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Obstructive sleep apnea can have a relationship to smoking, since the irritation can further inflame and enlarge tissue in the throat and contribute to the degree of obstruction. Usually in obstructive sleep apnea (OSA) there is a combination of problems that add up to cause the periods of absence of breathing (apnea) due to an airway obstruction. Some of those are:

being overweight and sleeping on your back, having large tonsils and other tissues in the mouth and throat (such as the uvula and soft palate), sometimes infection of throat, muscular relaxation of the tongue and throat during sleeping especially when on back, and obstructions due to nasal tissue thickening caused by smoking, colds, or Allergies.

There are neurological causes of sleep apnea that are not related to smoking, however. This different type of sleep apnea called Central sleep apnea (CSA) is caused by a problem within the central nervous system (CNS) that prevents the proper brain signals from getting to the respiratory system or from being recognized by the respiratory system to enable regular breathing. Some such CNS problems that can cause periods of apnea are injury to brain stem, Cerebrovascular Accidents (CVA or "stroke"), or infectious or other disorders and diseases of the brain or respiratory system.

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In the study of the relationship the conclusion was: "CONCLUSIONS: In our patient population, smoking is not an independent risk factor for sleep apnea after adjusting for other confounding variables." Although they did suggest that it can worsen apnea and that there is a relationship for people with severe apnea. So, can it cause apnea? It appears not to be a contributing factor.

Interestingly, smoking is a significant factor for micro-arousals (not necessarily respiratory related) and so affects sleep in other ways.

So, I guess if you want a good night's sleep, stop smoking.

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Additional information on other studies found in the related links below and further discussion about the above opinions is moved to the "Discussion" area associated with this question...please see.

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15y ago
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10y ago

Yes, it is the main cause.

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Q: Can apnea be caused by smoking?
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How can you increase your apnea time?

give up smoking and start jogging


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What lung or mouth disease is NOT known to be caused by smoking?

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