More Events on workout days

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Trivium91
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Joined: Fri Feb 23, 2024 2:12 pm

More Events on workout days

Post by Trivium91 » Fri Mar 08, 2024 10:20 am

Hey guys, im wondering why im getting more obstructive events on workout days. I stopped working out for the longest time due to Chronic Fatigue from either UARS and mild sleep apnea. Whenever I would workout, I would sleep horribly and get worse night sweats, though at the time I just thought it was adrenal fatigue. Now I started to feel better into my third week of APAP so I was able to do a workout. Im really sore today but my sleep was not as good as the other nights. I know it's not alot of events, but my sleep study had an AHI of 6.6, so 1.9 seems high considering this. It got me wondering, does strength training somehow affect the airway muscles negatively in the short term when you are recovering? Or perhaps it increases deep sleep which would increase events? Im curious about this because as my sleep apnea and possible UARS got worse, working out would make my sleep and night sweats far worse to the point I couldn't even do it anymore.

Also since increasing my minimum pressure to 7, my flow limit Is much better. I also zoomed in on the worst flow limit event and the flow rate did not increase, does this mean I dont have UARS? or if I do its controlled now with the machine?

How does my flow rate look overall? It seems pretty chunky to me, not very smooth, not sure if that matters or not. I tend to get alot of REM sleep, sometimes 2.5 hours according to the Apple Watch which is close to 30% of my night, its seems most my age get about 17%. This seems like alot of REM sleep compared to most people, granted the apple watch is not an EEG. I wonder if the higher rate of REM sleep has something to do with the uneven flow rates.

Oscar data is here:
https://postimg.cc/gallery/fZ5wm1H

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Miss Emerita
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Re: More Events on workout days

Post by Miss Emerita » Fri Mar 08, 2024 1:15 pm

It sounds like you're generalizing from one workout followed by one night of increased AHI. Don't! And be aware that when people are sore, their sleep is often rocky.

Also, your AHI is still fine. It doesn't make any particular sense to think of it by comparing it to your AHI in your sleep study.

About resuming exercise: I can well understand how eager you are to get back into shape as quickly as you can, but any trainer will tell you that it's best to start out slowly. You'll probably reach your goal more quickly that way.

The zoomed-in snippet doesn't look like asleep breathing to me, except for a couple of breaths on the far left.

The percentage of REM sleep your watch says you're getting is only a tiny bit more than "normal."

All in all, I strongly recommend that you stop looking at your Oscar data for a while and stop wearing your watch to bed. Instead, focus on gradually building back your strength and doing the basic things that can help you sleep better. You're on a good path; don't fret yourself off of it!

• Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
• Set a bedtime that is early enough for you to get at least 7 hours of sleep.
• Don’t go to bed unless you are sleepy.
• If you don’t fall asleep after 20 minutes, get out of bed.
• Establish a relaxing bedtime routine.
• Use your bed only for sleep and sex.
• Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
• Limit exposure to bright light in the evenings.
• Turn off electronic devices at least 30 minutes before bedtime.
• Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
• Exercise regularly and maintain a healthy diet.
• Avoid consuming caffeine in the late afternoon or evening.
Oscar software is available at https://www.sleepfiles.com/OSCAR/

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Pugsy
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Location: Missouri, USA

Re: More Events on workout days

Post by Pugsy » Fri Mar 08, 2024 1:22 pm

Miss Emerita wrote:
Fri Mar 08, 2024 1:15 pm
The zoomed-in snippet doesn't look like asleep breathing to me, except for a couple of breaths on the far left.
My thoughts as well. Not sound sleep anyway.

To the OP....check each flagged event to see if it looks like you were sound sleep or not.

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Trivium91
Posts: 46
Joined: Fri Feb 23, 2024 2:12 pm

Re: More Events on workout days

Post by Trivium91 » Fri Mar 08, 2024 2:03 pm

Miss Emerita wrote:
Fri Mar 08, 2024 1:15 pm
It sounds like you're generalizing from one workout followed by one night of increased AHI. Don't! And be aware that when people are sore, their sleep is often rocky.

Also, your AHI is still fine. It doesn't make any particular sense to think of it by comparing it to your AHI in your sleep study.

About resuming exercise: I can well understand how eager you are to get back into shape as quickly as you can, but any trainer will tell you that it's best to start out slowly. You'll probably reach your goal more quickly that way.

The zoomed-in snippet doesn't look like asleep breathing to me, except for a couple of breaths on the far left.

The percentage of REM sleep your watch says you're getting is only a tiny bit more than "normal."

All in all, I strongly recommend that you stop looking at your Oscar data for a while and stop wearing your watch to bed. Instead, focus on gradually building back your strength and doing the basic things that can help you sleep better. You're on a good path; don't fret yourself off of it!

• Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
• Set a bedtime that is early enough for you to get at least 7 hours of sleep.
• Don’t go to bed unless you are sleepy.
• If you don’t fall asleep after 20 minutes, get out of bed.
• Establish a relaxing bedtime routine.
• Use your bed only for sleep and sex.
• Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
• Limit exposure to bright light in the evenings.
• Turn off electronic devices at least 30 minutes before bedtime.
• Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
• Exercise regularly and maintain a healthy diet.
• Avoid consuming caffeine in the late afternoon or evening.
I wonder if there is something wrong with my breathing in general? It seems to look off even when I am sleeping and I dont know why. Here is another snippet that I believe I was sleeping through (though have no way of knowing for sure), it still does not look that consistent and not much different than the first snippet I uploaded, though this was during light/core sleep while the first screenshot was during REM sleep according to the Apple Watch.

https://postimg.cc/23D9vdMp

here are few that are zoomed up to an event, most of the events look like this:
https://postimg.cc/gallery/NF3pgng
https://postimg.cc/DJTV89LH

As far as working out, I sort of am easing into it. Is it too soon since I've only been on CPAP for two weeks basically?


You're probably right just to stop looking at everything though and just sleep. The only reason I am is to rule out UARS or some other breathing disorder. I guess I just want to get back to normal.

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Pugsy
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Location: Missouri, USA

Re: More Events on workout days

Post by Pugsy » Fri Mar 08, 2024 2:22 pm

Trivium91 wrote:
Fri Mar 08, 2024 2:03 pm
Here is another snippet that I believe I was sleeping through (though have no way of knowing for sure), it still does not look that consistent and not much different than the first snippet I uploaded,
You are zooming in a little too much on those snippets.
And no....I don't think you were sound asleep when that occurred.

Asleep breathing does NOT vary the breaths at all. You breaths are varied a bit. Not a lot but they do vary.

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Trivium91
Posts: 46
Joined: Fri Feb 23, 2024 2:12 pm

Re: More Events on workout days

Post by Trivium91 » Fri Mar 08, 2024 2:41 pm

Pugsy wrote:
Fri Mar 08, 2024 2:22 pm
Trivium91 wrote:
Fri Mar 08, 2024 2:03 pm
Here is another snippet that I believe I was sleeping through (though have no way of knowing for sure), it still does not look that consistent and not much different than the first snippet I uploaded,
You are zooming in a little too much on those snippets.
And no....I don't think you were sound asleep when that occurred.

Asleep breathing does NOT vary the breaths at all. You breaths are varied a bit. Not a lot but they do vary.

Here is a few others zoomed out a bit https://postimg.cc/gallery/1QXWGYK

its almost like a waxing and waning pattern. This is normal? I guess i notice that my flow rate is pretty choppy in these sections but I have nothing to compare to and zooming in, im surprised to see this waxing and waning pattern.

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Miss Emerita
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Re: More Events on workout days

Post by Miss Emerita » Sat Mar 09, 2024 12:18 pm

I'm getting a "Not found" error message from the most recent link. I strongly advise you to stop focusing on whether there's something wrong with your breathing and instead focus on improving the quality of your sleep.

I completely understand your desire to get back to normal, and you seem to be on the path. You also seem impatient, and you seem to be anxiously preoccupied with the minutiae of Oscar. You seem to be hoping you'll get the key to your sleep problems from these details, and I just don't think you will.

So can you give this a try: don't wear the watch for three or four nights and don't look at your Oscar data either? Keep a note of how you feel each day and then when your "data fast" is over, see whether there are any correlations with anything in Oscar.

Meanwhile, keep slowly building back your strength. It's such a good sign that you're able to do more than you used to be able to do. And be very honest with yourself about the extent to which you follow the basic guidelines for good sleep, then make any changes you need to make to follow them better.
Oscar software is available at https://www.sleepfiles.com/OSCAR/

Trivium91
Posts: 46
Joined: Fri Feb 23, 2024 2:12 pm

Re: More Events on workout days, it’s been t

Post by Trivium91 » Sun Mar 10, 2024 8:24 am

Miss Emerita wrote:
Sat Mar 09, 2024 12:18 pm
I'm getting a "Not found" error message from the most recent link. I strongly advise you to stop focusing on whether there's something wrong with your breathing and instead focus on improving the quality of your sleep.

I completely understand your desire to get back to normal, and you seem to be on the path. You also seem impatient, and you seem to be anxiously preoccupied with the minutiae of Oscar. You seem to be hoping you'll get the key to your sleep problems from these details, and I just don't think you will.

So can you give this a try: don't wear the watch for three or four nights and don't look at your Oscar data either? Keep a note of how you feel each day and then when your "data fast" is over, see whether there are any correlations with anything in Oscar.

Meanwhile, keep slowly building back your strength. It's such a good sign that you're able to do more than you used to be able to do. And be very honest with yourself about the extent to which you follow the basic guidelines for good sleep, then make any changes you need to make to follow them better.
Thanks I will try this. Yes you are right that I’m impatient,I’ve lost a ton of muscle due to this condition, it’s been the hardest time of my life to not even be able to pickup my own daughter. Not that life is fair but I’m still scratching my head how some people walk around with severe sleep apnea and my so called mild sleep apnea completely ruined my life.