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1.
Health Qual Life Outcomes ; 18(1): 299, 2020 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-32891148

RESUMO

BACKGROUND: Excessive daytime sleepiness (EDS) is a condition of sleepiness when a person would not be expected to sleep. University students are prone to EDS due to the competitive learning environment and fragmented night sleep. No study was conducted in Ethiopia on EDS. Therefore, this study aimed to determine EDS and its predictors among University of Gondar (UoG) Medical and Health Science students. METHODS: Institution-based cross-sectional study was carried out on 383 Medical and Health Science students of UoG who were recruited using a computer-generated simple random sampling technique. We used a validated Epworth daytime sleepiness tool to collect data. Epi-Info™ 7 and Stata 14 were used for data entry and analysis, respectively. Bivariable and multivariable binary logistic regression analyses were performed to find out predictors. Odds ratio with 95% uncertainty interval were computed. In the final model, a variable with a p < 0.05 was declared as a predictor of EDS. RESULTS: Three hundred and eighty-three students completed the questionnaire. Males were 69.97% and the mean age of participants was 20.79 (±1.83) years. In the current study, the prevalence of EDS was 31.07% (95% UI: 26.62-35.91). The odds of getting EDS was 1.83 (AOR = 1.83, 95% UI: 1.14-2.96) and 1.84 (AOR = 1.84, 95% UI: 1.13-3.00) higher among students who reported night sleep behaviour disorders and depression, respectively. CONCLUSION: This study revealed that EDS is high and predicted by depression and night sleep behaviour disorders. These findings suggest the need to set preventive strategies such as counselling of students to reduce depression and night sleep behaviour disorders. Further studies particularly qualitative studies are required to find out more factors affecting EDS.


Assuntos
Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/etiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estudantes de Ciências da Saúde/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Depressão/epidemiologia , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Razão de Chances , Prevalência , Qualidade de Vida , Estudantes de Ciências da Saúde/psicologia , Inquéritos e Questionários , Adulto Jovem
2.
Rev Bras Epidemiol ; 23: e200071, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32667465

RESUMO

OBJECTIVES: To estimate the prevalence and factors associated with excessive daytime sleepiness (EDS) in adolescents from the São Luís, Maranhão birth cohort. METHOD: Cross-sectional study conducted with 2,514 adolescents aged 18 and 19 years old. A hierarchical approach was used, and prevalence ratios were calculated using Poisson regression with robust variance adjustment. Sociodemographic characteristics (gender, race, economic class, and occupation), lifestyle (leisure activities, smoking, alcohol, illicit drug use, coffee and energy consumption, physical activity, body adiposity, screen time, and depression), and factors related to sleep were studied. RESULTS: The prevalence of EDS was 36.8%. The female gender (PR = 1.33; 95%CI 1.19 - 1.49), high risk for alcohol consumption (PR = 1.26; 95%CI 1.09 - 1.46), current major depressive episode (PR = 1.26; 95%CI 1.08 - 1.46), sleep alteration score from 10 to 18 (PR = 1.43; 95%CI 1.10 - 1.85), and sleep score from 5 to 7 of daytime dysfunction (PR = 2.51; 95%CI 2.06 - 3.07) were risk factors for EDS. Economic class D/E was a protective factor for EDS (PR = 0.47; 95%CI 0.27 - 0.85). CONCLUSION: More than one-third of adolescents had EDS. Adolescents at higher risk need to improve their sleeping habits and lifestyle so that they no longer have EDS and can improve their quality of life.


Assuntos
Depressão/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Qualidade de Vida , Adolescente , Brasil , Estudos Transversais , Depressão/etiologia , Transtorno Depressivo Maior/etiologia , Transtorno Depressivo Maior/psicologia , Distúrbios do Sono por Sonolência Excessiva/psicologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
3.
Cochrane Database Syst Rev ; 4: CD007736, 2020 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-32255210

