Incidence Of Excessive Daytime Sleepiness Research Articles

The Relationship between Sleep Quality and Body Mass Index (BMI) with Excessive Daytime Sleepiness in Students

Excessive Daytime Sleepiness (EDS) in students often occurs. EDS can be influenced by several factors, including excessive BMI, poor sleep quality, lifestyle, mental health and neurological disorders. This study aims to determine the relationship between sleep quality and body mass index (BMI) with the incidence of excessive daytime sleepiness in students. This research uses a descriptive correlation method with a cross sectional approach. The research sample of 237 respondents who met the inclusion criteria used a probability sampling technique, namely stratified random sampling. The analysis used was bivariate analysis using the Chi Square and Kolmogorov-Smirnov tests. The results showed that the majority of respondents were women (90.7%), aged 19-21 years (63.3%), had poor sleep quality (87.8%), normal BMI category (62%), and the majority of respondents experienced Excessive Daytime Sleepiness EDS (71.3%). The chi-square results of the relationship between sleep quality and EDS obtained p-value = 0.937 α (0.05) and the Kolmogorov-Smirnov results of the relationship between BMI and EDS obtained p-value = 0.274 α (0.05). There is no significant relationship between sleep quality and the incidence of Excessive Daytime Sleepiness (EDS) in students and there is no relationship between body mass index and the incidence of Excessive Daytime Sleepiness (EDS). It is hoped that the results of this research can be used as suggestions for students to improve sleep quality.

Obesity and Its Relation to Excessive Daytime Sleepiness in Civilian Pilots.

INTRODUCTION: Excessive daytime sleepiness (EDS) is often associated with decreased work performance and fatigue in civil pilots. However, aeromedical recommendations for the evaluation of EDS are associated with suspicion of obstructive sleep apnea (OSA). Currently, many studies have found an association between obesity and EDS, regardless of OSA. This study aims to determine whether there is a relationship between obesity and EDS in Indonesian civilian pilots, as well as its risks for developing OSA.METHODS: This study used a cross-sectional design and was carried out at the Directorate General Civil Aviation Medical. Subjects were asked to fill out questionnaires, including the Epworth Sleepiness Scale to measure EDS and STOP-Bang to assess OSA risk, followed by anthropometric measurements for body mass index (BMI) and waist circumference as obesity indicators.RESULTS: A total of 156 subjects were obtained, with an EDS prevalence of 16.7%. There was no significant relationship between obesity and EDS, but the prevalence of EDS was higher in obese subjects based on waist circumference than based on BMI (17.8% vs. 15.6%). Most obese pilots with EDS had a low risk of OSA (83.3% and 80%).CONCLUSION: The prevalence of EDS was found to be higher in pilots with central obesity compared to BMI-categorized obesity. The incidence of EDS was not correlated with the risk of OSA.Brahmanti RS, Sampurna B, Ibrahim N, Adi NP, Siagian M, Werdhani RA. Obesity and its relation to excessive daytime sleepiness in civilian pilots. Aerosp Med Hum Perform. 2023; 94(11):815-820.

The Relationship between Stress Levels and Excessive Daytime Sleepiness in Final Year Students of the Faculty of Nursing, University of Riau

Final year students are prone to experiencing stress as a result of the pressure or burden they experience. Stressful conditions can cause sleep problems in individuals, one of which is Excessive Daytime Sleepiness. EDS is a feeling of excessive sleepiness during the day. The purpose of this study was to determine the relationship between stress levels and the incidence of Excessive Daytime Sleepiness in final year students of the Faculty of Nursing, University of Riau. This study uses a type of quantitative research with a correlation research design and a cross sectional approach. The study was conducted on 105 respondents, namely final year students at the Faculty of Nursing, University of Riau with a sampling technique using proportional random sampling. The research instrument used a questionnaire sheet. The analysis used was univariate and bivariate analysis using the Pearson Chi Square test. The results of the bivariate statistical test showed that there was a relationship between stress levels and the incidence of Excessive Daytime Sleepiness in final year students of the Faculty of Nursing, University of Riau with a p value of 0.000 α (0.05). There is a relationship between stress levels and the incidence of Excessive Daytime Sleepiness in students of the Faculty of Nursing, University of Riau. It is expected that students can control stressful events to avoid Excessive Daytime Sleepiness.

