Sleep / Guide
Alcohol, late meals and snoring
Evening habits can affect how much the tissues in your throat relax during sleep and how broken your sleep becomes. Small changes may help reduce snoring for some people.
Alcohol and sleeping pills
Alcohol or sedatives taken shortly before sleep can relax the tissues in your throat further and may increase snoring. Alcohol taken in the hours before bed is known to make breathing pauses in sleep more frequent and longer. Sleeping pills may also increase how often and how long breathing pauses happen. If you need a sleeping pill, use it under a doctor's supervision, and do not change a prescribed medicine without asking your doctor.
Late and heavy meals
A large meal late at night can cause indigestion and break up your sleep. For some people, fatty, fried or spicy food can trigger heartburn. A light snack is usually fine. Drinking a lot of fluid at night can also make you wake up often to use the toilet.
Smoking
Tobacco smoke irritates the airways and can increase inflammation and swelling in the upper airway. For this reason smoking is considered a risk factor for snoring and sleep apnea. In one study, quitting smoking clearly lowered the risk of snoring. Nicotine is a stimulant, so it can also make your sleep lighter.
A blocked nose
Allergies or sinus problems can narrow the airway and add to snoring. Treating the causes of a blocked nose may reduce snoring somewhat. There is reportedly no scientific evidence that nasal strips and sprays sold without a prescription reduce snoring. If your nose stays blocked for a long time, it is a good idea to see a doctor.
For expertsdefinitions, thresholds, guidelines
In a meta-analysis of 21 observational studies, high alcohol consumption increased the risk of sleep apnea by 25% (RR 1.25; 95% CI 1.13 to 1.38). Heterogeneity was high (I² 82%) and there was evidence of publication bias (Egger p=0.001).1
In a meta-analysis of 13 studies (279 patients) using PSG data only, alcohol intake raised the AHI by an average of 3.98 per hour (95% CI 3.27 to 4.68) compared with control and lowered the lowest oxygen saturation by 2.72 points (1.76 to 3.69). Snoring intensity and sleep architecture were also adversely affected.2
Limits of the evidence:
- Cohort data are observational; confounders such as smoking and obesity cannot be fully separated.
- Experimental studies are small, cover a single night, and differ in dose, timing and type of drink.
- There is no randomised trial testing the long-term effect of stopping alcohol on the AHI.
So cutting down on evening alcohol remains a low-cost recommendation; it does not replace effective treatment for OSA.
- Simou E, Britton J, Leonardi-Bee J. Alcohol and the risk of sleep apnoea: a systematic review and meta-analysis. Sleep Medicine. 2018;42:38-46. doi:10.1016/j.sleep.2017.12.005
- Burgos-Sanchez C, Jones NN, Avillion M et al. Impact of Alcohol Consumption on Snoring and Sleep Apnea: A Systematic Review and Meta-analysis. Otolaryngology-Head and Neck Surgery. 2020;163(6):1078-1086. doi:10.1177/0194599820931087
Sources
- National Heart, Lung, and Blood Institute (NIH). Your Guide to Healthy Sleep. 2011.
- Turkish Thoracic Society. Consensus Report on the Diagnosis and Treatment of Obstructive Sleep Apnea Syndrome. Turkish Thoracic Journal, 2012;13(Suppl 1).
- Başkent University Adana Hospital. Obstructive Sleep Apnea Syndrome: patient information leaflet (in Turkish). Undated.
Disclosure: this article has no sponsor.