Determinants of excessive daytime sleepiness in two First Nation communities

Abstract

BackgroundExcessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan.MethodsData for this study were from a 2012–13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10.ResultsOf 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness.ConclusionsExcessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.

<p>Gender Differences in the Clinical and Polysomnographic Characteristics Among Australian Aboriginal Patients with Obstructive Sleep Apnea</p>

“…Few studies have documented sleep health issues among other Indigenous English speaking Organization for Economic Co-operation and Development (OECD) countries, such as New Zealand Māori's, Canadian First Nations, and United States Indigenous people. 26,38,39 Obesity, symptomatic OSA, and the presence of other medical co-morbidities were noted in higher proportions, as noted in our study cohort. Chronic health conditions are noted to be highly prevalent in Indigenous populations, including Australian Aboriginal people.…”

The Ignored Parameter in the Diagnosis of Obstructive Sleep Apnea Syndrome The Oxygen Desaturation Index

“…EDS is one of the most common symptoms of OSAS (5). This situation affects the cognitive functions and work performance of patients (5,9). However, not all patients with OSA complain of daytime sleepiness.…”

“…AHIs of <5, 5-14, 15-29, and ≥30 were referred to as common snoring, mild OSA, moderate OSA, and severe OSA, respectively. ODI was graded into three groups: mild (5)(6)(7)(8)(9)(10)(11)(12)(13)(14), moderate (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29), and severe (≥30) OSA. Patients with an ODI<5 were graded as having no oxygen disturbance.…”

“…The validated Turkish version of the Epworth sleepiness scale (ESS) was used to evaluate the excessive daytime sleepiness (EDS) scores of the patients. ESS was categorized into three groups: no daytime sleepiness (ESS≤8), mild or moderate EDS (9)(10)(11)(12)(13)(14), and severe EDS (15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Predictors of change over time in subjective daytime sleepiness among older adult recipients of long-term services and supports

“…chronic lung disease, shortness of breath, loud snoring) and environmental factors (i.e. home needing minor repairs and home crowdedness) (van der Spuy et al, 2017). Few longitudinal studies have examined health-related risk factors associated with changes in daytime sleepiness among older adults.…”