Is Snoring a Problem?

Long the material for jokes, snoring is generally accepted as common and annoying in adults but as nothing to worry about.

However, snoring is no laughing matter. Frequent, loud snoring is often a sign of sleep apnea and may increase your risk of developing cardiovascular disease and diabetes, as well as lead to daytime sleepiness and impaired performance.

Snoring is caused by a narrowing or partial blockage of your airways at the back of the mouth and upper throat. This obstruction results in increased air turbulence when breathing in, causing the soft tissues in your throat to vibrate. The end result is a noisy snore that can disrupt the sleep of your bed partner. This narrowing of the airways is typically caused by the soft palate, tongue, and throat relaxing while you sleep, but allergies or sinus problems can also contribute to a narrowing of the airways, as can being overweight and having extra soft tissue around your upper airways.

The larger the tissues in your soft palate, the more likely you are to snore while sleeping. Alcohol or sedatives taken shortly before sleep also promote snoring. These drugs cause greater relaxation of the tissues in your throat and mouth. Surveys reveal that about one-half of all adults snore, and 50 percent of these adults do so loudly and frequently. African Americans, Asians, and Hispanics are more likely to snore loudly and frequently compared to Caucasians, and snoring problems increase with age.

Not everyone who snores has sleep apnea, but people who have sleep apnea typically do snore loudly and frequently. Sleep apnea is a serious sleep disorder, and its hallmark is loud, frequent snoring linked to intermittent brief pauses in breathing while sleeping.

(See "Sleep Apnea") Even if you don't experience these breathing pauses, snoring can still be a problem for you as well as for your bed partner. The increased breathing effort associated with snoring can impair your sleep quality and lead to many of the same health consequences as sleep apnea.

One study found that older adults who did not have sleep apnea, but who snored 6 - 7 nights a week, were more than twice as likely to report being excessively sleepy during the day than those who never snored. The more people snored, the more daytime fatigue they reported. That sleepiness may help explain why snorers are more likely to be in car crashes than people who do not snore.

Loud snoring can also disrupt the sleep of bed partners and strain marital relations, especially if snoring causes the spouses to sleep in separate bedrooms.

Snoring also increases the risk of developing diabetes and heart disease. One study found that women who snored regularly were twice as likely as those who did not snore to develop diabetes, even if they were not overweight - another risk factor for diabetes.

Other studies suggest persistent snoring may raise the lifetime risk of developing high blood pressure, heart failure, and stroke.