Sleep disorders in Wilson's disease: a questionnaire study.

To examine the clinical characteristics and influencing factors related to sleep disorders in patients with Wilson's disease (WD), and investigate its potential mechanisms. A total of 150 patients with WD (76 hepatic, 42 neurological, 32 asymptomatic form) and 150 age- and sex-matched control subjects were investigated using 3 standardized sleep questionnaires. Differences among 3 subtypes were discussed. The mean Parkinson's disease sleep scale (PDSS) score of WD was lower than the controls (Z = - 4.426, P = 0.000), and their mean Epworth Sleepiness Scale (ESS) score as well as Pittsburgh sleep quality index (PSQI) score of WD was higher than that of the controls (t = 2.005, P = 0.048; t = 3.342, P = 0.001). The incidence of excessive daytime sleepiness (EDS) in WD group were significantly higher than the controls (X2 = 6.064, P = 0.014). Further analysis showed that total PDSS score of neurologic presentation group was lower than others (X2 = 6.131, P = 0.047), while the ESS score was higher (F = 3.817, P = 0.029). UWDRS showed a negative correlation with PDSS (r = - 0.440, P = 0.022) and has a higher negative correlation with PDSS in neurologic presentation group (r = - 0.732, P = 0.000). Patients with WD often suffer from sleep disturbances, mainly characterized by difficulty falling asleep, difficulty staying asleep, nocturnal motor symptoms (numbness, cramps, tremor), and daytime dozing. And the incidence of EDS is significantly higher than that of the controls. Sleep quality is worse in patients with WD of neurologic presentation than the other two groups. Furthermore, the worse of the symptoms, patients with WD suffer more serious of the sleep disorders especially in neurologic presentation group.

Association Between High Risk of Obstructive Sleep Apnea and Excessive Daytime Sleepiness in Elderly People Based on Epworth Sleepiness Scale and Karolinska Sleepiness Scale after Exposure to Low Frequency Whole Body Vibration

Background: The most common symptom of obstructive sleep apnea (OSA) is excessive daytime sleepiness (EDS). Aim: To look for the high risk of OSA in the elderly population and its association with increased Epworth sleepiness scale (ESS) and Karolinska sleepiness scale (KSS) scores after exposure with low-frequency whole body vibration (LFWBV). Method: This study used a one group pretest-post test design. Subjects examined for Snoring Score (SS), ESS and KSS scores, after which subjects were given exposure to LFWBV and examined for post-exposure KSS scores. Results: There were more elderly people who have a high risk of OSA. The ESS score showed a non-significant relationship between high risk of OSA and the incidence of EDS based on an increase in ESS score (r 0.401; p value 0.064) and the degree of sleepiness based on the KSS score after LFWBV exposure (r 0.296; p value 0.181), although ESS scores were higher in the group with high risk of OSA (mean score 4.85; p value 0.003). Discussion: The results of this study are consistent with several other studies which show no significant correlation between high risk of OSA and increased ESS scores. LFWBV does provide comfort and increases the degree of sleepiness in subjects with or without a high risk of OSA. Conclusion: Older age increases the risk of OSA, but does not cause EDS. LFWBV caused an increase in the degree of sleepiness, both the high-risk and non-high-risk OSA groups. Keywords: Obstructive sleep apnea, Epworth sleepiness scale, whole body vibration, Karolinska sleepiness scale.

