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Adventures in Polysomnography

Bronchitis linked to snoring

Published January 31, 2008 11:30 AM by Pam Ryan

New Korean research indicates that regular snoring may double the risk of chronic bronchitis. From earlier research, we already knew that people who suffer from chronic bronchitis are more likely to snore, or have obstructive sleep apnea (OSA).

This prospective study gives us evidence to suspect that the snoring may actually come first, and may play a role in the later development of respiratory problems. The researchers compared snorers and non-snorers, and then followed them for four years to track new cases of chronic bronchitis.

Not only did snoring increase the risk of developing chronic bronchitis, it appeared to do so in a dose-dependent fashion: people who snored 5 nights a week or less were 25 percent more likely to develop chronic bronchitis, but people who snored 6 or 7 nights a week were 68% more likely to contract the disorder.

At this point, the exact mechanism(s) behind this relationship are open to speculation. The researchers themselves say they cannot explain it, although they theorize that the vibrations of snoring may irritate tissues and produce inflammation.

Personally, I imagine that snoring must cause increased negative pressure in the airway. That negative pressure could draw bacteria or other irritants from the nose or mouth down into the lungs.

Or maybe oral breathing (which typically accompanies snoring) could cause the airway to dry out, making it more susceptible to irritation or infection. As we all know, the nose is our body's natural humidifier, but snorers typically breathe through the mouth instead.

Whatever the cause for the link between snoring and bronchitis, this new research underlines the fact that snoring is a significant health symptom, not something that should be routinely ignored.

3 comments

Good commentary on early recognition--one of my preaching points, as you have discovered. Since I run my lung health clinic out of a physician practice (mostly adult primary care) we are very successful at identifying sleep problems early in the disease process, and snoring plays a big role in that early identification. I believe that we save the future system millions of dollars by catching and treating OSA early. Nice theory; now we just need to prove it.

Tom Mayer January 31, 2008 6:17 PM

Hi, Tom. In the past, we have expected our chronic bronchitis patients to be at higher risk for sleep apnea, and have encouraged pulmonary practitioners to send referrals of these patients to us in the sleep lab (when appropriate).

The new twist here, is that we need to be more proactive when patients report simple snoring in the primary care setting. We need to figure out a way to convince physicians that snoring is not a symptom to be ignored, but rather, aggressively addressed early on, so that we can do more to prevent this progression of pathology (including pathoplogies of the respiratory system, cardovascular system, and normal sleep patterns.)

You make an interesting point about thoracic crowding! Had not considered that angle. Thanks for sharing your thoughts.

Ryan Pam, , Manager CU Sleep January 31, 2008 2:46 PM
Champaign IL

We have known for quite some time in the respiratory therapy field that our chronic bronchitics suffered from sleep apnea at a much higher rate than our COPD patients who did not suffer significant chronic bronchitic symptoms. We have even begun to be assured that a certain type of COPD progression is more related to sleep as a comorbidity than to a variant of the lung disease itself. Of course, there are other issues at stake too, one of which is thoracic overcrowding as the lungs grow in size. That's a very bad combination with a belly that's also growing in size.

Tom Mayer January 31, 2008 1:39 PM

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