RESUMO

BACKGROUND: Although highly effective in the treatment of obstructive sleep apnoea (OSA), continuous positive airway pressure (CPAP) is not universally accepted by users. Educational, supportive and behavioural interventions may help people with OSA initiate and maintain regular and continued use of CPAP. OBJECTIVES: To assess the effectiveness of educational, supportive, behavioural, or mixed (combination of two or more intervention types) strategies that aim to encourage adults who have been prescribed CPAP to use their devices. SEARCH METHODS: Searches were conducted on the Cochrane Airways Group Specialised Register of trials. Searches are current to 29 April 2019. SELECTION CRITERIA: We included randomised controlled trials (RCTs) that assessed intervention(s) designed to inform participants about CPAP/OSA, to support them in using CPAP, or to modify their behaviour to increase use of CPAP devices. DATA COLLECTION AND ANALYSIS: We assessed studies to determine their suitability for inclusion in the review. Data were extracted independently and were entered into RevMan for analysis. 'Risk of bias' assessments were performed, using the updated 'Risk of bias 2' tool, for the primary outcome, CPAP usage. Study-level 'Risk of bias' assessments were performed using the original 'Risk of bias' tool. GRADE assessment was performed using GRADEpro. MAIN RESULTS: Forty-one studies (9005 participants) are included in this review; 16 of these studies are newly identified with updated searches. Baseline Epworth Sleepiness Scale (ESS) scores indicate that most participants suffered from excessive daytime sleepiness. The majority of recruited participants had not used CPAP previously. When examining risk of bias for the primary outcome of hourly machine usage/night, 58.3% studies have high overall risk (24/41 studies), 39.0% have some concerns (16/41 studies), and 2.4% have low overall risk (1/41 studies). We are uncertain whether educational interventions improve device usage, as the certainty of evidence was assessed as very low. We were unable to perform meta-analyses for number of withdrawals and symptom scores due to high study heterogeneity. Supportive interventions probably increase device usage by 0.70 hours/night (95% confidence interval (CI) 0.36 to 1.05, N = 1426, 13 studies, moderate-certainty evidence), and low-certainty evidence indicates that the number of participants who used their devices ≥ 4 hours/night may increase from 601 to 717 per 1000 (odds ratio (OR), 1.68, 95% CI 1.08 to 2.60, N = 376, 2 studies). However, the number of withdrawals may also increase from 136 to 167 per 1000 (OR 1.27, 95% CI 0.97 to 1.66, N = 1702, 11 studies, low-certainty evidence). Participants may experience small improvements in symptoms (ESS score -0.32 points, 95% CI -1.19 to 0.56, N = 470, 5 studies, low-certainty evidence), and we are uncertain whether quality of life improves with supportive interventions, as the certainty of evidence was assessed as very low. When compared with usual care, behavioural interventions produce a clinically-meaningful increase in device usage by 1.31 hours/night (95% CI 0.95 to 1.66, N = 578, 8 studies, high-certainty evidence), probably increase the number of participants who used their machines ≥ 4 hours/night from 371 to 501 per 1000 (OR 1.70, 95% CI 1.20 to 2.41, N = 549, 6 studies, high-certainty evidence), and reduce the number of study withdrawals from 146 to 101 per 1000 (OR 0.66, 95% CI 0.44 to 0.98, N = 939, 10 studies, high-certainty evidence). Behavioural interventions may reduce symptoms (ESS score -2.42 points, 95% CI -4.27 to -0.57, N = 272, 5 studies, low-certainty evidence), but probably have no effect on quality of life (Functional Outcomes of Sleep Questionnaire (FOSQ), standardised mean difference (SMD) 0.00, 0.95% CI -0.26 to 0.26, N = 228, 3 studies, moderate-certainty evidence). We are uncertain whether behavioural interventions improve apnoea hypopnoea index (AHI), as the certainty of evidence was assessed as very low. We are uncertain if mixed interventions improve device usage, increase the number of participants using their machines ≥ 4 hours/night, reduce study withdrawals, improve quality of life, or reduce anxiety symptoms, as the certainty of evidence for these outcomes was assessed to be very low. Symptom scores via the ESS could not be measured due to considerable heterogeneity between studies. AUTHORS' CONCLUSIONS: In CPAP-naïve people with OSA, high-certainty evidence indicates that behavioural interventions yield a clinically-significant increase in hourly device usage when compared with usual care. Moderate certainty evidence shows that supportive interventions increase usage modestly. Very low-certainty evidence shows that educational and mixed interventions may modestly increase CPAP usage. The impact of improved CPAP usage on daytime sleepiness, quality of life, and mood and anxiety scores remains unclear since these outcomes were not assessed in the majority of included studies. Studies addressing the choice of interventions that best match individual patient needs and therefore result in the most successful and cost-effective therapy are needed.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Pressão Positiva Contínua nas Vias Aéreas/estatística & dados numéricos , Cooperação do Paciente/estatística & dados numéricos , Educação de Pacientes como Assunto/métodos , Apneia Obstrutiva do Sono/terapia , Adulto , Viés , Pressão Positiva Contínua nas Vias Aéreas/instrumentação , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Humanos , Motivação , Ensaios Clínicos Controlados Aleatórios como Assunto , Reforço Psicológico , Apneia Obstrutiva do Sono/psicologia , Fatores de Tempo
4.
Epilepsy Behav ; 106: 107023, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32213453

