Snooze or lose: sleep in relationships

Snooze or lose: sleep in relationships

Today, we're diving into a topic that's keeping many of you up at night (literally): sleep apnea and its impact on relationships. If you've ever thought, "My partner's snoring is ruining my life!" or "How do I cope with a snoring spouse?", you're not alone. Let's unpack this noisy issue and find some solutions that'll have you both sleeping soundly again.

Key takeaways

  • Sleep apnea affects both partners, not just the one with the condition.
  • Snoring is a common sign of sleep apnea, but not the only one.
  • Treating sleep apnea can improve your relationship and overall health.

The snoring struggle is real

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First things first: snoring isn't just annoying—it can be a sign of something more serious. Sleep apnea, a condition where breathing repeatedly stops and starts during sleep, often comes with loud snoring as a side effect. But here's the kicker: not all snorers have sleep apnea, and not all sleep apnea sufferers snore! [1]

In fact, studies show that while about 45% of adults snore occasionally, only 25% are habitual snorers. Among these habitual snorers, approximately 35% have obstructive sleep apnea. This means that a significant number of people with sleep apnea might not be aware of their condition due to the absence of snoring [10]. (Find out more with our sleep apnea self check guide!)

If your partner's nighttime symphony is new or suddenly louder, it might be worth investigating. Has your partner started snoring out of the blue? There could be a reason, like weight gain, allergies, or yes, potentially sleep apnea [2]. Research indicates that even a 10% increase in body weight can result in a six-fold increase in the odds of developing moderate to severe sleep-disordered breathing [11].

It's important to note that while sleep apnea is more common in men, it affects people of all genders. Post-menopausal women, for instance, have a risk similar to men. In fact, sleep apnea in women is often underdiagnosed due to differences in symptoms and societal expectations about snoring [18].

When sleep apnea creeps into your relationship

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Living with a partner who has sleep apnea (diagnosed or not) can be challenging. Here are some common scenarios you might be facing:

  • Sleepless nights: You're lying awake, staring at the ceiling, while your partner snores away.

  • Separate bedrooms: You've resorted to sleeping in different rooms to get some peace.

  • Daytime grumpiness: Lack of sleep is making you both irritable during the day.

  • Health worries: You're concerned about your partner's health, especially when you notice them stop breathing during sleep.

Sound familiar? Don't worry; you're not alone in this struggle!

Coping with a snoring partner (that might have sleep apnea)

  • Talk it out: Have an open, honest conversation with your partner about the issue. Remember, they might not even realize how loud they are!

  • Seek medical advice: Encourage your partner to see a doctor. A sleep study can diagnose sleep apnea and open up treatment options [3].

  • Try sleep position changes: Sometimes, sleeping on the side instead of the back can reduce snoring [4].

  • Explore snoring aids: Nasal strips, mouth guards, or even special pillows might help reduce snoring [5].

  • Consider earplugs or white noise: These can help mask the sound and improve your sleep quality.

  • Practice good sleep hygiene: Establish a regular sleep schedule, create a relaxing bedtime routine, and make sure your bedroom is cool, dark, and quiet [6].

When CPAP enters the picture

If your partner has been diagnosed with sleep apnea and prescribed a CPAP machine, it can feel like a third wheel in your relationship. Some people find the machine noisy or uncomfortable at first. But here's the good news: modern CPAP machines are quieter and more comfortable than ever before [7].

If you're thinking, "My partner's CPAP is keeping me awake," take a deep breath. It's an adjustment period, but the long-term benefits for both of you are immense. Your partner will feel more energized, and you'll both sleep better once you adapt. In fact, studies show that CPAP treatment can improve quality of life scores by up to 35% in patients with sleep apnea, and their partners often report similar improvements in their own sleep quality [14].

The silver lining

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Addressing sleep apnea can actually strengthen your relationship. Think about it: better sleep means improved mood, more energy, and better health for both of you [8]. Plus, working through this challenge together can bring you closer as a couple.

Research indicates that couples who jointly engage in health behavior changes, like addressing sleep issues, report higher relationship satisfaction and are more likely to maintain these positive changes long-term [15].

Remember, you're in this together. Supporting each other through the diagnosis and treatment process can deepen your bond and lead to healthier, happier lives for both of you.

Time for a sleep check-up?

