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

Abstract Sleep disordered breathing (SDB) is a significant cause of motor vehicle crash (MVC). We conducted a prospective cohort study among 1047 Japanese community-dwellers to detect whether the presence or absence of subjective excessive daytime sleepiness (EDS) affect the association of SDB with a risk of MVC. SDB was assessed by a single airflow monitor which measured the respiratory disturbance index (RDI) during one-night, and participants were classified into the SDB group (RDI ≥ 10) and non-SDB group (RDI < 10). Subjective EDS was defined as Japanese version of Epworth Sleepiness Scale scores ≥ 11. A follow-up questionnaire five years after the baseline ascertained history of MVC over the period. Multivariable logistic regression analysis examined the association between SDB and MVC after stratification by subjective EDS. The multivariable-adjusted odds ratios (95% confidence interval) for MVC among the female SDB group were 1.66 (1.05–2.63) compared with the non-SDB group, and this association was more evident in females without subjective EDS [1.84(1.02–3.32)], but not among those with subjective EDS. There was no significant association in males. These findings indicate that SDB screening should be recommended regardless of subjective EDS to prevent SDB-related MVC among general population, particularly in females.

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The Barcelona Sleepiness Index: A New Instrument to Assess Excessive Daytime Sleepiness in Sleep Disordered Breathing

Journal of Clinical Sleep Medicine ◽

10.5664/jcsm.5188 ◽

2015 ◽

Vol 11 (11) ◽

pp. 1289-1298 ◽

Cited By ~ 12

Author(s):

Marc Guaita ◽

Manel Salamero ◽

Isabel Vilaseca ◽

Alex Iranzo ◽

Josep M. Montserrat ◽

...

Keyword(s):

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

Sleep Disordered Breathing ◽

New Instrument ◽

Disordered Breathing

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Sleep-disordered breathing and self-reported general health status in Thai patients

Asian Biomedicine ◽

10.2478/abm-2010-0113 ◽

2010 ◽

Vol 4 (6) ◽

pp. 861-868 ◽

Cited By ~ 2

Author(s):

Prakobkiat Hirunwiwatkul ◽

Patnarin Mahattanasakul

Keyword(s):

Health Status ◽

Excessive Daytime Sleepiness ◽

Daytime Sleepiness ◽

General Health ◽

Sleep Disordered Breathing ◽

Short Form ◽

General Health Status ◽

Cross Sectional ◽

Obstructive Sleep ◽

Disordered Breathing

Abstract Background: Sleep-disordered breathing (SDB) has been a rapidly increasing health problem in Thai. Its effect on quality of life of Thai patients has not been adequately addressed. Objective: Determine the relationship between SDB and self-reported general health status in Thai patients. Materials and methods: A descriptive and cross-sectional study was used. Two hundred and sixtyeight patients (195 men and 73 women, age: 16-82 years) are recruited from King Chulalongkorn Memorial Hospital between January 2006 and December 2007. A health profile was obtained by self-administered questionnaire. SDB severity was assessed using an attended single-night comprehensive polysomnography. Results: SDB was not directly associated with the general health status. Presence of excessive daytime sleepiness, which was the major symptom of obstructive sleep apnea, was associated with a decrease in all domains of Short Form 36. Age, sex, and body mass index were also related to a lower physical function. Hypertension and excessive daytime sleepiness were associated with the severity of SDB. Conclusion: SDB is indirectly related to a lower general health status, and this relationship is of clinical significance.

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