RESUMO

INTRODUCTION: Sleepiness is among the most common complaints of people with epilepsy, but objective documentation is lacking. We systematically investigated subjective and objective sleepiness in an observational cross-sectional cohort of adults with epilepsy (AWE). METHODS: This is a prospective study of AWE consecutively recruited without foreknowledge of sleep/wake complaints. Polysomnography (PSG) with 18-channel electroencephalography (EEG) followed by multiple sleep latency testing (MSLT) was performed. Patients completed the Epworth Sleepiness Scale (ESS), a single-item question assessing excessive daytime sleepiness (EDS), and a 7-day sleep and seizure diary. Multivariable linear models were used to assess the association between MSLT mean sleep latency (MSL) and interests with adjustment of covariates of interest. Receiver operating characteristics (ROC) analysis was performed to evaluate the discrimination capability of ESS on MSL < 8 min and <5 min and investigate the optimal cutpoints. RESULTS: Among 127 AWE (mean age: 38.7 ±â€¯13.7 years), abnormal MSL (<8 min) was observed in 49.6% and MSL <5 min in 31.5%. While 78% reported feeling sleepy during the day on a single-item question, only 24% had elevated scores on the ESS (>10/24). The ESS score was associated with MSL even after adjusting for seizure frequency, antiseizure medication (ASM) standardized dose and number, age, gender, depression and insomnia symptom severity, and apnea-hypopnea index (HPI) and total sleep time on PSG (coefficients [95% confidence interval (CI)]: -0.26 [-0.48, -0.05], p = 0.018). The area under the curve (AUC) of the ESS ROC predicting MSL < 8 min and MSL < 5 min were similar: 0.62 (95%CI: 0.52-0.72) and 0.62 (95%CI: 0.51-0.74). CONCLUSIONS: This is the largest prospective cross-sectional observational study to date using MSLT in AWE. We found subjective and objective daytime sleepiness highly prevalent in AWE and not explained by seizure frequency, ASM burden, symptoms of insomnia/depression, or PSG findings although those with MSL < 5 min were more likely to have obstructive sleep apnea (OSA). Pathologic sleepiness with MSL < 8 min was present in half of AWE. Nearly one-third of AWE unselected for sleep/wake complaints had MSL < 5 min, a range typical of narcolepsy.


Assuntos
Autoavaliação Diagnóstica , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/psicologia , Epilepsia/psicologia , Sonolência , Adulto , Estudos Transversais , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Epilepsia/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia/métodos , Prevalência , Estudos Prospectivos , Sono/fisiologia , Vigília/fisiologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-32083819

RESUMO

Objective: To determine the prevalence of excessive daytime sleepiness among medical students and establish a relationship between self-perceived sleepiness and psychological distress. Methods: In a cross-sectional study, 441 medical students from a public-sector university in Pakistan completed a questionnaire from August to December 2018. The questionnaire included the Epworth Sleepiness Scale (ESS), which measured daytime sleepiness, and the 12-item General Health Questionnaire (GHQ-12), which measured mental health. Pearson correlations and student t tests were used for comparisons with a significance level of P < .05. Results: Many of the students (44.9%) obtained a high score (≥ 10) on the ESS (ie, experience excessive daytime sleepiness). On average, higher scores on the ESS correlated with higher scores on the GHQ-12. A statistically significant correlation (P < .05) between ESS scores and GHQ-12 scores was obtained when the students with higher (≥ 10) ESS scores were compared with students with lower (< 10) ESS scores. Conclusions: Excessive daytime sleepiness is frequent among medical students and significantly associated with psychological distress. Thus, careful investment in planning appropriate university policies and class schedules is required to encourage healthy and adequate sleep among students, which could have a significant impact on learning, academic performance, and health of medical students.


