typically men more than women when they gain weight tend to store fat in their tongue and so 00:01:55 their tongues will swell you can see that really nicely on MRI actually because fat shows up as basically white tissue on MRI the other thing is that men's Airways are larger and so because of the law of Laplace which we don't 00:02:07 have time to get into larger Airways are more collapsible and so they're easier to close off with pressure placed on the outside so that's why men are typically more at risk for obstructive sleep apnea 00:02:18 but women are also at risk for sleep apnea especially after menopause