Gambaran Excessive Daytime Sleepiness Mahasiswa Keperawatan Tingkat Akhir

Introduction: Excessive Daytime Sleepiness (EDS) was complained by nursing students last semester that can lead to worse health conditions, decreased learning ability, mood disorders, and motor vehicle accidents. The description of EDS prevalence is the basis of preventive efforts to prevent further effects of EDS which can affect quality of life. Research on the description of EDS based on the characteristics of respondents (age, sex, smoking, duration of sleep, consumption of sleeping pills, consumption of coffee, use of gadgets, and physical activity) has never been done. The purpose of this study was to determine the description of EDS of the final semester nursing students at a university.Methods: This research was descriptive quantitative research with survey method. The sample used was 109 respondents with a total sampling technique. Data collection online used an Epworth Sleepiness Scale (ESS) questionnaire. Data analysis was performed univariate to explain the overview of EDS in the form of frequency and percentage distributions.Results: The results showed that 40.4% of respondents experienced EDS with an ESS score ≥ 10. The incidence of EDS was more experienced by respondents aged 22 years (25.7%), women who were not menstruating (32.7%), did not smoke (38.5%), sleep duration 6-9 hours/day (32.1%), did not consume sleeping pills (40.4%), did not consume coffee (31.2%), used gadgets (38.5%), and physical activity < 3 times a week (23.7%).Conclusion: Students should pay attention to the need for sleep and avoid the factors that cause EDS to improve quality of life, optimize health and avoid the risk of accidents.

Participation In A Seven-Day Health Education Camp Improved Health Parameters In Overweight Children

Childhood obesity affects millions of children worldwide. Multidisciplinary interventions are more effective in treating and controlling obesity since it has a multifactorial origin. Health education camps have shown positive contributions to both obesity prevention and treatment. PURPOSE: To investigate the effects of participating in the camp how fun can be healthy (KIDS) on health parameters in overweight children. METHODS: Twenty children of both genders (7-11 years olds; BMI >85th) attended the KIDS for seven days. Educational, social and recreational activities were carried out at KIDS by a multidisciplinary team (physical education, nutrition, psychology, and pedagogy). Anthropometric parameters (Body weight - BW; Body mass index - BMI), skinfold thickness (tricipital + subscapular - ƩST), % body fat (%BF), resting metabolic rate (RMR), triglycerides (TG), LDL, basal insulin (BI), HOMA IR, HOMA B, and VO2max were measured before and after KIDS. Parental control of children's eating habits and sleep patterns was also assessed before KIDS. The paired Student's t-test was used to compare the effect of intervention. RESULTS: Children improved all health parameters after KIDS respectively (52.52±10.28 vs 51.85±9.76kg; 25.23±2.35 vs 24.93±2.24kg/m2; 64.85±14.97 vs 58.53±12.28mm; 45.11±8.18 vs 41.66±6.71%BF; 1,579.22±347.23 vs 1,805.11±312.23kcal; 130.31±96.01 vs 50.05±19.86mg/dL; 93.22±26.36 vs 68.94±22.23mg/dL; 14.56±7.26 vs 8.59±2.18μUI/mL; 2.81±1.36 vs 1.55±0.58μUI/mL; 327.09±197.84 vs 211.47±83.22; p<0.05). However, no change was observed in VO2max when compared pre and post KIDS respectively (38.74±2.56 vs 38.72±2.61mL.kg-1min-1). Maternal concern for the child's overweight and modulation were the items of greatest concern while the perception of maternal overweight and the pressure to children’s eat were the least concern of the parents. It was also observed a high incidence of excessive daytime sleepiness, sleep breathing disorders and sleep onset and maintenance disorder in these children. CONCLUSIONS: Participation in KIDS for seven days induced significant improvement in health parameters, but not in aerobic fitness in overweight children. Supported by CNPq, CAPES, and Sabin.

Risk factors of excessive daytime sleepiness in a prospective population-based cohort.

Although excessive daytime sleepiness is commonly evaluated in clinical and research settings using the Epworth Sleepiness Scale, few studies have assessed the factors associated with its incidence in the general population. We prospectively investigated the predictors of incident and persistent excessive daytime sleepiness in 2,751 subjects (46.1% men, mean age 56.0±9.8years) from the CoLaus-PsyCoLaus population-based cohort (Lausanne, Switzerland) over 5years. Participants completed the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index, and underwent a full clinical evaluation at baseline and 5 years afterwards. Ambulatory polysomnography was performed at baseline in a sub-sample of 1,404 subjects. Among the 2,438 subjects without excessive daytime sleepiness (Epworth Sleepiness Scale ≤10) at baseline, the 5-year incidence of excessive daytime sleepiness was 5.1% (n=124). Multivariate logistic regression revealed that male sex, depressive symptoms, reported poor sleep quality and moderate to severe obstructive sleep apnea were independent predictors of incident excessive daytime sleepiness, while older age, moderate coffee consumption, periodic leg movement during sleep and hypertension were independent protective factors. Stratified analysis according to sex and age showed some distinctive associations. Among the 313 patients with excessive daytime sleepiness at baseline, 137 (43.8%) had persistent excessive daytime sleepiness 5years later. Our findings provide new insights into the predictors of incident excessive daytime sleepiness, but interventional studies are needed to understand the impact of treating these risk factors on the incidence of excessive daytime sleepiness.