Assuntos
Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Angústia Psicológica , Estresse Psicológico/epidemiologia , Estudantes de Medicina/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Paquistão/epidemiologia , Adulto Jovem
6.
Enferm. glob ; 19(57): 263-275, ene. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193653

RESUMO

OBJETIVO: Analizar la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería actuantes em la Unidad de Recuperación Post-Anestésica. MÉTODO: Estudio transversal, realizado con 39 trabajadores de enfermería de una Unidad de Recuperación Post-Anestésica de un Hospital Universitario. Los instrumentos de recolección de datos fueron el cuestionario de caracterización sociolaboral, la Escala de Somnolencia de Epworth y la Escala de Evaluación de los Daños Relacionados al Trabajo. Los datos fueron analizados con ayuda de Predictive Analytics Software, de la SPSS (Statistical Package for the Social Sciences), a través de pruebas estadísticas. RESULTADOS: Indican que los daños físicos presentaron mayor promedio (2,33 +/- 1,15), predominando dolores en el cuerpo, espalda y piernas, dicho una clasificación grave, lo cual potencia el sufrimiento en el trabajo. En cuanto a la presencia de somnolencia diurna excesiva, el 41% de los trabajadores la presentaron. No se identificó asociación significativa entre la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería. CONCLUSIÓN: Este estudio podrá auxiliar en la planificación de acciones con el objetivo de minimizar los daños relacionados al trabajo y promover la salud del trabajador


OBJETIVO: Analisar a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem atuantes na Unidade de Recuperação Pós-Anestésica. MÉTODO: Estudo transversal, realizado com 39 trabalhadores de enfermagem de uma Unidade de Recuperação Pós-Anestésica de um Hospital Universitário. Os instrumentos de coleta de dados foram o questionário de caracterização sociolaboral, a Escala de Sonolência de Epworth e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Os dados foram analisados com auxílio do Predictive Analytics Software, da SPSS (Statistical Package for the Social Sciences), por meio de testes estatísticos. RESULTADOS: Indicam que os danos físicos apresentaram maior média (2,33+/-1,15), sendo que dores no corpo, costas e pernas predominaram, dito uma classificação grave, o qual potencializa o sofrimento no trabalho. Quanto à presença de sonolência diurna excessiva, 41% dos trabalhadores apresentaram. Não foi identificada associação significativa entre a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem. CONCLUSÃO: Este estudo poderá auxiliar no planejamento de ações com o intuito de minimizar os danos relacionados ao trabalho e promover a saúde do trabalhador


OBJECTIVE: To analyze excessive daytime sleepiness and the effects of work on the health of nursing workers working in the Post-Anesthetic Recovery Unit. METHOD: A cross-sectional study carried out with 39 nursing workers from a Post-Anesthetic Recovery Unit of a University Hospital. Data collection instruments were the socio-labor characterization questionnaire, the Epworth Sleepiness Scale and the Work-Related Damage Assessment Scale. The data were analyzed with the aid of Predictive Analytics Software, SPSS (Statistical Package for the Social Sciences), through statistical tests. RESULTS: Indicate that physical damage presented a higher mean (2.33 +/- 1.15), and pain in the body, back and legs predominated, a severe classification, which potentiates suffering at work. As to the presence of excessive daytime sleepiness, 41% of the workers presented. No significant association was identified between excessive daytime sleepiness and the effects of work on the health of nursing workers. CONCLUSION: This study may help in the planning of actions with the intention of minimizing the damages related to work and promoting the health of the worker


Assuntos
Humanos , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Condições de Trabalho , Saúde do Trabalhador/estatística & dados numéricos , Enfermagem em Pós-Anestésico/estatística & dados numéricos , Equipe de Enfermagem/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Estudos Transversais , Exposição Ocupacional/estatística & dados numéricos
7.
Sleep Health ; 6(1): 79-87, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31685441

