Enforced Nasal Breathing Decreases Obstructive Apneas During Sleep

Hallani M, Wheatley JR, Amis TC (2008) Respirology

Key Takeaway

Forcing nasal breathing during sleep reduced obstructive apnea events by approximately 50% compared to unrestricted breathing.

Summary

This study tested whether enforcing nasal-only breathing during sleep could reduce obstructive sleep apnea events. Participants underwent sleep studies with and without nasal breathing enforcement.

When nasal breathing was enforced, obstructive apnea-hypopnea index (AHI) decreased by approximately 50%. The improvement was attributed to increased nasal resistance providing airway stabilization.

This study provides mechanistic support for mouth taping - by preventing mouth breathing, the nose's natural resistance helps keep airways open.

Methods

  • Within-subject crossover design
  • Full polysomnography
  • Nasal breathing enforcement vs unrestricted
  • AHI as primary outcome

Key Results

  • ~50% reduction in AHI with nasal breathing
  • Improved oxygen saturation
  • Reduced arousal index
  • Better sleep continuity

Limitations

  • Small sample size (10 participants)
  • Laboratory setting only
  • Mechanical enforcement vs voluntary taping
  • May not generalize to all OSA severities

Related Interventions

Source

View on PubMed →

DOI: 10.1111/j.1440-1843.2008.01356.x