A journey within: Reflections on sleep apnea, evolution, and the mind-body axis in sleep medicine

Abstract

This reflective travelogue explores obstructive sleep apnea (OSA) as more than a physiological disorder, framing it within evolutionary, psychosomatic, and cultural dimensions. It examines how human bipedalism and sleep posture may predispose to OSA, while drawing parallels with animal observations and ancient traditions. Symbolic interpretations of sleeping positions highlight the interplay of mind, body, and consciousness. The essay critiques CPAP therapy as effective yet mechanistic, envisioning integrative approaches combining modern science with mindfulness, yoga, and chronobiological practices. Ultimately, it calls for a holistic vision of sleep medicine that harmonizes evidence-based interventions with timeless wisdom.