Health
Weekend Sleep Patterns May Worsen Sleep Apnoea, Study Finds
Irregular weekend sleep schedules could be making a common but potentially dangerous sleep disorder more severe, according to new research.
A study led by Flinders University in Australia has found that obstructive sleep apnoea (OSA) — a condition affecting an estimated 936 million adults worldwide — worsens over weekends when people stay up late or sleep in longer than usual. Researchers have dubbed this phenomenon “social apnoea.”
OSA occurs when the airways repeatedly collapse during sleep, leading to pauses in breathing, frequent disruptions, loud snoring, and excessive daytime fatigue. If left untreated, the disorder can increase the risk of heart disease, diabetes, stroke, depression, and dementia.
The research team analysed sleep data from about 70,000 people across the globe, collected via monitors placed under mattresses. They discovered that sleep disruptions were notably more common on weekends, with the likelihood of moderate or severe OSA rising by 18% on Saturdays compared to midweek nights.
Lifestyle habits appeared to be a key driver. Sleeping just 45 minutes longer than usual on weekends was linked to a 47% higher chance of severe sleep interruptions. The weekend effect was also influenced by age — those aged 60 or older faced a 7% increase in risk, compared with a 24% increase for adults under 60.
“Sleep is already a major public health issue, but our findings suggest its true impact may be underestimated,” said Lucia Pinilla, a co-author of the study. “Most clinical diagnostic testing is done on a single night, typically a weeknight, missing the weekend effect we’re now calling ‘social apnoea.’”
The findings, published in the American Journal of Respiratory and Critical Care Medicine, highlight the need for people with OSA to maintain consistent sleep routines. Many patients rely on continuous positive airway pressure (CPAP) machines to keep their airways open overnight, but researchers warn that irregular sleep schedules may still worsen symptoms.
Danny Eckert, another co-author, advised those with OSA to prioritise steady sleep patterns. “Keeping a fixed wake-up time and using your prescribed OSA therapy, even on weekends, and going to bed when you feel sleepy will help ensure you frequently get enough restorative sleep,” he said.
The researchers stress that awareness of “social apnoea” could help improve diagnosis and treatment. Since most medical evaluations occur during the week, the weekend spike in severity might go undetected, leaving some patients at greater risk of long-term health complications.
For millions living with sleep apnoea, the message is clear: consistency may be just as important as therapy in keeping symptoms under control — even when the weekend rolls around.
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