Daytime sleepiness: a risk factor in community life

Martikainen, Kirsti; Hasan, Joel; Urponen, Helka; Vuori, Ilkka; Partinen, Markku

doi:10.1111/j.1600-0404.1992.tb05097.x

Cited by 92 publications

(43 citation statements)

References 4 publications

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“…A number of previous studies have examined the relationship between excessive daytime sleepiness and various types of sleep problems and underlying diseases. 5,[7][8][9][10][11][12] A British study reported that symptoms of insomnia such as difficulty initiating sleep and difficulty maintaining sleep, breathing pauses or leg pain during sleep, and depressive disorder were associated with excessive daytime sleepiness. 9 In Japan, Liu et al reported that excessive daytime sleepiness was associated with short sleep duration, insomnia symptoms, subjective sleep insufficiency and use of sleep-enhancing medication.…”

Section: Methodsmentioning

confidence: 99%

Excessive Daytime Sleepiness among the Japanese General Population

Kaneita

Ohida

Uchiyama

et al. 2005

Journal of Epidemiology

118

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BACKGROUND: Excessive daytime sleepiness is one of the principal symptoms of sleep disturbances, and is often associated with serious consequences including traffic and industrial accidents, decreased productivity, and interpersonal problems. However, there are few epidemiologic studies on excessive daytime sleepiness in a large scale sample targeting Japanese general population. METHODS: The survey was performed using a self-administered questionnaire in June 2000, targeting a population randomly selected from among 300 communities throughout Japan. This questionnaire included information about sleep habits and sleep problems. Excessive daytime sleepiness measured according to a question “Do you fall asleep when you must not sleep (for example when you are driving a car)?” RESULTS: A total of 28,714 subjects completed the questionnaire. The prevalence of excessive daytime sleepiness was 2.5% (male=2.8% and female=2.2%). Backward elimination analysis showed that the following were associated with excessive daytime sleepiness: male sex, young age, short sleep duration, subjective insufficient sleep, loss of deep sleep, disagreeable sensations in the legs, interruption of sleep by snoring or dyspnea, and feeling psychological stress. Interruption of sleep by snoring or dyspnea was the strongest associated factor (adjusted odds ratio=2.46, 95% confidence interval=1.76-3.43) of excessive daytime sleepiness. CONCLUSIONS: These results suggest that excessive daytime sleepiness in Japanese is associated with several sleep problems. These findings may be useful in attempts to prevent excessive daytime sleepiness in the general population of Japan.

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Section: Methodsmentioning

confidence: 99%

Excessive Daytime Sleepiness among the Japanese General Population

Kaneita

Ohida

Uchiyama

et al. 2005

Journal of Epidemiology

118

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“…More than one-fourth of these respondents (27%) said they have driven drowsy to or from work at least a few days a month, 12 percent drove drowsy a few days a week, and four percent said they drove drowsy every day or almost every day 9) . Similarly, according to data from Australia, England, Finland, and other nations-all of which have more consistent crash reporting procedures than the U.S.-drowsy driving represents at least 10-20 percent of all crashes [13][14][15][16][17][18][19] . This data shows that we have only begun to scratch the surface in determining the real extent of the problem of driver fatigue and has led some to term drowsy driving "the silent killer".…”

Section: The Scope Of the Drowsy Driving Problemmentioning

confidence: 99%

A National Sleep Foundation's Conference Summary: The National Summit to Prevent Drowsy Driving and a New Call to Action

Drobnich

2005

INDUSTRIAL HEALTH

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“…It has been reported that EDS affects 0.5-14% of the population, (1)(2)(3)(4) seriously interfering with professional activities, as well as with family and social relationships, and reducing cognitive performance, thereby increasing the risk of accidents in the workplace and traffic accidents. (5)(6)(7)(8) It has been demonstrated that individuals who are sleep-deprived, due to limitations in either the quantity or quality of sleep, often are unable to respond rapidly to external stimuli and have greater difficulty in concentrating, which impairs their ability to perform certain activities, including driving a vehicle.…”

Section: Introductionmentioning

confidence: 99%

Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil

et al. 2009

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Objective: The aim of this study was to develop a Portuguese-language version of the Epworth sleepiness scale (ESS) for use in Brazil. Methods: The steps involved in creating the ESS in Brazilian Portuguese (ESS-BR) were as follows: translation; back-translation; comparison (by a committee) between the translation and the back-translation; and testing in bilingual individuals. The ESS-BR was applied to a group of patients who were submitted to overnight polysomnography in order to identify obstructive sleep apnea-hypopnea syndrome (OSAHS), insomnia and primary snoring. A control group was composed of subjects with a history of normal sleep habits, without reported snoring. Results: A total of 114 patients and 21 controls were included. The 8-item scores of the ESS-BR had an overall reliability coefficient of 0.83. The study group was composed of 59 patients with OSAHS, 34 patients with primary snoring and 21 patients with insomnia. One-way ANOVA demonstrated significant differences in ESS-BR scores among the four diagnostic groups (p < 0.001). Post-hoc tests between groups showed that the ESS-BR scores of the patients with insomnia did not differ from those of the controls (p > 0.05). The ESS-BR scores were significantly higher for OSAHS patients and for primary snorers than for controls (p < 0.05). In addition, the scores for OSAHS patients were significantly higher than were those for primary snorers (p < 0.05). Conclusions: The results of the present study demonstrate that the ESS-BR is a valid and reliable instrument for the assessment of daytime sleepiness, equivalent to its original version when applied to individuals who speak Brazilian Portuguese.Keywords: Validation studies; Sleep disorders; Cross-cultural comparison; Disorders of excessive somnolence. ResumoObjetivo: Desenvolver uma versão da escala de sonolência de Epworth (ESE) para o português para uso no Brasil. Métodos: A versão no português do Brasil (ESE-BR) foi desenvolvida de acordo com as seguintes etapas: tradução; retrotradução; comparação entre a tradução e a retrotradução (por um comitê); e aplicação em indivíduos bilín-gues. A ESE-BR foi aplicada a um grupo de pacientes submetidos à polissonografia de noite inteira para identificar síndrome da apneia-hipopneia obstrutiva do sono (SAHOS), insônia e ronco primário. Um grupo controle foi composto de indivíduos com história de hábitos normais de sono, sem ronco aparente. Resultados: Um total de 114 pacientes e 21 controles foram incluídos. Os 8 itens do ESE-BR tiveram um coeficiente de confiabilidade total de 0,83. O grupo em estudo foi composto por 59 pacientes com SAHOS, 34 pacientes com ronco primário e 21 pacientes com insônia. One-way ANOVA demonstrou diferenças significativas nos escores do ESE-BR entre os quatro grupos diagnósticos (p < 0,001). Testes post hoc entre grupos pareados mostraram que os escores do ESE-BR para insones não diferiram daqueles dos controles (p > 0,05). Os escores dos pacientes com SAHOS e nos roncadores primários foram significativamente maiores que os...

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Daytime sleepiness: a risk factor in community life

Cited by 92 publications

References 4 publications

Excessive Daytime Sleepiness among the Japanese General Population

Excessive Daytime Sleepiness among the Japanese General Population

A National Sleep Foundation's Conference Summary: The National Summit to Prevent Drowsy Driving and a New Call to Action

Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil

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