more likely to be overweight. For example, 23 percent of good quality sleepers were obese compared with 44 percent of poor quality sleepers.

woman with aging skin from sleep apnea, OSA

“This research shows for the first time that poor sleep quality can accelerate signs of skin aging and weaken the skin’s ability to repair itself at night,” said Dr. Daniel Yarosh, a senior vice president at The Estée Lauder Companies, in a press release. “These connections between sleep and skin aging, now supported with solid scientific data, will have a profound effect on how we study skin and its functions. We see these findings as yet another way we can direct our scientific research toward the real needs of our customers who want to look and feel their best.”

In addition to aging skin, research is now linking sleep disordered breathing to faster aging of cells. In the April 2019 issue of the journal Sleep, researchers at the Harvard Medical School published an abstract showing the link between untreated obstructive sleep apnea (OSA) and accelerated aging. More specifically, the data showed the link between sleep disordered breathing, including OSA, and epigenetic aging, or early aging of the DNA within cells.

Xiaoyu Li, the lead researcher and doctor of science in social and behavioral science and a postdoctoral research fellow in the division of sleep and circadian disorders in the department of medicine at Brigham and Women’s Hospital and the department of social and behavioral sciences at the Harvard T.H. Chan School of Public Health in Boston, said epigenetic changes are reversible. In addition, the research suggests that identifying and treating sleep disordered breathing may help improve health, longevity, and decrease the risk of age related disease and problems like dementia, some cancers, cardiovascular disease, and functional decline.

there are many side effects women face with OSA, sleep apnea

Women and OSA

Women with OSA (Obstructive Sleep Apnea), experience symptoms differently than men do. Not all women that we see at RestAssuredRx for OSA are overweight. While more of them are in menopause than not, several of our OSA patients are younger women, and some OSA female patients were pregnant. Here’s the thing, all of them are healthy, active, busy women, who take care of themselves. That distinct symptomatology, along with the persistent, misguided sleep apnea stereotypes, result in the great majority of women with OSA going undiagnosed—or misdiagnosed with another condition.

As science can more acutely turn its attention to the gender differences in sleep apnea, we’re also learning that women may face particular risks to their long-term health from this form of sleep-disordered breathing.

A recent population-based study found that an estimated 6 percent of women of all ages have moderate or severe sleep apnea and an additional 5 percent of women have a mild form of OSA. (For men, those numbers were 13 percent with moderate to severe OSA, and an additional 14 percent with mild sleep apnea.) By the age of menopause, 20 percent or more of women may develop sleep apnea, according to this research.

They also found over the past two decades that OSA had the largest jumps among younger women and younger men. A recent study found evidence of sleep apnea in 50 percent of women in a population-based sample of 400 women between the ages 20-70. Among this group, severe sleep apnea was present in 14 percent of women ages 55-70 and in 30 percent of women in the 55-70 age group who had a BMI (body mass index) of 30 or higher.

Research indicates that approximately 1 in 4 women in the United States are at high risk for sleep apnea.

Take a Moment to Answer the Below Questionnaire

Research indicates that approximately 1 in 4 women in the United States are at high risk for sleep apnea.

If your added test score is above 2 – you may potentially have OSA (Obstructive Sleep Apnea) and should speak to a healthcare provider about next steps to look, feel, and be healthy.

Sleep Apnea Symptoms That are Warning Signs

The classic symptoms of sleep apnea we hear about most often are:


Snoring that is loud and frequent


Aging skin (looking older) than their years


Gasping, choking, snorting sounds during sleep


Observable episodes of lapses in breathing (by partners)


Need to urinate often during the night


Headaches, dry mouth, and sore throat in the morning


Trouble concentrating during the day


Excessive daytime sleepiness

there are many side effects women face with OSA, sleep apnea
men with OSA fatigued at work, falling asleep

Not every woman with OSA will display these symptoms. As an example, it’s entirely possible to have OSA without loud and frequent snoring, or without observable episodes of interrupted breathing. And women with sleep apnea may have other symptoms that they—and their doctors—are less likely to connect to this sleep disorder. These include:


Insomnia symptoms, including trouble falling asleep and difficulty staying asleep


Restless sleep with frequent awakenings (even if you don’t need to use the bathroom)


Symptoms of Restless Leg Syndrome, including the uncomfortable tingling in legs when sitting or resting in the evening


Changes to dreaming


Heartburn at night


Feeling irritable during the day


Feeling regularly overwhelmed


Feeling anxious or depressed


A lack of energy, even after a full night of sleep




A tendency to be accident prone

Any of these symptoms are worth a conversation with your doctor—one that specifically raises the topic of sleep apnea and a sleep apnea screening. 

woman with sleep apnea, using CPAP machine, skin rejuvenated

Your Treatment Options

The good news is that treatments for obstructive sleep apnea such as CPAP and APAP therapy, dental appliances, weight loss etc. — are safe and effective and can get you back into proper sleep hygiene and have you feeling and looking better than ever! Don’t let OSA and poor sleep hygiene get in the way of you feeling, looking, and being the best YOU, that YOU can be!

Making the decision to consult a physician is the first important step, one that unfortunately can still be a difficult one. Men and women who are struggling with issues related to poor sleep hygiene should have a sleep evaluation with RestAssuredRx.

Our telemedicine practice makes it easier for people to access care they need to treat OSA, sleep apnea and help with getting our patients back to the versions of themselves, they wish to be. Research suggests that people who use our telemedicine platform spend less time at a doctor’s office, while also, spending less time commuting.

Using our telemedicine platform allows patients to access care in the comfort and privacy of their own home. This may mean that a person does not have to take time off work or arrange childcare.

Schedule Your Appointment today, to set up your initial consult with one of our sleep providers using our at home, telemedicine platform.

woman with sleep apnea, using ResTAssured-RX telehealth

Better Sleep Is Our Mission

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(888) 610-4460




*Dr. Vaysbrot
Neurology: American Board of Psychiatry and Neurology, 2008
Sleep Medicine: American Board of Medical Specialties, 2011

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