Relationships between nasal obstruction, observed apnea, and daytime sleepiness

2007 ◽  
Vol 137 (4) ◽  
pp. 669-673 ◽  
Author(s):  
Tsuyoshi Udaka ◽  
Hideaki Suzuki ◽  
Takeyuki Fujimura ◽  
Nobuaki Hiraki ◽  
Teruo Shiomori ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nasal Obstruction ◽  
Study Design ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Questionnaire Survey ◽  
Epworth Sleepiness Scale ◽  
Sleep Disordered Breathing ◽  
Confounding Factors ◽  
Working Population

Objective We administered a questionnaire survey to a working population in an attempt to clarify the relationships between self-reported nasal obstruction, observed apnea during sleep, and daytime sleepiness. Study Design A total of 7980 daytime workers were asked to complete questionnaires about nasal obstruction, apnea during sleep, and daytime sleepiness. Of the 7702 responses, the data from 4818 subjects were analyzed. Nasal obstruction and observed apnea were graded into 3 categories. Daytime sleepiness was assessed by the Epworth Sleepiness Scale. Results Subjects with chronic nasal obstruction had 5.22 and 2.17 times higher odds for having habitual observed apnea and excessive daytime sleepiness (EDS), respectively, compared with those without nasal obstruction ( P < 0.001). After adjusting for 3 potential confounding factors (age, sex, and body mass index) and the presence of habitual observed apnea, odds ratios for having EDS decreased, but still remained significant. Conclusion Nasal obstruction is likely to cause daytime sleepiness, at least in part, by causing sleep-disordered breathing including apnea during sleep.

scholarly journals Daytime sleepiness and academic performance in medical students

2002 ◽  
Vol 60 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Raimundo Nonato D. Rodrigues ◽  
Carlos A.A. Viegas ◽  
Aída A.A. Abreu e Silva ◽  
Paulo Tavares
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Epworth Sleepiness Scale ◽  
The University ◽  
School Period

This report presents an analysis of the complaints of increasing daytime sleepiness as well as a study on their possible effects on the academic performance of medical students at the University of Brasilia. The Epworth Sleepiness Scale was applied to 172 medical students, at the beginning of August 1997 and at the end of November 1997. Academic performance was measured by analyzing the number of SS grades (from 9.0 to 10 over ten) and MM grades (from 5.0 to 6.9) attained in exams at the end of that school period. The results showed that at the beginning of the semester, 68 (39.53%) of these 172 students already presented with excessive daytime sleepiness, and that of the 104 remaining students, 38 (22%) developed daytime sleepiness by the end of the semester. Furthermore, it was observed that the sleepier students did not achieve as well as the others on their final examinations.

scholarly journals Response to the letter entitled “Obstructive sleep apnea, excessive daytime sleepiness, and adherence to antihypertensive treatment: Questionnaire survey”

2017 ◽  
Vol 19 (12) ◽  
pp. 1384-1384
Author(s):  
Camila Gosenheimer Righi ◽  
Denis Martinez ◽  
Sandro Cadaval Gonçalves ◽  
Miguel Gus ◽  
Leila Beltrami Moreira ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Questionnaire Survey ◽  
Antihypertensive Treatment ◽  
Obstructive Sleep

scholarly journals Can a Bengali version of Epworth Sleepiness Scale evaluate excessive daytime sleepiness: a validity study

2011 ◽  
Vol 6 (3) ◽  
pp. 102-104
Author(s):  
Rantu Paul ◽  
Rana Dey ◽  
Saikat Nag ◽  
Saswata Chatterjee ◽  
Madan Sarma ◽  
...  
Keyword(s):  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Epworth Sleepiness Scale ◽  
Validity Study

scholarly journals The Epworth Sleepiness Scale in Service Members with Sleep Disorders

2019 ◽  
Vol 184 (11-12) ◽  
pp. e701-e707 ◽  
Author(s):  
April Hurlston ◽  
Shannon N Foster ◽  
Jennifer Creamer ◽  
Matthew S Brock ◽  
Panagiotis Matsangas ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Military Personnel ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Epworth Sleepiness Scale ◽  
Clinical Utility ◽  
Obstructive Sleep ◽  
The Military

