Researchers studying nearly 2000 patients who came into a lab for
sleep studies found that nearly 40 percent of women who declared
themselves to be non-snorers turned out to have severe or very
severe snoring intensity, according to the study published in the
Journal of Clinical Sleep Medicine.
Snoring can be a symptom of sleep apnea, which increases a person's
risk for serious conditions including high blood pressure, heart
disease, stroke.
While the researchers couldn't be reached for comment, a press
statement was provided.
"We found that although no difference in snoring intensity was found
between genders, women tend to underreport the fact that they snore
and to underestimate the loudness of their snoring, study coauthor
Dr. Nimrod Maimon, a professor at Ben-Gurion University of the Negev
and head of internal medicine at Soroka University Medical Center,
said in the statement. "The fact that women reported snoring less
often and described it as milder may be one of the barriers
preventing women from reaching sleep clinics for a sleep study."
Among the 1,913 patients in the study were 675 women and 1,238 men.
The average age was 49. As part of the evaluation, patients were
asked to fill out a questionnaire that asked them to rate the
severity of their snoring. Then, while the patients were sleeping,
the volume of their snoring was measured with a digital sound meter.
The snoring intensity was classified as mild, at 40 to 45 decibels,
moderate, at 45 to 55 decibels, severe, at 55-60 decibels, or very
severe, at 60 or more decibels.
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When sleep volumes were analyzed, it turned out that women snored as
loudly as men. Moreover, although 28 percent of women said they
didn't snore at all, that was true for just nine percent of them.
Among men, the numbers weren't as striking: 6.8 percent said they
didn't snore when in reality just 3.5 percent did not.
The results suggest that doctors look for other signs of sleep apnea
in women rather than a self-report of snoring, Maimon and his
colleagues noted.
Dr. Ryan Soose, a sleep expert who was not affiliated with the new
research, agreed.
Women are more likely to show up in the doctor's office with
complaints of "daytime symptoms such as fatigue, tiredness, or
depression," said Soose, who is director of the division of sleep
surgery at the University of Pittsburgh Medical Center. "Men are
more likely to have nighttime concerns, such as waking up at night
gasping or choking, and too many trips to the bathroom. A lot of
women end up misdiagnosed with other conditions or being brushed off
and not referred to appropriate testing and treatment."
Part of the problem lies with doctors' stereotypes of the typical
snorer, Soose said. "Many think that snoring is just a problem for
overweight, middle-aged men," he explained. "As a field we need to
get away from the traditional mindset and recognize there are
different presentations of these conditions and we need to take a
more personalized approach for both men and women."
SOURCE: http://bit.ly/2DAXtal Journal of Clinical Sleep Medicine,
online March 15, 2019.
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