
Sleep studies are a way of diagnosing sleep disorders. They are carried out at a sleep lab or sleep centre, and in most cases, the person undergoing the study will be alone. However, in some cases, a caregiver or loved one may be able to stay in the same room, or even in the same bed, as the person being studied. Sleep studies are recommended by a sleep physician if they suspect a sleep disorder such as sleep apnea, hypersomnia, parasomnia, insomnia or restless legs syndrome.
| Characteristics | Values |
|---|---|
| Suspecting a sleep disorder | A sleep study is the best way to find out |
| Sleep apnea | A home sleep apnea test is often recommended |
| Insomnia | A sleep study is not required to diagnose insomnia |
| Restless legs syndrome | A sleep study is not required to diagnose RLS |
| Children | A caregiver or loved one can stay at the sleep lab |
| People with special circumstances and needs | A caregiver or loved one can stay at the sleep lab |
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What You'll Learn

Sleep disorders
A sleep physician will first attempt to determine the nature of a sleep problem and its treatment. This may include a sleep diary to track your sleep-wake pattern, your complete medical history and a physical examination. If the sleep physician suspects you may have a sleep disorder such as obstructive sleep apnea (OSA), hypersomnia (such as narcolepsy) or parasomnia (such as sleepwalking or nocturnal eating), they will recommend a sleep study.
In many cases, a physician will recommend a home sleep apnea test if they suspect you have sleep apnea. Other sleep disorders such as insomnia and restless legs syndrome (RLS) do not require a sleep study to diagnose, but rather a history of symptoms. A standard in-lab sleep study (polysomnogram) records information that allows the sleep physician to evaluate the sleep stages and their sequence during the night. The in-lab sleep study records EEG activity, eye movements and muscle tone. The EEG data tells us how quickly an individual falls asleep and the presence of early onset Rapid Eye Movement (REM) sleep may suggest sleepiness and a possible disorder of alertness.
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Sleep apnea
- Loud snoring
- Gasping or choking during sleep
- Daytime sleepiness and fatigue
- Morning headaches
- Difficulty concentrating
- Mood changes
If you are experiencing any of these symptoms, it is important to consult a sleep medicine physician, who can determine if you need a sleep study. A sleep study is a test that records information about your sleep patterns and can help diagnose sleep disorders such as sleep apnea. During a sleep study, sensors are placed on your body to record data such as brain waves, eye movements, and muscle activity. This data is then analysed by a sleep physician to evaluate your sleep stages and identify any disruptions or abnormalities.
There are two main types of sleep studies: in-lab sleep studies and home sleep apnea tests. In-lab sleep studies, also known as polysomnograms, are conducted in a sleep lab or sleep centre. They provide a more comprehensive evaluation of your sleep and are useful for diagnosing a range of sleep disorders. Home sleep apnea tests, on the other hand, allow you to sleep in your own bed with a simplified set of sensors. While they don't offer the same level of detail as in-lab studies, they are a convenient and cost-effective option for diagnosing sleep apnea, especially when symptoms are clear.
If you are experiencing symptoms of sleep apnea, your physician may recommend a home sleep apnea test as a first step. This can help confirm the diagnosis and guide treatment options, which may include lifestyle changes, oral appliances, or continuous positive airway pressure (CPAP) therapy. It's important to note that sleep apnea is a serious condition that can have significant health consequences if left untreated. Therefore, if you suspect you may have sleep apnea or any other sleep disorder, it is important to seek medical advice and consider undergoing a sleep study.
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Insomnia
Sleep studies are usually carried out alone, although in some cases, such as for children or people with special needs, a caregiver or loved one can also stay at the sleep lab. However, they will usually need to sleep in a separate room. A sleep study is the best way to find out if you have a sleep disorder. A sleep physician will first attempt to determine the nature of a sleep problem and its treatment. If they think you may have a sleep disorder such as sleep apnea, hypersomnia, parasomnia, insomnia or restless legs syndrome, they will recommend a sleep study. A standard in-lab sleep study (polysomnogram) records information that allows the sleep physician to evaluate the sleep stages and their sequence during the night. The in-lab sleep study records EEG activity, eye movements and muscle tone. The EEG data tells us how quickly an individual falls asleep and the presence of early onset Rapid Eye Movement (REM) sleep may suggest sleepiness and a possible disorder of alertness.
There are a number of treatments available for insomnia. Cognitive-behavioural therapy (CBT) is often recommended as a first-line treatment, as it can help to address any underlying psychological factors contributing to the insomnia. CBT for insomnia typically involves identifying and challenging negative thoughts and beliefs about sleep, as well as establishing healthy sleep habits and routines.
Medications may also be prescribed to help with insomnia, such as sleeping pills or melatonin supplements. However, these are generally recommended for short-term use only, as they can have side effects and may not address the underlying causes of the insomnia.