ABSTRACTIntroductionExcessive daytime sleepiness affects an estimated 20% of the general population. While the prevalence of sleepiness in the military is largely unknown, it is well established that short sleep duration is endemic. The reasons for this include: the demanding nature of their duties, shift work and 24-hour duty periods, deployments and exigencies of military service as well as sleep disorders. The Epworth Sleepiness Scale (ESS) is the most widely used sleep questionnaire and provides a self-assessment of daytime sleepiness. To date the clinical utility of this questionnaire in differentiating sleep disorders in military patients with sleep disorders has never been evaluated.Materials and MethodsThe primary aim of this manuscript was to assess if Epworth Sleepiness Scale (ESS) scores differed between military personnel with insomnia, obstructive sleep apnea (OSA), comorbid insomnia/obstructive sleep apnea (COMISA), and a group with neither insomnia nor obstructive sleep apnea (NISA). This study assessed the clinical utility of the ESS in differentiating sleep disorders amongst a sample (N = 488) of U.S. military personnel with insomnia (n = 92), OSA (n = 142), COMISA (n = 221), and a NISA group (n = 33) which served as the control population.ResultsIn the present sample, 68.4% of service members reported excessive daytime sleepiness (EDS) with an ESS &gt; 10. ESS scores differed between military personnel with COMISA (13.5 ± 4.83) and those with OSA only (11.5 ± 4.08; p &lt; 0.001) and the NISA group (9.46 ± 4.84; p &lt; 0.001). Also, ESS scores differed between patients with insomnia only (13.0 ± 4.84) and the NISA group (p &lt; 0.01).ConclusionsOverall, the ESS had poor ability to differentiate sleep disorders. In military personnel, the ESS appears elevated in the most common sleep disorders, likely due to their insufficient sleep, and does not help to differentiate OSA from insomnia. Further studies are required to validate this questionnaire and determine an appropriate threshold value for abnormal sleepiness in the military population.

scholarly journals Sleep Disordered Breathing with Excessive Daytime Sleepiness is a Risk Factor for Mortality in Older Adults

SLEEP ◽  
2011 ◽  
Vol 34 (4) ◽  
pp. 435-442 ◽  
Author(s):  
Nalaka S. Gooneratne ◽  
Kathy C. Richards ◽  
Marshall Joffe ◽  
Regina W. Lam ◽  
Fran Pack ◽  
...  
Keyword(s):  
Older Adults ◽  
Risk Factor ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Disordered Breathing ◽  
Disordered Breathing

scholarly journals Excessive Daytime Sleepiness in Stroke Survivors

2016 ◽  
Vol 18 (4) ◽  
pp. 420-431 ◽  
Author(s):  
Qinglan Ding ◽  
Robin Whittemore ◽  
Nancy Redeker
Keyword(s):  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Disordered Breathing ◽  
Functional Performance ◽  
Stroke Survivors ◽  
Inclusion Criteria ◽  
Robin Hood ◽  
Definition Of ◽  
Prevalent Symptom

Excessive daytime sleepiness (EDS) is a prevalent symptom among stroke survivors. This symptom is an independent risk factor for stroke and may reduce stroke survivors’ quality of life, cognitive functioning, and daytime functional performance. The lack of a universally accepted definition of EDS makes it difficult to measure EDS and synthesize research. The purpose of this integrative review is to describe poststroke EDS, ascertain conceptual and operational definitions of EDS, identify factors that contribute to EDS in stroke survivors, and explore outcomes associated with EDS in stroke survivors. We searched the following databases: PubMed and MEDLINE (OvidSP 1946—April; Week 2, 2015), Embase (OvidSP 1974—March; Week 1, 2015), and PsycINFO (OvidSP 1967—April; Week 2, 2015). Our search yielded 340 articles, 27 of which met inclusion criteria. The literature reveals EDS to be a multidimensional construct that is operationalized with both subjective and objective measures. Choosing measures that can quantify both the objective and subjective components is useful for gaining a comprehensive understanding of EDS. The antecedents of EDS are stroke, sleep-disordered breathing, reversed Robin Hood syndrome, and depression. The outcomes associated with EDS in stroke patients are serious and negative. Via synthesis of this research, we propose a possible framework for poststroke EDS, which may be of use in clinical practice and in research to identify valid quantifying methods for EDS as well as to prevent harmful outcomes in stroke survivors.

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