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Obstructive Sleep Apnea

Obstructive sleep apnoea (OSA) is a condition where your airway repeatedly narrows or closes during sleep, briefly stopping your breathing – often hundreds of times a night, usually without you knowing.

Think you have symptoms? Screen yourself in 2 minutes
The condition

What happens when you have OSA

During sleep, the muscles that hold your airway open relax. In OSA, the airway narrows or collapses entirely – airflow stops even though your body keeps trying to breathe. Your oxygen level falls, and your brain briefly wakes you to reopen the airway.

These arousals are usually too short to remember, but they fragment your sleep night after night. The result is unrefreshing sleep, daytime exhaustion, and – over time – increased strain on your heart and blood vessels.

Man asleep in bed
What to look for

Signs and symptoms

At night

  • Loud, persistent snoring
  • Pauses in breathing noticed by a partner
  • Gasping or choking during sleep
  • Restless, broken sleep
  • Waking often to use the bathroom

During the day

  • Waking unrefreshed, morning headaches
  • Excessive daytime sleepiness
  • Poor concentration and memory
  • Irritability or low mood
  • Falling asleep while reading, watching TV or driving
How it’s measured

From normal to severe

Severity is graded by the Apnoea–Hypopnoea Index (AHI) – the number of breathing events per hour of sleep.

1 – NORMAL < 5 events Fewer than five events an hour – healthy sleep.
2 – MILD 5–15 events Noticeable snoring and tiredness begin.
3 – MODERATE 15–30 events Sleep is significantly fragmented; treatment recommended.
4 – SEVERE 30+ events Serious health risks; treatment strongly indicated.
Events per hour (AHI)Higher = more severe
Getting answers

How OSA is diagnosed

1

Screen yourself

Take our free 2-minute screen to understand your risk of sleep apnoea.

Start the screen
2

GP referral

Email the referral form and take it to your GP to discuss your results.

Referral process
3

Home sleep study

Sleep in your own bed while a small device records your breathing, oxygen levels and impact of brain waves.

How sleep testing works
What works

Treatment options

Gold standard

CPAP therapy

A gentle stream of air keeps your airway open all night. The most effective treatment for moderate to severe OSA.

Learn more →
Supporting

Lifestyle changes

Weight management, reducing alcohol before bed and quitting smoking can all reduce event frequency.

Learn more →
For positional OSA

Positional therapy

Some people’s OSA occurs mainly on their back – devices and training can keep you sleeping on your side.

Learn more →
The evidence

OSA in Australia

~1 in 10

Australian adults are estimated to have obstructive sleep apnoea – and most remain undiagnosed.1

Men over 40 At highest risk – roughly double the prevalence of women
$66B a year Estimated cost of inadequate sleep to the Australian economy
OSA prevalence by age & sex Men Women
30–39
40–49
50–59
60+

Indicative prevalence of at least mild OSA. Replace with sourced AIHW / Sleep Health Foundation data before launch.

The tragedy of sleep apnoea is that it’s one of the most treatable conditions in medicine, yet most people who have it don’t know. A single night’s home study can change the next twenty years of someone’s health.
Dr. [Clinical author]Sleep & Respiratory Physician, MBBS FRACP – commentary slot, populated post-launch
References
  1. Benjafield AV, et al. (2019). Estimation of the global prevalence and burden of obstructive sleep apnoea. The Lancet Respiratory Medicine, 7(8), 687–698.
  2. Deloitte Access Economics (2018). Asleep on the job: costs of inadequate sleep in Australia. Sleep Health Foundation.
  3. Sullivan CE, et al. (1981). Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. The Lancet, 317(8225), 862–865.
Common questions

OSA questions, answered

No – but loud, persistent snoring is the most common warning sign of OSA. Snoring on its own doesn’t involve the breathing pauses and oxygen drops that define sleep apnoea, which is why a sleep study is needed to tell them apart.

Mild OSA sometimes improves with weight loss or a change in sleeping position, but moderate to severe OSA generally requires treatment. Untreated, it tends to worsen over time.

Usually not. Most of our diagnostic studies are Level 2 home sleep studies – you sleep in your own bed while a small device records your breathing, oxygen levels and sleep stages.

CPAP is the gold standard and the most reliably effective treatment, but positional therapy, lifestyle changes, and oral appliances all have a place depending on your severity and circumstances.

From the Sleep Library

Related reading

Worried about your sleep?

Take the free 2-minute screen. If your score indicates high risk, show your results to your GP for a referral and book your study.

Book a sleep study