Obstructive Sleep Apnea
What is obstructive sleep apnea?
Obstructive sleep apnea occurs when
your breathing is interrupted during sleep. This interruption lasts for longer than 10
seconds at least 5 times an hour throughout your sleep period. When your breathing is
reduced and you're not taking in enough oxygen, it's called hypopnea. If your breathing
completely stops, it's called apnea. Your breathing often stops because something is
blocking your upper airway. This might be muscles, tongue, or other body tissues.
Obstructive sleep apnea can range from moderate to severe. This is based on a
measurement and rating system called the apnea-hypopnea index (AHI). The AHI measures an
average number of apnea and hypopnea episodes you have per hour that you sleep.
Obstructive sleep apnea is classified by severity:
Severe obstructive sleep apnea means
that your AHI is greater than 30. You have more than 30 episodes per hour.
Moderate obstructive sleep apnea means
that your AHI is between 15 and 30.
Mild obstructive sleep apnea means
that your AHI is between 5 and 15.
What causes obstructive sleep apnea?
When you sleep, your body is
completely relaxed. This even includes the muscles that help you breathe. In people with
sleep apnea, these relaxed muscles combine with a narrowed airway to interrupt
Anyone at any age can have
obstructive sleep apnea. But it's most common in middle-aged and older adults. Only
about 1 in 50 children have obstructive sleep apnea. It's also more common in men than
But what's frightening is that as
many as 9 in 10 people who have obstructive sleep apnea don't know that they have it.
Untreated, sleep apnea can lead to serious health problems.
Who is at risk for obstructive sleep apnea?
Knowing the risk factors for obstructive sleep apnea can help you get a diagnosis. Risk factors include:
Family member with obstructive sleep apnea
Large or thick neck. This means
greater than 16 inches for women and 17 inches for men.
Long-term (chronic) nasal
Thyroid disorder or other endocrine condition
Defect of the tissues that support the head and neck
Swollen or large adenoids and tonsils (in children)
What are the symptoms of obstructive sleep apnea?
Some people have obstructive sleep
apnea with no symptoms. Others find that they just don't feel rested after a night of
sleep. They feel sleepy during the day.
Snoring is one of the biggest symptoms of obstructive sleep apnea. Other symptoms include:
Snoring that's interrupted with
periods of quiet. This is called an apnea episode.
Snoring that resumes with a loud sound as breathing starts again
Frequently falling asleep during the day
Being easily irritated
Trouble remembering things
How is obstructive sleep apnea diagnosed?
Diagnosis of obstructive sleep
apnea usually involves being in a sleep study. During a sleep study, you're watched as
you sleep. You may have a test called a polysomnogram at a hospital or sleep center. But
you may also use a take-home version of the test. Your doctor may give you a monitor to
wear when you sleep. The monitor measures your oxygen levels and heart rate. This can
help diagnose sleep apnea.
Your doctor will also do a physical
exam. This includesan exam of the throat, neck, and mouth. The provider will also ask
about your health history. You'll probably also have to answer questions about your
sleep and bedtime routine, as well as your symptoms.
How is obstructive sleep apnea treated?
These are common treatments to keep
your breathing consistent and stop or reduce apnea episodes:
Sleeping with a CPAP (continuous
positive airway pressure) machine and mask. This treatment gives a constant flow of
air to help keep your airway open.
Wearing an oral appliance. This is a
custom-fit mouthpiece your dentist or orthodontist can make for you to keep airways
open while you sleep.
Several types of surgery can be done to treat obstructive sleep apnea:
Surgery to repair problems in facial
Surgery to get rid of extra tissues
that can block airways
Surgery to repair problems that cause
obstructions when you breathe or to create a wider airway
Removal of adenoids and tonsils. This
works best in children.
Implanting nerve stimulators. These make the muscle strong and
prevent airway collapse.
Making a few changes to your sleep and other behaviors can also help manage obstructive sleep apnea:
Work with your healthcare provider to
lose weight, if needed.
Sleep on your side instead of on your back.
Don't drink alcohol.
Limit your use of sedatives.
What are possible complications of obstructive sleep apnea?
Letting obstructive sleep apnea
continue untreated is risky. You can get in a serious accident if you fall asleep while
operating machinery or driving a car.
Health problems may develop as a
result of obstructive sleep apnea. These include:
Increased blood pressure
Unstable oxygen levels
Changes in your body's response to insulin and glucose
Changes in mental function and mood
Cardiovascular problems such as heart
failure, stroke, or heartbeat problems (arrhythmia)
Can obstructive sleep apnea be prevented?
Don't do things that relax your
muscles. For exacmple, don't drink alcohol or take sedatives to help you sleep. And stay
at a healthy weight.
When should I call my healthcare provider?
Talk with your healthcare provider
if your bed partner hears symptoms of apnea episodes or your snoring is causing
problems. Ask your provider about a sleep study. Feeling drowsy or falling asleep often
during the day are also signs that you should call your provider.
Key points about obstructive sleep apnea
Obstructive sleep apnea means your breathing is interrupted during sleep. This can
happen many times an hour.
Snoring that's interrupted with periods of quiet is one of the main symptoms of
You will probably need to be in a sleep study to help diagnose OSA. This means you
will be watched while you sleep, either at a hospital or a sleep center.
If not treated, obstructive sleep
apnea can put you at risk for major health problems. These can include heart failure
and high blood pressure.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider
if you have questions.
Online Medical Reviewer:
Alan J Blaivas DO
Online Medical Reviewer:
Daphne Pierce-Smith RN MSN CCRC
Online Medical Reviewer:
Marianne Fraser MSN RN
Date Last Reviewed:
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