The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
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 > or = 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.
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“The combination of frequent respiratory events and arousals from sleep throughout the night severely fragments sleep architecture, resulting in perceptions of chronically non-restorative sleep, reduced quality of life, excessive daytime sleepiness, and increased risk of motor-vehicle accidents [17,18,19].”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [17]
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Cites
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304293281704 · Cited by 10,183
Prospective Study of the Association between Sleep-Disordered Breathing and Hypertension
Peppard, P. E., Young, T., Palta, M., & Skatrud, J. (2000) · New England Journal of Medicine · doi:10.1056/nejm200005113421901 · Cited by 4,973
Nieto, F. J. (2000) · JAMA · doi:10.1001/jama.283.14.1829 · Cited by 3,369
Self-citationSleep-disordered Breathing and Cardiovascular Disease
SHAHAR, E., WHITNEY, C. W., REDLINE, S., LEE, E. T., NEWMAN, A. B., JAVIER NIETO, F., O'CONNOR, G. T., BOLAND, L. L., SCHWARTZ, J. E., & SAMET, J. M. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.1.2001008 · Cited by 2,901
The Sleep Heart Health Study: Design, Rationale, and Methods
(1997) · Sleep · doi:10.1093/sleep/20.12.1077 · Cited by 1,331
Johns, M. W. (2000) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2000.00177.x · Cited by 822
The effects of age, sex, ethnicity, and sleep-disordered breathing on sleep architecture
Redline, S., Kirchner, H. L., Quan, S. F., Gottlieb, D. J., Kapur, V., & Newman, A. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.4.406 · Cited by 732
Relation of Sleepiness to Respiratory Disturbance Index: The Sleep Heart Health Study
Gottlieb, D. J., Whitney, C. W., BONEKAT, W. H., Iber, C., James, G. D., Lebowitz, M. D., Nieto, F. J., & Rosenberg, C. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.2.9804051 · Cited by 571
Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea
Chervin, R. D. (2000) · Chest · doi:10.1378/chest.118.2.372 · Cited by 571
Methods for Obtaining and Analyzing Unattended Polysomnography Data for a Multicenter Study
Redline, S. S., SANDERS, M. H., Lind, B. K., Quan, S. F., Iber, C., Gottlieb, D. J., BONEKAT, W. H., Rapoport, D. M., Smith, P. L., & Kiley, J. P. (1998) · SLEEP · doi:10.1093/sleep/21.7.759 · Cited by 534
Sleep and Sleep-disordered Breathing in Adults with Predominantly Mild Obstructive Airway Disease
Sanders, M. H., Newman, A. B., Haggerty, C. L., Redline, S., Lebowitz, M., Samet, J., O'Connor, G. T., Punjabi, N. M., & Shahar, E. (2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2203046 · Cited by 408
SPSS pour Windows. Manuel d'utilisation, système de base, version 6.0
Norusis, M. J., & Desbois, D. (1994) · HAL (Le Centre pour la Communication Scientifique Directe) · Cited by 290
Modeling Hypersomnolence in Sleep-disordered Breathing: A Novel Approach Using Survival Analysis
Punjabi, N. M., O’Hearn, D. J., Neubauer, D. N., Nieto, F. J., Schwartz, A. R., SMITH, P. L., & Bandeen‐Roche, K. (1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.6.9808095 · Cited by 152
Lind, B. K., Goodwin, J. L., Hill, J. G., Ali, T., Redline, S. S., & Quan, S. F. (2003) · Sleep And Breathing · doi:10.1007/s11325-003-0013-z · Cited by 65
Characteristics of Apneas and Hypopneas During Sleep and Relation to Excessive Daytime Sleepiness
Chervin, R. D., & AIdrich, M. S. (1998) · SLEEP · doi:10.1093/sleep/21.8.799 · Cited by 60
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Gottlieb, D. J., Yenokyan, G., Newman, A. B., O'Connor, G. T., Punjabi, N. M., Quan, S. F., Redline, S., Resnick, H. E., Tong, E. K., Diener-West, M., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.901801 · Cited by 1,551
Diagnosis and Management of Obstructive Sleep Apnea: A Review
Gottlieb, D. J., & Punjabi, N. M. (2020) · JAMA · doi:10.1001/jama.2020.3514 · Cited by 1,482
(2015) · PubMed Central · doi:10.3978/j.issn.2072-1439.2015.06.11 · Cited by 980
Metrics of sleep apnea severity: beyond the apnea-hypopnea index
Malhotra, A., Ayappa, I., Ayas, N., Collop, N., Kirsch, D., Mcardle, N., Mehra, R., Pack, A. I., Punjabi, N., White, D. P., et al. (2021) · SLEEP · doi:10.1093/sleep/zsab030 · Cited by 489
Fietze, I., Laharnar, N., Obst, A., Ewert, R., Felix, S. B., García, C., Gläser, S., Glos, M., Schmidt, C. O., Stubbe, B., et al. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12770 · Cited by 388
Metadata
- Authors
- Kapur, V. K., Baldwin, C. M., Resnick, H. E., Gottlieb, D. J., & Nieto, F. J.
- Affiliations
- University of Washington (US)
- Arizona State University (US)
- MedStar Health Research Institute (US)
- Boston University (US)
- University of Wisconsin–Madison (US)
- Corresponding author
- Kapur, Vishesh K.
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-04
- Volume
- 28
- Issue
- 4
- Pages
- 472-478
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2163058300
- Cited by
- 338
- References
- 16
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 18 · 2023: 16 · 2022: 21 · 2021: 20 · 2020: 18 · 2019: 19 · 2018: 21 · 2017: 18 · 2016: 23 · 2015: 23 · 2014: 31 · 2013: 18 · 2012: 11
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Strong
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleepiness, sleep-disordered breathing, obstructive sleep apnea, apnea-hypopnea index, Epworth Sleepiness Scale, Sleep Heart Health Study, sleep restriction, insomnia, nocturnal leg cramps, snoring, respiratory diseases
- MeSH terms
- Aged, Cross-Sectional Studies, Female, Humans, Disorders of Excessive Somnolence, Male, Middle Aged, Oxygen, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Sleep Apnea Syndromes, Sleep Stages, Cohort Studies, Body Mass Index, Prevalence, Polysomnography, Sleep Arousal Disorders
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