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==Risk factors== Obstructive sleep apnea can affect people regardless of sex, race, or age.<ref>{{cite journal |vauthors=Rundo JV |date=2019 |title=Obstructive sleep apnea basics |url=https://www.ccjm.org/content/86/9_suppl_1/2 |url-status=live |journal=Cleveland Clinic Journal of Medicine |volume=86 |issue=9 Suppl 1 |pages=2β9 |doi=10.3949/ccjm.86.s1.02 |pmid=31509498 |archive-url=https://web.archive.org/web/20240206230109/https://www.ccjm.org/content/86/9_suppl_1/2 |archive-date=6 February 2024 |access-date=6 February 2024 |doi-access=free}}</ref> However, risk factors include:<ref name="nhlbi2">{{cite web |date=24 March 2022 |title=Sleep Apnea β Causes and Risk Factors {{pipe}} NHLBI, NIH |url=https://www.nhlbi.nih.gov/health/sleep-apnea/causes |url-status=live |archive-url=https://web.archive.org/web/20240206230109/https://www.nhlbi.nih.gov/health/sleep-apnea/causes |archive-date=6 February 2024 |access-date=6 February 2024}}</ref> {{cols|colwidth=24em}} * male sex<ref name="nhlbi2" /><ref name="sleep.hms.harvard.edu2">{{cite web |title=Risk Factors |url=https://sleep.hms.harvard.edu/education-training/public-education/sleep-and-health-education-program/sleep-health-education-25 |url-status=live |archive-url=https://web.archive.org/web/20240206230110/https://sleep.hms.harvard.edu/education-training/public-education/sleep-and-health-education-program/sleep-health-education-25 |archive-date=6 February 2024 |access-date=6 February 2024}}</ref><ref name="Badr-2019"/> * obesity<ref name="nhlbi2" /><ref name="sleep.hms.harvard.edu2" /> * age over 40<ref name="nhlbi2" /> * large neck circumference<ref name="nhlbi2" /> * enlarged tonsils or tongue<ref name="nhlbi2" /> * narrow upper jaw<ref name="Osman-2018"/> * small lower jaw<ref name="sleep.hms.harvard.edu2" /> * tongue fat/tongue scalloping<ref name="Osman-2018"/> * a family history of sleep apnea<ref name="nhlbi2" /> * endocrine disorders<ref name="nhlbi2" /> such as hypothyroidism<ref name="sleep.hms.harvard.edu2" /> * lifestyle habits such as smoking or drinking alcohol<ref name="nhlbi2" /> {{colend}} Central sleep apnea is more often associated with any of the following risk factors:<ref name="Badr-2019"/> * transition period from wakefulness to non-REM sleep<ref name="Badr-2019"/> * older age<ref name="Badr-2019"/> * heart failure<ref name="Badr-2019"/> * atrial fibrillation<ref name="Badr-2019"/> * stroke<ref name="Badr-2019"/> * spinal cord injury<ref name="Badr-2019"/>
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