If you're wondering, "How do I know if my partner has sleep apnea?" here are some signs to watch for [9]:

  • Loud snoring

  • Gasping or choking sounds during sleep

  • Pauses in breathing during sleep

  • Excessive daytime sleepiness

  • Morning headaches

  • Irritability or mood changes

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Sleep Apnea

If you notice these signs, it's time for a chat with a healthcare provider. They can help determine if a sleep study is needed and guide you toward the right treatment options.

It's worth noting that sleep apnea is often underdiagnosed, with some estimates suggesting that up to 80% of moderate and severe obstructive sleep apnea cases go undiagnosed [16]. Early detection and treatment can significantly reduce the risk of associated health complications, including a 46% reduction in cardiovascular mortality [17].

Sweet dreams are made of this

Dealing with sleep apnea in a relationship isn't always easy, but it's definitely manageable. With open communication, medical support, and a dash of patience, you and your partner can overcome this noisy hurdle together.

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Book Consultation Healthy Relationship

Remember, seeking help isn't just about quieting the snores—it's about improving both of your health, well-being, and the quality of your relationship. 

Last updated: September 23rd, 2024

References

[1] Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993). The occurrence of sleep-disordered breathing among middle-aged adults. New England Journal of Medicine, 328(17), 1230-1235.

[2] Punjabi, N. M. (2008). The epidemiology of adult obstructive sleep apnea. Proceedings of the American Thoracic Society, 5(2), 136-143.

[3] Epstein, L. J., Kristo, D., Strollo, P. J., Friedman, N., Malhotra, A., Patil, S. P., ... & Weinstein, M. D. (2009). Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of clinical sleep medicine, 5(3), 263-276.

[4] Ravesloot, M. J., van Maanen, J. P., Dun, L., & de Vries, N. (2013). The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea—a review of the literature. Sleep and Breathing, 17(1), 39-49.

[5] Ramar, K., Dort, L. C., Katz, S. G., Lettieri, C. J., Harrod, C. G., Thomas, S. M., & Chervin, R. D. (2015). Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. Journal of clinical sleep medicine, 11(7), 773-827.

[6] Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep medicine reviews, 22, 23-36.

[7] Wolkove, N., Baltzan, M., Kamel, H., Dabrusin, R., & Palayew, M. (2008). Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea. Canadian Respiratory Journal, 15(7), 365-369.

[8] Luyster, F. S. (2017). Impact of obstructive sleep apnea and its treatments on partners: a literature review. Journal of Clinical Sleep Medicine, 13(3), 467-477.

[9] Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(3), 479-504.

[10] Young, T., Peppard, P. E., & Gottlieb, D. J. (2002). Epidemiology of obstructive sleep apnea: a population health perspective. American journal of respiratory and critical care medicine, 165(9), 1217-1239.

[11] Peppard, P. E., Young, T., Palta, M., Dempsey, J., & Skatrud, J. (2000). Longitudinal study of moderate weight change and sleep-disordered breathing. Jama, 284(23), 3015-3021.

[12] Marin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005). Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. The Lancet, 365(9464), 1046-1053.

[13] Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep medicine reviews, 22, 23-36.

[14] Lacasse, Y., Godbout, C., & Sériès, F. (2002). Health-related quality of life in obstructive sleep apnoea. European Respiratory Journal, 19(3), 499-503.

[15] Lewis, M. A., McBride, C. M., Pollak, K. I., Puleo, E., Butterfield, R. M., & Emmons, K. M. (2006). Understanding health behavior change among couples: An interdependence and communal coping approach. Social science & medicine, 62(6), 1369-1380.

[16] Young, T., Evans, L., Finn, L., & Palta, M. (1997). Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep, 20(9), 705-706.

[17] Campos-Rodriguez, F., Martinez-Garcia, M. A., de la Cruz-Moron, I., Almeida-Gonzalez, C., Catalan-Serra, P., & Montserrat, J. M. (2012). Cardiovascular mortality in women with obstructive sleep apnea with or without continuous positive airway pressure treatment: a cohort study. Annals of internal medicine, 156(2), 115-122.

[18] Lin, C. M., Davidson, T. M., & Ancoli-Israel, S. (2008). Gender differences in obstructive sleep apnea and treatment implications. Sleep medicine reviews, 12(6), 481-496.