Incidence of Daytime Sleepiness and Associated Factors in Two First Nations Communities in Saskatchewan, Canada.

Excessive daytime sleepiness (EDS) is the tendency to sleep at inappropriate times during the day. It can interfere with day-to-day activities and lead to several health issues. The objective of this study was to investigate the association between income, housing conditions, and incidence of EDS in adults living in two Cree First Nations communities. The data for this study involved 317 individuals aged 18 years and older who participated in baseline and follow-up evaluations (after four years) of the First Nations Lung Health Project, which was conducted in Saskatchewan in 2012–2013 and 2016. Both at baseline and follow-up survey after four years, an Epworth Sleepiness Scale (ESS) score >10 was considered to be abnormal. Logistic regression models were used to assess relationships between abnormal ESS and covariates at baseline. In 2016, 7.6% (24/317) of the participants reported an ESS >10 with the mean being 12.8 ± 2.0. For the same group, the mean ESS at baseline was 6.9 ± 2.2. The incidence of subjective EDS based on the ESS >10 was estimated at 7.6% over four years. This study showed an association between incidence of subjective EDS and less money left over at end of the month, having a house in need of repairs, having water or dampness in the past 12 months, and damage caused by dampness.

Sleep disorders in a sample of students in Taif University, Saudi Arabia: The role of obesity, insulin resistance, anemia and high altitude

AimThe aim of this study was to assess the incidence of sleep disorders and excessive daytime sleepiness (EDS) among Taif University students and to explore the precipitating factors of these disorders. MethodsThis study was carried out on 1066 students in Taif University of both sexes aging from 18 to 25 years. All included individuals were subjected to full history taking and thorough clinical examination, with special concern on anthropometric measurements (weight, height, waist-to-hip ratio and body mass index). Also, fasting blood glucose, fasting serum insulin, homeostatic model assessment (HOMA) index and blood hemoglobin levels were measured. Sleep disorders were assessed using sleep disturbances scale and the Epworth sleepiness scale. ResultsThe overall incidence of sleep disorders and EDS was 31.33% and 15.29% respectively with statistically significant prevalence in females than males. There was significant positive correlation between sleep disturbances scale and Epworth sleepiness scale on one hand and body weight, body mass index, waist-to-hip ratio, the height of the residence place above the sea level, fasting and post-prandial blood glucose, fasting serum insulin and HOMA index on the other hand. Also, there was significant negative correlation between sleep disturbances scale and Epworth sleepiness scale on one hand and blood hemoglobin levels on the other hand. ConclusionSleep disorders and EDS in Taif University students were precipitated by high altitude, anemia, obesity and glucose intolerance. Control of these factors may have a positive impact on the incidence of sleep disorders and EDS in this age group.

Course, risk factors, and mental health outcomes of excessive daytime sleepiness in rural Chinese adolescents: A one-year prospective study

