Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving
Open accessAbstract
OBJECTIVE: This study of drivers in Tokyo was conducted to clarify the factors related to falling asleep and sleepiness while driving, particularly addressing short sleep duration, loud snoring or apnea witnessed by others and/or subjective sleep insufficiency. METHODS: This study was conducted as a questionnaire-based cross-sectional survey. Responses from drivers who visited a driver licensing center in Tokyo were evaluated in relation to socio-demographic variables, sleep-related variables and experiences of falling asleep or feeling sleepiness while driving. The analyses included 4,097 experienced drivers. RESULTS: Among the 4,097 drivers, 11.4% had experienced at least one incident of falling asleep while driving during the prior year and 67.6% had some prior experience of feeling sleepiness while driving. Logistic regression analyses revealed that witnessed snoring or apnea, short sleep duration and subjective insufficiency of nocturnal sleep were each independently associated with falling asleep and feeling sleepiness while driving. Subjective sleepiness while driving was associated with a sleep duration of less than six hours. However, falling asleep while driving was associated with a sleep duration of less than seven hours. CONCLUSION: Drivers with a sleep duration shorter than seven hours have a higher risk of falling asleep while driving without experiencing subjective sleepiness. Irrespective of perceived sleep insufficiency, drivers should sleep more than seven hours, and those suspected of having respiratory pauses during sleep should undergo sleep apnea syndrome screening.
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In epidemiological studies sleep duration and self-reported sleep insufficiency have shown independent effects on cardiovascular outcomes (including hypertension, cholesterol level and cardiac events) and performance.
“In epidemiological studies sleep duration and self-reported sleep insufficiency have shown independent effects on cardiovascular outcomes (including hypertension, cholesterol level and cardiac events)70 and performance71.”
From Prolonged sleep restriction induces changes in pathways involved in cholesterol metabolism and inflammatory responses (2016) · cites this paper as [71]
A cross-sectional survey of drivers found an association between self-reported sleep duration less than 7 hours and at least one self-reported incident of falling asleep while driving during the prior year.
“A recent cross-sectional survey of drivers found an association between self-reported sleep duration less than 7 hours and at least one self-reported incident of falling asleep while driving during the prior year.”
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- Authors
- Abe, T., Komada, Y., & Inoue, Y.
- Affiliations
- Tokyo Medical University (JP)
- Venue
- Internal Medicine
- Published
- 2012
- Volume
- 51
- Issue
- 23
- Pages
- 3253-3260
- ISSN
- 0918-2918 (ISSN-L)
- 1349-7235
- OpenAlex
- W2076841469
- Cited by
- 24
- References
- 47
- Citations by year
- 2023: 3 · 2022: 1 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 1
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Aeronautics and Space Administration (NASA NCC 9‐58, NCC958)
- Mitsui Sumitomo Insurance Welfare Foundation
- National Space Biomedical Research Institute (NASA NCC 9‐58, NCC 9‐58)
- Japan Society for the Promotion of Science (22730598)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep duration, snoring, witnessed apnea, sleepiness while driving, drowsy driving, sleep apnea, drivers, sleep deprivation
- MeSH terms
- Accidents, Traffic, Adult, Aged, Automobile Driving, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Sleep, Sleep Apnea Syndromes, Sleep Stages, Snoring, Time Factors, Tokyo, Young Adult
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