Sleepiness in patients with moderate to severe sleep-disordered breathing

Vishesh K. Kapur, Carol M. Baldwin, Helaine E. Resnick, Daniel J. Gottlieb, F. Javier Nieto

Research output: Contribution to journalArticle

180 Citations (Scopus)

Abstract

Background: Population-based studies suggest that complaints of sleepiness are absent in many individuals with sleep-disordered breathing. We investigated the prevalence of sleepiness as well as factors associated with sleepiness in individuals with moderate to severe sleep-disordered breathing (apnea-hypopnea index ≥ 15). Design: Cross-sectional study. Setting: The Sleep Heart Health Study. Participants: Sleep Heart Health Study participants (N = 6440). Measurements and Results: Sleepiness was defined as an Epworth Sleepiness Scale score >10 or a report of at least frequently feeling unrested or sleepy. Forty-six percent of participants with moderate to severe sleep-disordered breathing (n = 1149) reported sleepiness. Characteristics associated with sleepiness after adjustment for confounders included presence of respiratory disease, shorter self-reported weekday and weekend sleep, sleep durations, complaints of insufficient sleep, complaints of sleep maintenance insomnia, early morning awakening, habitual snoring, and complaints of awakening with leg cramps or leg jerks. Some respiratory polysomnography measures were associated with sleepiness, but sleep-stage percentages and measures of sleep disruption were not. Conclusions: In this community-based cohort, subjective sleepiness is absent in many individuals with significant sleep-disordered breathing. Comorbid conditions, including respiratory disease, sleep restriction, insomnia, and nocturnal leg complaints, are important risk factors for sleepiness in individuals with moderate to severe sleep-disordered breathing.

Original languageEnglish (US)
Pages (from-to)472-477
Number of pages6
JournalSleep
Volume28
Issue number4
StatePublished - Apr 1 2005

Fingerprint

Sleep Apnea Syndromes
Sleep
Sleep Initiation and Maintenance Disorders
Leg
Muscle Cramp
Snoring
Polysomnography
Sleep Stages
Health
Apnea
Emotions
Cross-Sectional Studies
Maintenance
Population

Keywords

  • Apnea
  • Sleep
  • Sleepiness
  • Subjective
  • Syndrome

ASJC Scopus subject areas

  • Physiology

Cite this

Kapur, V. K., Baldwin, C. M., Resnick, H. E., Gottlieb, D. J., & Nieto, F. J. (2005). Sleepiness in patients with moderate to severe sleep-disordered breathing. Sleep, 28(4), 472-477.

Sleepiness in patients with moderate to severe sleep-disordered breathing. / Kapur, Vishesh K.; Baldwin, Carol M.; Resnick, Helaine E.; Gottlieb, Daniel J.; Nieto, F. Javier.

In: Sleep, Vol. 28, No. 4, 01.04.2005, p. 472-477.

Research output: Contribution to journalArticle

Kapur, VK, Baldwin, CM, Resnick, HE, Gottlieb, DJ & Nieto, FJ 2005, 'Sleepiness in patients with moderate to severe sleep-disordered breathing', Sleep, vol. 28, no. 4, pp. 472-477.
Kapur VK, Baldwin CM, Resnick HE, Gottlieb DJ, Nieto FJ. Sleepiness in patients with moderate to severe sleep-disordered breathing. Sleep. 2005 Apr 1;28(4):472-477.
Kapur, Vishesh K. ; Baldwin, Carol M. ; Resnick, Helaine E. ; Gottlieb, Daniel J. ; Nieto, F. Javier. / Sleepiness in patients with moderate to severe sleep-disordered breathing. In: Sleep. 2005 ; Vol. 28, No. 4. pp. 472-477.
@article{cf7091ad6da34e929488ac0afa4f0ad1,
title = "Sleepiness in patients with moderate to severe sleep-disordered breathing",
abstract = "Background: Population-based studies suggest that complaints of sleepiness are absent in many individuals with sleep-disordered breathing. We investigated the prevalence of sleepiness as well as factors associated with sleepiness in individuals with moderate to severe sleep-disordered breathing (apnea-hypopnea index ≥ 15). Design: Cross-sectional study. Setting: The Sleep Heart Health Study. Participants: Sleep Heart Health Study participants (N = 6440). Measurements and Results: Sleepiness was defined as an Epworth Sleepiness Scale score >10 or a report of at least frequently feeling unrested or sleepy. Forty-six percent of participants with moderate to severe sleep-disordered breathing (n = 1149) reported sleepiness. Characteristics associated with sleepiness after adjustment for confounders included presence of respiratory disease, shorter self-reported weekday and weekend sleep, sleep durations, complaints of insufficient sleep, complaints of sleep maintenance insomnia, early morning awakening, habitual snoring, and complaints of awakening with leg cramps or leg jerks. Some respiratory polysomnography measures were associated with sleepiness, but sleep-stage percentages and measures of sleep disruption were not. Conclusions: In this community-based cohort, subjective sleepiness is absent in many individuals with significant sleep-disordered breathing. Comorbid conditions, including respiratory disease, sleep restriction, insomnia, and nocturnal leg complaints, are important risk factors for sleepiness in individuals with moderate to severe sleep-disordered breathing.",
keywords = "Apnea, Sleep, Sleepiness, Subjective, Syndrome",
author = "Kapur, {Vishesh K.} and Baldwin, {Carol M.} and Resnick, {Helaine E.} and Gottlieb, {Daniel J.} and Nieto, {F. Javier}",
year = "2005",
month = "4",
day = "1",
language = "English (US)",
volume = "28",
pages = "472--477",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "4",

