Relationship between sleepiness and general health status
Abstract
One commonly used instrument for evaluating general health and functional status is the medical outcomes survey short form 36 (MOS). Scores obtained from this instrument are known to vary with chronic diseases and depression. However, the degree to which these health dimensions may be influenced by sleep quality or sleepiness is not well understood. A cross-sectional study was performed on the association between general health status, as determined by the MOS, with sleepiness, assessed using a standardized questionnaire [the Epworth sleepiness scale (ESS)] and the multiple sleep latency test (MSLT). One hundred twenty-nine subjects (68 women), aged 25-65 years, without severe chronic medical or psychiatric illnesses, underwent an overnight sleep study, followed by an MSLT (consisting of a series of four attempts at napping at 2-hour intervals), and completed the MOS and the ESS. The mean MSLT score was 11 +/- 2 minutes, (range 2-20) and the mean ESS score was 10 +/- 5 (range 0-24). Scores for the MOS dimensions "general health perceptions", "energy/fatigue", and "role limitations due to emotional problems" were correlated significantly with ESS scores (r = -0.30, -0.41, and -0.30, respectively; p values were all < 0.001). The MSLT was also significantly correlated with "energy/fatigue" (r = -0.19; p < 0.05). After considering the effects of chronic illness and/or body mass index in a multiple hierarchical regression analysis, sleepiness, as assessed by the ESS score, explained 8% of the variance in general health perceptions, 17% of the variance in energy/fatigue, 6% of the variance in the summary measure of well-being, and 3% of the variance in the summary measure of functional status. The variation of MOS scores with sleepiness, unrelated to age or chronic disease, suggests that measures of general health status may be broadly influenced by sleepiness and sleep quality. These data suggest that 1) sleepiness has an important impact on general health and functional status, specifically influencing self-perceptions regarding energy/fatigue; 2) a more specific assessment of sleepiness in general health evaluations may help explain some of the observed variability in these measures across subjects; and 3) general health measures may be useful in the evaluations of patients with sleep disorders.
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Subjects with sleep problems and/or excessive daytime sleepiness report a significant reduction in their levels of physical activity.
“Subjects with sleep problems and/or excessive daytime sleepiness report a significant reduction in their levels of physical activity [56, 57], which could reduce activity-related EE.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [57]
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“Sleep intervention research in general (nonclinical) adult populations has been relatively sparse compared to research focusing on more select samples (Briones et al., 1996).”
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Almeida, A. D. M., Godinho, T. M., Bitencourt, A. G. V., Teles, M. S., Silva, A. S., Fonseca, D. C., Barbosa, D. B. V., de Oliveira, P. S., Costa-Matos, E., Rocha, C. R. E., et al. (2007) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852007000400002 · Cited by 67 · see citing works
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Relationships Among Nasal Obstruction, Daytime Sleepiness, and Quality of Life
Udaka, T., Suzuki, H., Kitamura, T., Shiomori, T., Hiraki, N., Fujimura, T., & Ueda, N. (2006) · The Laryngoscope · doi:10.1097/01.mlg.0000239111.24094.a3 · Cited by 59 · see citing works
RECOGNITION AND CONSEQUENCES OF OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME
Redline, S. S., & Strohl, K. P. (1999) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(05)70132-8 · Cited by 60 · see citing works
Self-citationPain Sensitivity in Sleepy Pain-Free Normals
Chhangani, B. S., Roehrs, T., Harris, B. E. J., Hyde‐Nolan, M. E., Drake, C. L., Hudgel, D. W., & Roth, T. G. (2009) · SLEEP · doi:10.1093/sleep/32.8.1011 · Cited by 61 · see citing works
Li, H.-Y., Chen, N.-H., Shu, Y.-H., & Wang, P.-C. (2004) · Archives of Otolaryngology–Head & Neck Surgery · doi:10.1001/archotol.130.2.195 · Cited by 53 · see citing works
“98) attest the published hypothesis that shows that sleepiness, rather than snoring, is a more important general health determinant.(21) Our data demonstrate that EUPF surgery can significantly improve the general health status of patients in multiple dimensions on the SF-36 questionnaire, especially for those variabl…”
BackgroundPatterns and predictors of sleep pattern disturbance after cardiac surgery
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Psychosocial Work Characteristics Predicting Daytime Sleepiness in Day and Shift Workers
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“The first three variables were included because of the well-known correlates of increased daytime sleepiness (Briones et al., 1996; Doi and Minowa, 2003; Kim and Young, 2005; Ng and Tan, 2005), and the fourth variable was entered to control for the possible influence of the daytime sleepiness level at baseline (2002).”
BackgroundInfluentialThe effect of caffeine reduction on sleep quality and well-being in persons with HIV
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Prevalence of and Associations With Excessive Daytime Sleepiness in an Australian Older Population
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Comparative levels of excessive daytime sleepiness in common medical disorders
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“The present study extends the association previously found between poor general health and EDS [8,19,28,27] by demonstrating a significant relationship between the number of MD and increasing EDS and insomnia symptoms as well as the prevalence of EDS in a large representative sample of adults.”
BackgroundSleep Complaints and Visual Impairment Among Older Americans: A Community-Based Study
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“Maintenance Wakefulness Test (MWT) – were found to be weak but significant in different studies (e.g. Johns, 1991, 1994; Briones et al., 1996; Chervin et al., 1997; US Modafinil in Narcolepsy Multicenter Study Group, 1998; Sangal et al., 1999a).”
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“The Epworth Sleepiness Scale (ESS) [3], including eight questions and four-point scales, is the most widely used convenient self-report questionnaire to assess EDS particularly among OSA patients in clinical setting [4].”
BackgroundDevelopment and Evaluation of a Cognitive Behavioural Intervention for Chronic Post-Stroke Insomnia
Herron, K., Farquharson, L., Wroe, A., & Sterr, A. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000061 · Cited by 38 · see citing works
“Given that sleep is an important mediator for recovery from illness (Briones et al., 1996; Hyyppä and Kronholm, 1995; Worthington and Melia, 2006), it is surprising that sleep is poorly recognized as part of post-stroke care (Castriotta and Lai, 2001; Worthington and Melia, 2006).”
BackgroundSonolência diurna excessiva e qualidade de vida relacionada à saúde dos professores universitários
Amaro, J. M. R. S., & Dumith, S. C. (2018) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000191 · Cited by 38 · see citing works
SLEEP DISRUPTION AND ITS CORRELATION TO PSYCHOLOGICAL DISTRESS AMONG MEDICAL STUDENTS
Sahraian, A., & Javadpour, A. (2010) · Shiraz E-Medical Journal · Cited by 38 · see citing works
- Authors
- Briones, B., Adams, N., Strauss, M., Rosenberg, C., Whalen, C., Carskadon, M., Roebuck, T., Winters, M., & Redline, S.
- Affiliations
- Case Western Reserve University (US)
- Brown University (US)
- Corresponding author
- Redline, Susan
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-09
- Volume
- 19
- Issue
- 7
- Pages
- 583-588
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W1848049602
- Cited by
- 253
- References
- 0
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 9 · 2016: 4 · 2015: 5 · 2014: 9 · 2013: 7 · 2012: 13
- FWCI
- 10.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P50HL042215, HL 42215)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleepiness, health status, health-related quality of life, Epworth Sleepiness Scale, multiple sleep latency test, sleep quality, fatigue, functional status, sleep disorders, well-being
- MeSH terms
- Adult, Aged, Female, Health Status, Humans, Male, Middle Aged, Narcolepsy, Sleep Apnea Syndromes
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