How to detect sleep apnea with Apple Watch

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Sleep apnea can be serious and have significant health effects beyond just disrupted sleep. Here's you can monitor and detect it, using just an Apple Watch.

Person holding a smartwatch displaying sleep stages; background shows a potted plant and a smartphone on a white surface.
Apple Watch can now detect sleep apnea



Sleep apnea is a chronic illness that impedes one's ability to breathe overnight. Sufferers often have trouble breathing -- and it may even stop for a time.

Without proper airflow, you may feel tired and groggy throughout the day, despite theoretically getting enough sleep. It also may lead to more serious side effects such as increased risk of cardiovascular disease and more.

Typically, people have to participate in a sleep study to diagnose sleep apnea. These are generally completed in a lab, and there are some at-home tests that can be ordered.

Still, it's a prohibitive and often pricey step that leaves many undiagnosed and at risk. Starting with watchOS 11, newer Apple Watch models make this more accessible.

Apple Watch versus sleep studies



At home or in-office sleep studies monitor your breathing rate, heart rate, blood oxygen levels, and breathing effort. In-lab ones can track even more.

Hands holding a stainless steel smartwatch with a visible sensor on the back, set against a neutral background.
Apple Watch has a large series of sensors



Notably, Apple Watch already tracks much of this with its complex sensor array. Users had already been using their watches for sleep tracking, and this builds on it.

Sleep apnea supported models and requirements



The new health monitoring feature is fortunately not exclusive to only the latest-and-greatest Apple Watch models. It comes to the last generation as well.

Two hands hold smartwatches with colorful displays, in front of a blurred background featuring a small plant and a smartphone.
Apple Watch Series 9, Apple Watch Series 10, and Apple Watch Ultra 2 are supported



Supported models include:



To the frustration of some, that leaves out the original Apple Watch Ultra. The reason likely lies with the SiP.

Apple Watch Ultra uses the S8 SiP which was largely unchanged from the S7 and even S6 SiPs. It was with the S9 that it finally got an upgrade.



Whether it's the CPU, the Neural Engine, or the power efficiency, the S8 just isn't capable of adequately supporting it.

As long as you have a supported model, the only other requirement is that they are up to date. Apple Watch needs to be on watchOS 11 and your iPhone must be running iOS 18.

How to detect sleep apnea with Apple Watch



It's quick and easy to set up sleep apnea detection. It is done from your iPhone.

Smartphone screen displaying sleep apnea notifications information with a 'Next' button at the bottom.
Setup for sleep apnea monitoring in the Health app
  • Open the Health app on your iPhone

  • Go to Browse and search for "breathing disturbances"

  • The first time you'll see a button at the top that says "set up"

  • Answer a couple qualifying questions and hit continue

  • The app gives you a brief explainer, after which you can hit next
Smartwatch with silver metal band displaying green digital time and date, connected to a charger.
Make sure your watch is charged before bed



Once it's enabled, you're good to go. Just make sure your watch is adequately charged and wear it to bed.

Viewing your sleep apnea results



As soon as your first night you'll see your results reflected in the Health app. If it detects an elevated level of breathing disturbances, it will proactively send you an alert.

Hands holding a smartphone displaying a screen about breathing disturbances, with text mentioning 'Not Elevated' and information on breathing patterns and related factors.
Viewing your sleep apnea results in the Health app



If you want to view the data for yourself, you can open the Health app once more and navigate back to breathing disturbances.

It will show each night's results on a graph on a scale from not elevated to elevated. You can view it for each night or over time.

To be clear, if a positive detection is triggered, it's not diagnosing you with anything. The data can be exported and shared with your health care provider where they can make a further diagnosis.

Smartphone and smartwatch display notifications about possible sleep apnea and suggest consulting a doctor, with options for exporting information.
Elevated levels of breathing disturbances will trigger an alert



They may want you to do an additional sleep study. Potentially, though, after viewing your data, doctors may be comfortable diagnosing you, and start to figure out treatment options.

Sleep apnea detection is currently available in the US but will roll out to more countries over time. Apple says over 150 countries will gain support for this feature.