RESUMO

OBJECTIVE: This study examined the prevalence, sociodemographic features, patterns of comorbidity, and impact on functional impairment of excessive sleepiness (Ex.S) and associated symptoms in a nationally representative sample of adults using the National Comorbidity Survey Replication (NCS-R) dataset. METHODS: Participants ≥18 years (n = 5,962) were queried about their sleep using the Composite International Diagnostic Interview (CIDI). Specifically, respondents were questioned about feeling sleepy during the day and falling asleep in permissive situations, feelings of insufficient sleep despite adequate time in bed, and/or difficulty waking up. Those endorsing daytime sleepiness and at least one additional symptom were considered to have Ex.S plus associated symptoms. Associations between Ex.S plus associated symptoms and sociodemographics, Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) mental disorders, chronic physical conditions, and functional impairment were examined. RESULTS: The prevalence of Ex.S plus associated symptoms in U.S. adults was 23.34% (standard error [SE] = 0.88) and significantly co-occurred with insomnia-related symptoms after adjusting for confounders (Odds ratio [OR] = 5.65; 95% confidence interval [CI] = 4.55-7.02). The presence of Ex.S and associated symptoms was more common in women, particularly younger women, those with lower family income, and the unemployed (all P<.001). After controlling for demographic characteristics and other confounders, Ex.S plus associated symptoms was associated with having a DSM-IV mental disorder (OR = 4.25; 95% CI = 3.53-5.10), a chronic physical condition (OR = 2.57; 95% CI = 1.94-3.42) and greater disability (P<.001). CONCLUSION: Ex. S with associated symptoms was common, frequently co-occurred with other mental and physical conditions, and was associated with substantial disability. Dissipation of some associations after controlling for insomnia-related symptoms indicated that physical-mental comorbidity and disability were greater among individuals with more pervasive sleep disturbances.


Assuntos
Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Estados Unidos/epidemiologia , Adulto Jovem
8.
J Atten Disord ; 24(4): 555-564, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-29771183

RESUMO

Objective: To assess the relationship between excessive daytime sleepiness (EDS), inattention, and hyperactivity/impulsivity in adults with ADHD and central hypersomnia. Method: Drug-free adult patients with ADHD (n = 100) or hypersomnia (n = 100) were evaluated using a structured clinical interview and self-report questionnaires on ADHD symptoms and EDS. Results: In all, 61% of patients with hypersomnia had clinically significant ADHD symptoms with 25% having an ADHD diagnosis (with both childhood and adulthood ADHD symptoms) and 36% ADHD-like symptoms, without history of childhood ADHD. EDS was reported in 47% of patients with ADHD, among whom 22% had a hypersomnolence disorder. Conclusion: We confirmed the high frequency of ADHD and ADHD-like symptoms in central hypersomnia, and of EDS and hypersomnolence in ADHD in adults. The nature of the link between EDS, inattention, and hyperactivity appears to be complex that may involve either a cause-effect relationship or intrinsic features of a similar neurodevelopmental dysfunction.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Distúrbios do Sono por Sonolência Excessiva , Narcolepsia , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Humanos , Comportamento Impulsivo , Inquéritos e Questionários
9.
Int Rev Psychiatry ; 32(1): 31-38, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31547739

RESUMO

Sleep disturbances are common sequelae of traumatic brain injury (TBI) that are associated with poorer recovery. This is important among older adults, who fare worse following TBI relative to younger adults and have a higher prevalence of sleep disorders. The objective of this study was to assess the risk of newly-diagnosed sleep disorders following TBI among adults ≥65 years. Using a large commercial insurance database, older adults diagnosed with TBI between 2008-2014 (n = 78,044) and non-TBI controls (n = 76,107) were identified. The first dates of diagnosis of four common sleep disorders (hypersomnia, insomnia, obstructive sleep apnea, and restless legs syndrome) and a composite of any sleep disorder were identified. To compare groups, this study used a difference-in-differences (DID) approach, accounting for pre-index differences between cohorts and the trends in sleep diagnoses over time. Individuals with TBI were more likely to have any newly-diagnosed sleep disorder before (14.1% vs 9.4%, p < 0.001) and after (22.7% vs 14.1%, p < 0.001) the index date. In fully adjusted DID models, TBI was associated with an increased risk of insomnia (rate ratio (RR) = 1.17; 95% confidence interval (CI) = 1.08-1.26) and any sleep disorder (RR = 1.13; 95% CI = 1.08-1.19). Following TBI among older adults, screening and education on sleep disorders should be considered.