Lifestyle changes can also be effective in treating insomnia. This may include establishing a consistent sleep schedule, creating a relaxing bedtime routine, and avoiding stimulants such as caffeine and nicotine close to bedtime. Regular exercise and a healthy diet can also promote better sleep.
In some cases, insomnia may be a symptom of another underlying medical condition, such as sleep apnea, restless legs syndrome, or a thyroid disorder. It is important to rule out these potential causes through a thorough medical evaluation, which may include a sleep study.
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Narcolepsy
Sleep studies are recommended for people who are suspected to have a sleep disorder. This includes disorders such as sleep apnea, sleep walking, nocturnal eating, and narcolepsy.
The exact cause of narcolepsy is not fully understood, but it is believed to be a combination of genetic and environmental factors. It is thought that people with narcolepsy have a deficiency in the production of a brain chemical called hypocretin, which plays a crucial role in regulating sleep and wakefulness. This deficiency can be caused by an autoimmune response, where the body's immune system mistakenly attacks the cells that produce hypocretin.
The symptoms of narcolepsy typically begin in adolescence or early adulthood, but they can also develop at any age. The primary symptom is excessive daytime sleepiness, where a person feels an overwhelming urge to sleep during the day, even after adequate nighttime sleep. This can lead to sudden sleep attacks, where a person falls asleep without warning, sometimes in inappropriate or dangerous situations. People with narcolepsy may also experience cataplexy, which is a sudden loss of muscle tone triggered by strong emotions such as laughter, anger, or surprise. This can cause a person to slump or collapse and can last from a few seconds to several minutes.
A sleep study can help diagnose narcolepsy by evaluating sleep patterns and brain activity during sleep. This typically involves an overnight stay in a sleep lab, where various physiological parameters are monitored, including brain waves, eye movements, heart rate, and breathing. The data collected during the sleep study can help distinguish narcolepsy from other sleep disorders and guide appropriate treatment options. Treatment for narcolepsy aims to control symptoms and improve alertness during the day, often involving a combination of medication and lifestyle changes.
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Sleep walking
Sleepwalking, also known as somnambulism or noctambulism, is a sleep disorder that occurs when people walk or perform other activities while still asleep. Sleepwalking is a parasomnia, which involves undesired events that occur during sleep. It happens during the slow wave stage of sleep, in a state of low consciousness, with the performance of activities that are usually performed during a state of full consciousness. These activities can be benign, such as talking, sitting up in bed, walking to the bathroom, or eating, or they can be hazardous, such as cooking, driving, or making violent gestures. Sleepwalking is more common in children and young adults than in older adults due to the decrease in N3 sleep with age. Factors such as genetics, sleep deprivation, medications, and stress may trigger sleepwalking episodes.
If you suspect you may have a sleep disorder such as sleepwalking, a sleep study at an accredited sleep centre is recommended. A sleep physician will first attempt to determine the nature of the sleep problem and its treatment. They may recommend a home sleep apnea test or a standard in-lab sleep study (polysomnogram) to record information and evaluate sleep stages and their sequence.
Home sleep apnea testing (HSAT) is a less intensive option that allows you to sleep in your own bed with simplified sensors. While it doesn't offer the same level of detail as an in-lab study, it is a convenient and cost-effective way to diagnose sleep apnea when symptoms are clear. However, other sleep disorders such as insomnia and restless legs syndrome (RLS) do not typically require a sleep study for diagnosis.
Under most circumstances, a sleep study is done alone. However, in cases involving children or individuals with special needs, a caregiver or loved one may be allowed to stay at the sleep lab but usually in a separate room to avoid affecting the readings. It is important to discuss any concerns about sleepwalking with your healthcare provider or sleep lab staff to determine the best course of action.
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Frequently asked questions
A sleep study is recommended if a sleep physician suspects you may have a sleep disorder such as sleep apnea, hypersomnia, narcolepsy, parasomnia, or a disorder of alertness.
Physical and psychological symptoms can indicate a sleep disorder. Sleep health is not just about being able to fall asleep, but also about staying asleep, the depth of sleep, and how you feel when you wake up.
A sleep study records EEG activity, eye movements, and muscle tone to evaluate sleep stages and their sequence.
Sleep studies usually take place alone in a lab, but in some cases, a caregiver or loved one can also stay at the sleep lab, although they may need to use a separate room.
Yes, a home sleep apnea test (HSAT) is a less intensive option that allows you to sleep in your own bed with a simplified set of sensors. While it doesn't offer the same level of detail, it is a convenient and cost-effective way to diagnose sleep apnea.











