Read on AppleInsider

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Comments

  • Reply 1 of 12
    This is not showing up for me in the Health app. 16 pro and Ultra 2. I'm running 18.1 public beta.  Was this removed from the beta?
    ForumPostwatto_cobra
     1Like 0Dislikes 1Informative
  • Reply 2 of 12
    Works on iOS 18 on watch 9 in UK
    watto_cobra
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  • Reply 3 of 12
    Thank you!  I don’t have sleep apnea but I wanted to test this feature to see how I was doing.  So far all is good, no detection of sleep apnea.  Glad that Apple added this feature to the Apple Watch.
    watto_cobra
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  • Reply 4 of 12
    I’ve had my Ultra 2 for little over a week now, and haven’t goten a warning, but if I check the health app myself it shows ”elevated”.
    80s_Apple_Guywatto_cobra
     2Likes 0Dislikes 0Informatives
  • Reply 5 of 12
    I have it and with cpap machine. Don’t need to upgrade my expensive Ultra1 for now just for sleep apnea detection…..hopefully in a few years time Apple Watch will be able to detect blood sugar. That will be the holy grail for Apple Watch and money making machine for Apple. Just my 1 cent opinion.
    watto_cobra
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  • Reply 6 of 12
    I'd like to see a secondary device that is slim and unobtrusive to wear when you're in bed and your watch is charging then switch them over when you get up. My watch barely lasts the day and certainly wouldn't last the whole night.
    macmaniac
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  • Reply 7 of 12
    How hard is it to detect sleep apnea? Treating it is the hard part.
    watto_cobra
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  • Reply 8 of 12
    I’ve had my Ultra 2 for little over a week now, and haven’t goten a warning, but if I check the health app myself it shows ”elevated”.
    Same for me. 16 Pro and Series 9 AW
    watto_cobra
     1Like 0Dislikes 0Informatives
  • Reply 9 of 12
    Alex1Nalex1n Posts: 164member
    “Not available in Australia”  :'(
    watto_cobra
     0Likes 0Dislikes 1Informative
  • Reply 10 of 12
    andyb555 said:
    I'd like to see a secondary device that is slim and unobtrusive to wear when you're in bed and your watch is charging then switch them over when you get up. My watch barely lasts the day and certainly wouldn't last the whole night.
    I have a fast charger for my watch. I then charge it at night for a little bit before going to sleep and in the morning till it gets to optimized level. It uses much less power at night, so you don’t need much charge, however more charge at night, the less you have to do in the morning. 

    The latest regular Apple Watch has much better battery life. Of course there is always the ultra for good battery life. 

    The problem for US users is the latest Apple Watch versions that can do Sleep Apnea, cannot do O2, except early versions of the 9. I prefer keeping O2 as I’ve already been diagnosed with Sleep Apnea. 
    watto_cobraappleinsideruser
     1Like 0Dislikes 1Informative
  • Reply 11 of 12
    macguimacgui Posts: 2,552member
    The problem for US users is the latest Apple Watch versions that can do Sleep Apnea, cannot do O2, except early versions of the 9. I prefer keeping O2 as I’ve already been diagnosed with Sleep Apnea. 
    I don't have a Watch that will do the Sleep Apnea test. But they do the O2 testing. Getting an S10 or Ultra2 would get me the SAt but then no O2 testing. I might wear two watches but not two smart watches. I may have to look for a really good deal on a S10.

    Is the lack of O2 sensing in current watches a function of software? Could an update restore that functionality at some point in the future? Not that it will happen, but it could happen.
    edited October 2024
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  • Reply 12 of 12
    macgui said:
    The problem for US users is the latest Apple Watch versions that can do Sleep Apnea, cannot do O2, except early versions of the 9. I prefer keeping O2 as I’ve already been diagnosed with Sleep Apnea. 
    I don't have a Watch that will do the Sleep Apnea test. But they do the O2 testing. Getting an S10 or Ultra2 would get me the SAt but then no O2 testing. I might wear two watches but not two smart watches. I may have to look for a really good deal on a S10.

    Is the lack of O2 sensing in current watches a function of software? Could an update restore that functionality at some point in the future? Not that it will happen, but it could happen.
    S9 also does sleep apnea and yes O2 sensing is just turned off in software in the US. 
     0Likes 0Dislikes 0Informatives
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