BackgroundThis study aimed to examine the one-year incidence and persistence of excessive daytime sleepiness (EDS) in rural Chinese adolescents and their risk factors. In addition, we also aimed to explore the potential bidirectional associations of EDS with anxiety symptoms and depressive symptoms. MethodsA total of 3736 adolescents from 5 high schools from rural area in the south China were eligible for follow-up. Among them, 2787 responded to follow-up after one year. EDS was defined as having a total score of the Epworth Sleepiness Scale over 10. ResultsThe one-year persistence rate and incidence rate of EDS were 27.6% and 9.3%, respectively. After controlling for age and sex, new incident EDS was significantly associated with perceived high study stress, depressive symptoms, insomnia symptoms, and high life events at baseline. Baseline EDS predicted new onsets of depression and anxiety at follow-up. Cross-lagged analyses further revealed that there were bidirectional associations between EDS and anxiety symptom and between EDS and depressive symptoms. Persistent EDS was only associated with eveningness chronotype. In particular, short sleep duration and obesity were associated with neither new incidence nor persistence of EDS in this population. LimitationsAll measures relied on self-reported questionnaires rather than objective assessments, which might have led to report bias. ConclusionsWe have identified a number of risk factors of the one-year incidence of EDS (such as perceived high study stress, depressive symptoms, insomnia symptoms, and high life events) and persistence of EDS (eveningness chronotype) in rural adolescents. There is a reciprocal relationship of EDS with anxiety and depression. In this population, sleep loss and obesity seem not related to the course of EDS.

Natural history of excessive daytime sleepiness: role of obesity, weight loss, depression, and sleep propensity.

Excessive daytime sleepiness (EDS) is highly prevalent in the general population and is associated with occupational and public safety hazards. However, no study has examined the clinical and polysomnographic (PSG) predictors of the natural history of EDS. Representative longitudinal study. Sleep laboratory. From a random, general population sample of 1,741 individuals of the Penn State Adult Cohort, 1,395 were followed up after 7.5 years. Full medical evaluation and 1-night PSG at baseline and standardized telephone interview at follow-up. The incidence of EDS was 8.2%, while its persistence and remission were 38% and 62%, respectively. Obesity and weight gain were associated with the incidence and persistence of EDS, while weight loss was associated with its remission. Significant interactions between depression and PSG parameters on incident EDS showed that, in depressed individuals, incident EDS was associated with sleep disturbances, while in non-depressed individuals, incident EDS was associated with increased physiologic sleep propensity. Diabetes, allergy/ asthma, anemia, and sleep complaints also predicted the natural history of EDS. Obesity, a disorder of epidemic proportions, is a major risk factor for the incidence and chronicity of EDS, while weight loss is associated with its remission. Interestingly, objective sleep disturbances predict incident EDS in depressed individuals, whereas physiologic sleep propensity predicts incident EDS in those without depression. Weight management and treatment of depression and sleep disorders should be part of our public health policies.

Padrão de sono e sonolência do trabalhador estudante de enfermagem

Atualmente tem sido observado crescente interesse, na área da saúde, no desenvolvimento de pesquisas sobre as alterações de sono do trabalhador que acorda muito cedo ou trabalha à noite. Assim, objetivou-se identificar os níveis de sonolência e padrões de sono do estudante diurno de enfermagem que trabalha à noite. Trinta estudantes participaram, através do preenchimento da Escala de Sonolência de Epworth e Diário de Sono, durante trinta dias. Teve-se que a duração do sono foi maior para os homens, quando comparados às mulheres, nos dias sem trabalho e no período de férias quando comparado ao letivo. Apresentaram-se elevados níveis de sonolência, caracterizando incidência de sonolência diurna excessiva. Concluímos que o trabalhador noturno, que sofre privação do sono, tem um acréscimo das horas de vigília devido ao estudo, ocasionando níveis elevados de sonolência, o que pode prejudicar seu desempenho escolar e no trabalho.

High Incidence of Excessive Daytime Sleepiness in High-School Students

SESSION TYPE: Sleep III

Daytime Sleepiness and Quality of Life in Peritoneal Dialysis Patients

We aimed to compare automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) therapy with regard to patients' excessive daytime sleepiness (EDS) and quality of life (QOL). EDS was assessed with the Epworth Sleepiness Scale (ESS) and QOL with the Medical Outcomes Study 36-Item Short Form (SF-36) health survey. We included 59 patients (CAPD/APD, 30/29; male/female, 33/26; age, 45.3±15.8 years; dialysis duration, 42.0±33.6 months). The CAPD and APD groups were similar with respect to factors that affected sleep quality (age, sex, duration of PD), smoking, alcohol intake, socioeconomic status, body mass index, comorbid disease, and various laboratory parameters. Although one patient (3.3%) treated with CAPD and four patients (13.8%) treated with APD experienced EDS, there was no significant differences in ESS scores between the CAPD and APD patients. There was no difference in the SF-36 total and subscale scores when APD patients were compared with CAPD patients. The independent predictors of ESS were the serum albumin level (β= -2.04, P<0.01), total SF-36 score (β= 0.08, P=0.02), social functioning score (β= -2.47, P=0.01), and role-emotional subscale score (β= -1.12, P=0.05). The incidence of EDS was slightly higher in APD patients, but it did not negatively affect daily activities or QOL.