}

TY - JOUR

T1 - Sleepiness in patients with moderate to severe sleep-disordered breathing

AU - Kapur, Vishesh K.

AU - Baldwin, Carol M.

AU - Resnick, Helaine E.

AU - Gottlieb, Daniel J.

AU - Nieto, F. Javier

PY - 2005/4/1

Y1 - 2005/4/1

N2 - Background: Population-based studies suggest that complaints of sleepiness are absent in many individuals with sleep-disordered breathing. We investigated the prevalence of sleepiness as well as factors associated with sleepiness in individuals with moderate to severe sleep-disordered breathing (apnea-hypopnea index ≥ 15). Design: Cross-sectional study. Setting: The Sleep Heart Health Study. Participants: Sleep Heart Health Study participants (N = 6440). Measurements and Results: Sleepiness was defined as an Epworth Sleepiness Scale score >10 or a report of at least frequently feeling unrested or sleepy. Forty-six percent of participants with moderate to severe sleep-disordered breathing (n = 1149) reported sleepiness. Characteristics associated with sleepiness after adjustment for confounders included presence of respiratory disease, shorter self-reported weekday and weekend sleep, sleep durations, complaints of insufficient sleep, complaints of sleep maintenance insomnia, early morning awakening, habitual snoring, and complaints of awakening with leg cramps or leg jerks. Some respiratory polysomnography measures were associated with sleepiness, but sleep-stage percentages and measures of sleep disruption were not. Conclusions: In this community-based cohort, subjective sleepiness is absent in many individuals with significant sleep-disordered breathing. Comorbid conditions, including respiratory disease, sleep restriction, insomnia, and nocturnal leg complaints, are important risk factors for sleepiness in individuals with moderate to severe sleep-disordered breathing.

AB - Background: Population-based studies suggest that complaints of sleepiness are absent in many individuals with sleep-disordered breathing. We investigated the prevalence of sleepiness as well as factors associated with sleepiness in individuals with moderate to severe sleep-disordered breathing (apnea-hypopnea index ≥ 15). Design: Cross-sectional study. Setting: The Sleep Heart Health Study. Participants: Sleep Heart Health Study participants (N = 6440). Measurements and Results: Sleepiness was defined as an Epworth Sleepiness Scale score >10 or a report of at least frequently feeling unrested or sleepy. Forty-six percent of participants with moderate to severe sleep-disordered breathing (n = 1149) reported sleepiness. Characteristics associated with sleepiness after adjustment for confounders included presence of respiratory disease, shorter self-reported weekday and weekend sleep, sleep durations, complaints of insufficient sleep, complaints of sleep maintenance insomnia, early morning awakening, habitual snoring, and complaints of awakening with leg cramps or leg jerks. Some respiratory polysomnography measures were associated with sleepiness, but sleep-stage percentages and measures of sleep disruption were not. Conclusions: In this community-based cohort, subjective sleepiness is absent in many individuals with significant sleep-disordered breathing. Comorbid conditions, including respiratory disease, sleep restriction, insomnia, and nocturnal leg complaints, are important risk factors for sleepiness in individuals with moderate to severe sleep-disordered breathing.

KW - Apnea

KW - Sleep

KW - Sleepiness

KW - Subjective

KW - Syndrome

UR - http://www.scopus.com/inward/record.url?scp=16844370988&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=16844370988&partnerID=8YFLogxK

M3 - Article

VL - 28

SP - 472

EP - 477

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 4

ER -