Sleep apnea linked to men also common in women

Snoring, daytime sleepiness and even cardiovascular disease linked to sleep apnea aren't just a man's problem – a new Swedish study suggests half of women may also have the disorder.

Snoring and restless sleep tied to obesity, high blood pressure

Scientific associate Tilak Dutta wears a device, designed to allow at-home diagnosis of sleep apnea, at the sleep research lab at Toronto Rehab-UHN on May 3. Sleep apnea has been largely associated with men, but a new Swedish study suggests half of women also have the disorder. (Chris Young/Canadian Press)

Sleep apnea, a disorder characterized by snoring and daytime sleepiness that has been linked to cardiovascular disease, has primarily been viewed as a male problem, but a new Swedish study suggests the sleep disorder is also a common problem among women.

Dr. Karl A Franklin of Umea University Hospital in Sweden and colleagues noted in the study released Wednesday that there have been only a few epidemiological studies conducted in women, and the frequency of the disorder in women "is still uncertain."

Obstructive sleep apnea, in which a person has short pauses in breathing during sleep, may be caused by a temporary collapse of the airway. The gaps in breathing can last 10 to 30 seconds, and may occur dozens or hundreds of times each night.

For their study, Franklin and the other Swedish researchers investigated 400 women from a population-based random sample of 10,000 women aged 20 to 70. The women answered a questionnaire and were monitored overnight.

Obstructive sleep apnea was found in 50 per cent of the women subjects, with 14 per cent of them having a severe form of the disorder. 

Treatment for obstructive sleep apnea:

  • For mild to moderate apnea, the best treatment is continuous positive airway pressure (CPAP). It involves wearing a special mask attached to a machine called a flow generator that blows a steady stream of air through the mask, into your nose and down your throat. The stream of air creates pressure, which holds the tissue in your airway open and stops your airways from collapsing, allowing proper breathing.
  • Making lifestyle changes such as losing weight, and avoiding alcohol and sedatives.
  • Dental appliances.
  • Surgery, including a tonsillectomy and UPPP (surgery to remove excess tissue in the throat).

The study was funded by grants from the Swedish Heart Lung Foundation. The researchers say the funding played no role in the study, and no conflict of interest was reported.

Canadians with sleep apnea

According to a 2009 Public Health Agency of Canada (PHAC) survey, nearly 860,000 Canadian adults were told by a health professional that they have sleep apnea.

The agency's research, done in conjunction with Statistics Canada as part of the Canadian Community Health Survey, found twice as many men as women reported they had the sleep disorder.

As well, 25 per cent of adults reporting sleep apnea rated their general health as fair or poor compared to 11 per cent in the general population.

Of specific concern is that compared to the general adult population, those who reported a sleep apnea diagnosis were also:

  • 2.5 times more likely to report having diabetes.
  • 1.8 times more likely to report hypertension.
  • 2.2 times more likely to report heart disease.
  • 2.2 times more likely to report a mood disorder such as depression, bipolar disorder, mania or dysthymia.

Sleep apnea a 'relatively new' condition

  Dr. Richard Leung, director of the sleep laboratory at St. Michael's Hospital in Toronto, told CBC News that the Swedish study's findings are interesting because of how many more women than generally believed were found to have sleep apnea.   "The message should be that sleep apnea is common in women , and it's not perceived that way necessarily in the general public."   He added that "the perception that sleep apnea is something exclusive to men, it really came about because ... it is a relatively new diagnosis. It's not something we really new about until 20 years ago. And early cases of sleep apnea were of course the most severe, the ones that first came to attention, and tended to be men and [who are] obese.   "It's still true that men who are overweight probably have the most severe sleep apnea, but that doesn't mean women and other groups can't have it," said Leung.