The gold standard for treating obstructive sleep apnea in adults is continuous positive airway pressure (CPAP). However, it can be difficult to convince patients to adhere to this therapy. The aim of this study was to determine the relationship between nasal endoscopy findings/nose patency and CPAP adherence. Material and methods: A cohort of 450 consecutive patients suspected of having OSA were prospectively enrolled. For further analyses, 47 OSA patients undergoing CPAP treatment were selected (13 females and 34 males, average age, 65.3 years, BMI 34.1, apnea-hypopnea index. AHI 51.0). The patients were divided into two groups: patients with good CPAP adherence (n = 35) and patients who did not adhere to CPAP therapy (n = 12). The influence of nasal endoscopy and flow measurement on CPAP adherence was explored. Results: We found a statistical independence between adherence to CPAP and AHI (p = 0.124), T90 (p = 0.502), endoscopic findings (p = 0.588) and nasal patency measured by a flowmeter (p = 0.498). Conclusions: In our studied sample, endoscopic findings and nasal patency measured by a flowmeter were not predictors of CPAP non-adherence in the first year of the treatment. Our data show that while an endoscopic finding in the nasal cavity could indicate that a patient has a severe obstruction, compliance with CPAP therapy is not reduced in these patients and neither is it reduced with a decrease in nasal flow, according to our observation.

• Keywords
• CPAP, OSA, flow measurement, nasal obstruction,
• Publication type
• Journal Article MeSH

INTRODUCTION: Cardiovascular diseases constitute one of the main causes of disability and premature death. The basic pathology consists of atherosclerosis. Therefore, influencing risk factors, including nutrition, is essential for prevention. AIM: To assess the opinion of Czech citizens, over 40 years old, on the role of nutrition as it relates to risk factors for cardiovascular diseases. METHODS: Data from 1992 participants were acquired using a research questionnaire administered throughout the Czech Republic from 1.4.2016-20.4.2016. The data was analyzed using the SASD program, version 1.4.12. RESULTS: Data analyses revealed that the age group in question still includes a great number of people who are unaware of the relationship between nutrition and development (31.8%) or progression (18.0%) of heart diseases. Rejection of the relationship was most frequently expressed by those 40-49 years of age and those that were employed. The study also found that the role of nutrition modification was more frequently discussed between patients and physicians (54.7%) than patients and nurses (38.0%). An overwhelming majority of respondents considered information related to nutrition modification useful (93.0%). CONCLUSION: In order to increase the efficiency of preventive measures, the transfer of theoretical knowledge to the lay public must be accompanied by interventions aimed at information repetition, motivation, and establishment of partnerships with health care providers.

• Keywords
• Cardiovascular diseases, Nurse, Nutrition habits, Prevention, Risk factor,
• MeSH
• Risk Reduction Behavior * MeSH
• Adult MeSH
• Cardiovascular Diseases diagnosis   enzymology   physiopathology   prevention & control   MeSH
• Middle Aged MeSH
• Humans MeSH
• Nutritive Value MeSH
• Nutritional Status MeSH
• Protective Factors MeSH
• Health Promotion MeSH
• Prognosis MeSH
• Surveys and Questionnaires MeSH
• Risk Factors MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Feeding Behavior MeSH
• Age Factors MeSH
• Diet, Healthy * MeSH
• Health Knowledge, Attitudes, Practice MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Comparative Study MeSH
• Geographicals
• Czech Republic epidemiology   MeSH