Being male ; 85 % of  patient s are male.


Male have percentage to snore during sleep at 7:1. However, female increase their risk appears to rise after menopause. So it believes than hormone reflects directly to raise risk of snoring. Male hormone inherits the tissue structure , round head and throat more thicker and narrower airway. In the other way female hormone inherits the tissue structure to expand airway.
Being older.
People normally have flabby tissue and flabby muscle when they being older. Leading tothe muscle work for expand airflow disorder.  Flabby uvula, velar lower down reflect to obstruct   airflow easily.

Abnormal feature of Skull Structure and facial bones.
For example; small chin, chin bend to backside , over long neck , flat face. All following cause to squeeze upper airflow narrow down or stop breathing.  And leading to be disease such as Down's syndrome, Prader Willi 
syndrome, Crouzon's syndrome etc.

Family history.
Heredity ; Especially people who don’t have overweight problem , but have Obstructive sleep apnea disease. It mentions that family history is main factor to get disease for this patient group.
If you have family members with sleep apnea, you may be at increased risk more than 1.5% of normal people.

Excess weight.
2 /3 of OSA Patient have Body Mass Index (BMI) > 28 kg/m2
or having weight over 20 % of standard. Those patients will get better after weight loss 5-10 kg. Adding weight raises your risk of sleep apnea. Fat deposits around hip, abdominal surface, calf, and thigh. Throat was covered with fat will press narrow airflow when you sleep. Abdominal surface deposits by fat obstruct Diaphragm system, decrease total lung capacity cause to easily stop breathing.

Nasal congestion.  
Nasal is the entrance of airway. If you have difficulty breathing through your nose — whether it's from an anatomical problem
(deviated nasal septum ,Allergic Rhinistis, tumor) , you're more likely to develop obstructive sleep apnea and hard to snoring.
Use of alcohol or medicine using ( sedatives or tranquilizers)
These substances reflect to muscular weakness , relax the muscles in your throat and easily to be Obstructive sleep apnea.
In addition, it reflect strongly to your heart system and brain system. Your brain fails to transmit signals to your breathing muscles when anoxia.
Smoking.
Smoking decrease effectiveness of respiratory tract down, enlarged tonsils, reflect to be Pharyngitis and causes fat deposits to narrow and block blood vessels which leads to heart.
 Thyroidism : Hypothyroidism, Acromegaly.
People who sick form Thyroidism have more risk to be Obstructive Sleep Apnea Syndrome.

Behavioral change
Decrease risk factor of snoring by behavioral change. All below are important program to treat snoring .
Weight Control
Research seems to suggest that weight loss 10 % can, indeed, decrease problem of Obstructive sleep Apnea Syndrome at daytime. Moreover, weight loss increase total lung capacity, expand airway , decrease collapse internal diameter of the throat and easily to breath.
        
The obesity patient usually hope to lose weight suddenly and almost everyone has over tried to use diet pills. Most of these patients had side effects from diet pills using such as palpitation. If you stop use diet pills, your initial weight will back . Long term weight loss requires a change in your eating and exercise habits to adopt a healthier lifestyle.


Generally, most patient have problem to lose weight. Someone can lose for a while but their weigh return to overweight soon.
It’s necessary to be cooperated between the patient and nutritionist to support and encourage the patient to change their behavior, persuade them to realized the benefits of weight loss and give the right method to control weight and stop return to overweight again.
 
2. Avoid Supine body position (lying face up)
 Snoring may only happen when you are lying on your back and your tongue falls back and increases airway resistance. If you are one of these snorers, sleeping on your side will usually help you stop snoring.However, changing sleep position is not different of overweight person.
Taping tennis balls or sleep sock to the back of your pajamas can also stop you from sleeping on your back. You feel uncomfortable when lying face up because press on sleep ball and try to change to lying on your back.
 Or you can use pillow to help head up , which opens up nasal airway passages and may help prevent snoring.
 
 3. Stop alcohol drinking.
Avoiding alcohol, especially before bedtime as they relax the muscles in the throat and interfere with breathing. Alcohol arouse brain fails to transmit signals to your breathing muscles and lose consciousness to response Anoxia. The result from stop alcohol , patient get better. It can decrease snoring and stop breathing from airflow obstruction .

Stop using medicine .
Some type of medicine reflect patient to stop breathing during sleep. Especially all types of medicine relate Tranquillizer and sleeping pill group will reflect directly to respiratory tract.
Those medicine causes your brain fails to transmit signals to your breathing muscles and stop breathing longer than usual.
Moreover, medicine as of Antihistamines type has
more side effects to the patient to feel more sleepy and deep sleep. It’ll be better to avoid and choose medicine with low side effect.

5. Others Behavioral change
         -Smoking.  You should avoid and stop smoking. Because smoking cause of Pharyngitis , increase phlegm and abstract  airflow to be narrow.
Patient should avoid over exercise or hard working. It found that exhaustion is a factor leading to airflow muscle system weak, loosen and easily to slump.

When you try to breathe, any air that squeezes past the blockage can cause loud snoring. Obstructive sleep apnea is more common in people who are overweight, but it can affect anyone. For example, small children who have enlarged tonsil tissues in their throats may have obstructive sleep apnea.

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