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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 [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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Self-citationTorzsa, P., Kalabay, L., Ádám, Á., Novák, M., & Mucsi, I. (2010) · Orvosi Hetilap · doi:10.1556/oh.2010.28948 · Cited by 4
Moroccan Taxi Drivers Sleepiness Using Epworth Scale: A Cross-sectional Survey
Benaicha, N., Najdi, A., Diarra, A., et al. (2017) · J of Health Science · doi:10.17265/2328-7136/2017.03.005 · Cited by 4
Kobayashi, M., Kobayashi, M., Suwa, H., & Matsushima, E. (2013) · Internal Medicine · doi:10.2169/internalmedicine.52.8873 · Cited by 4
“310 The common complaints of patients with OSAHS include excessive daytime sleepiness, fatigue, irritability (4), depression and an impaired cognitive function (5, 6), leading to a poorer health-related quality of life (QOL) (7, 8).”
BackgroundClinicians changing individual food habits
Wahlqvist, M. L. (2000) · Asia Pacific Journal of Clinical Nutrition · doi:10.1046/j.1440-6047.2000.00170.x · Cited by 4
Determinants and Measurements of Daytime Sleepiness
Freedman, N. (2007) · Humana Press eBooks · doi:10.1007/978-1-59745-421-6_6 · Cited by 3
Prevalence and Related Parameters of Daytime Sleepiness in Patients with Habitual Snoring
Shim, E.-J., Kim, J.-S., Lee, J.-H., et al. (2007) · Journal of the Korean Neurological Association · Cited by 4
Fki, A., Kacem, I., Lazreg, A. B., Bouchech, R., Ksibi, S., Sakly, G., Kahloul, M., & Cheikh, R. B. (2025) · Libyan Journal of Medicine · doi:10.1080/19932820.2025.2569152 · Cited by 3
“Briones et al. [49] also conducted a study enrolling 129 adults with OSAHS and reported that excessive sleepiness substantially influenced patients’ perceptions of quality of life.”
Sleepiness in elderly veterans
Papp, K. K., Abbott, K. H., Rose, J. H., et al. (2013) · Sleep And Breathing · doi:10.1007/s11325-013-0879-3 · Cited by 3
“Briones and colleagues [2] examined the association between health status as assessed by the Medical Outcomes Survey Short Form 36, the multiple sleep latency test and the Epworth sleepiness scale (ESS).”
MethodQuestionnaires and Rating Scales
Benbadis, S. R. (2004) · CRC Press eBooks · doi:10.3109/9780203998007-1 · Cited by 4
Metadata
- 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 (medical) › 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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