A Study of Excessive Day Time Sleepiness in Asthma

A study was conducted in the Department of Respiratory Medicine, Nil Ratan Sircar Medical College, Kolkata over a period of two years on 120 uncomplicated stable adult asthmatics selected by random sampling to assess the incidence of Excessive Daytime Sleepiness (EDS) in patients with asthma, and to find out its correlation with the severity and the level of control of asthma. Diagnosis of asthma and its severity and level of control were assessed clinically, by peak flow meter and by spirometry. EDS was assessed by (Epworth Sleepiness Scale score ≥ 10). We found incidence of EDS was 30.8% where as EDS in general population of Kolkata was 11.3% (Z = 4.627, P = < 0.05). We also found a definite correlation between EDS with the severity of asthma (5.9% in intermittent, 19.4% in mild persistent, 39.3% in moderate and 83.3% in severe asthmatics) and the level of control (none in good level of control, 25.5% in fair level of control and 58.9% in poor level of control of asthma). However there was no correlation between the mode of diagnosis of asthma and EDS (31.8% in asthmatics diagnosed clinically, 25% by peak flow meter and 31.6% by spirometry).

Objective sleepiness measures in pediatric obstructive sleep apnea.

Excessive daytime sleepiness (EDS) occurs frequently in adult patients with obstructive sleep apnea (OSA). However, the incidence of EDS in children with OSA is unknown. To determine overall daytime sleepiness in pediatric OSA, 54 children with OSA, 14 children with primary snoring (PS), and 24 controls (C) underwent an overnight diagnostic polysomnogram followed the next day by a multiple sleep latency test. The mean apnea index was 15.1 +/- 9.5 standard deviation in OSA, 1.1 +/- 0.5 in PS, and 0.1 +/- 0.3 in C. Mean sleep latencies were 23.7 +/- 3.0 minutes in C, 23.7 +/- 3.1 minute in PS, and 20.0 +/- 7.1 minute in OSA patients. However, only 7 children with OSA had mean sleep latencies <10 minutes. In addition, shorter sleep latencies were more likely to occur in more obese OSA patients and those with more severe apnea index, and oxyhemoglobin desaturation. Shortened sleep latencies occur in children with OSA, but EDS is infrequent and tends to develop among more severe and/or obese patients.

Familial aspects of narcolepsy-cataplexy in the Czech Republic.

A group of 153 probands with narcolepsy included 38 subjects (24.8%) with a familial incidence of excessive daytime sleepiness (EDS). In 15 cases (9.8%), at least one additional family member suffered from narcolepsy-cataplexy; only EDS was present in the remaining 23 cases (15.0%). One thousand eighty-two relatives were evaluated. The percentage of first degree relatives affected with narcolepsy-cataplexy was 2.28% (1.20% if only clinically confirmed cases were accounted); the adequate value for second degree relatives was 1.49%. The occurrence of EDS exceeded these values several times (4.28% in first degree relatives, 6.57% in second degree relatives). The vertical mode of transmission was found in most families. Human leukocyte antigen (HLA) typing was performed in six families with multiple-case incidence of narcolepsy. Forty-one blood samples were analyzed (12 patients with narcolepsy, 7 with only EDS, 2 with sleep apnea syndrome, and 20 healthy relatives). HLA DR2+ and DQB1*0602+ were found in only 8 out of 12 narcoleptic patients with cataplexy and in six out of seven patients with isolated attacks of sleepiness. These findings support the hypothesis that there is a common genetic basis for narcolepsy associated with cataplexy and "monosymptomatic" forms of narcolepsy and suggest the existence of non-major histocompatibility complex (MHC) susceptibility factors for narcolepsy.