Assuntos
Envelhecimento , Lesões Encefálicas Traumáticas/complicações , Distúrbios do Início e da Manutenção do Sono/etiologia , Transtornos do Sono-Vigília/etiologia , Idoso , Idoso de 80 Anos ou mais , Lesões Encefálicas Traumáticas/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/etiologia , Feminino , Humanos , Masculino , Síndrome das Pernas Inquietas/epidemiologia , Síndrome das Pernas Inquietas/etiologia , Estudos Retrospectivos , Risco , Apneia Obstrutiva do Sono/epidemiologia , Apneia Obstrutiva do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Transtornos do Sono-Vigília/epidemiologia
10.
Addict Behav ; 101: 105975, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31076240

RESUMO

INTRODUCTION: Studies have found that increased mobile phone use (MPU) is associated with multiple health issues such as depression, disordered sleep and pain. However, the current situation and interrelationships of these problems remain unexplored in the Hong Kong population. OBJECTIVES: This study aimed to understand the situation and problematic use of mobile phones by Hong Kong secondary school students and to investigate depressive symptoms, bodily pain and daytime sleepiness and the associations of these factors with MPU in Hong Kong secondary school students. METHODS: This quantitative cross-sectional design study was based on self-administered questionnaires completed at five secondary schools. The questionnaire comprised five sections: MPU as measured by the Chinese version of the 10-Item Mobile Phone Problem Use Scale (CMPPUS-10); depressive symptoms according to the Depression Anxiety Stress Scale-21 Chinese Version (DASS-21); bodily pain according to the Brief Pain Inventory Short Form Chinese (BPISF-C); daytime sleepiness as measured using the Chinese version of the Epworth Sleepiness Scale (CESS) and socio-demographic questions. RESULTS: A total of 686 students were recruited. The CMPPUS-10 score correlated positively with the average daily duration of MPU and the presence of depression, daytime sleepiness and bodily pain. Problematic mobile phone users received significantly higher scores for depression severity, bodily pain and daytime sleepiness. Health problems were significantly more severe in female than in male students. Bodily pain and daytime sleepiness mediated the relationship of MPU with depression. CONCLUSIONS: Problematic MPU was associated with depression, bodily pain and daytime sleepiness. These findings will inform further studies of MPU-related health problems.


Assuntos
Uso do Telefone Celular/estatística & dados numéricos , Transtorno Depressivo/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Dor/epidemiologia , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Criança , Comorbidade , Estudos Transversais , Transtorno Depressivo/psicologia , Distúrbios do Sono por Sonolência Excessiva/psicologia , Feminino , Hong Kong , Humanos , Masculino , Dor/psicologia , Instituições Acadêmicas , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
11.
Menopause ; 27(3): 295-304, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31851117

RESUMO

OBJECTIVES: Sleep complaints are common during the menopause transition. However, it is difficult to disentangle changes in sleep related to aging from those directly due to menopause. We compared sleep disorders in 45 to 60-year-old women in a large population-based study, according to menopausal status. METHODS: Women aged between 45 and 60 years who self-reported menopausal status were selected from the Canadian Longitudinal Study of Aging, excluding those with prior hysterectomy. Participants completed assessments for overall sleep satisfaction, hours of daily sleep, sleep-onset insomnia, sleep-maintenance insomnia, daytime somnolence, rapid eye movement sleep behavior disorder (RBD), restless leg syndrome (RLS), and obstructive sleep apnea (OSA). Each sleep variable was compared between postmenopausal and pre/perimenopausal women using multivariate regression, adjusting for potential confounders. RESULTS: Among 6,179 women included, 3,713 (60.1%; age 55.7 ±â€Š3.3 years) were postmenopausal and 2,466 (39.9%) were pre/perimenopausal (age 49.80 ±â€Š3.1 years). Compared with pre/perimenopausal women, postmenopausal women were more often reported requiring ≥30 minutes to fall asleep (20.4% vs 15.5%; adjusted odds ratio [AOR] 1.24, 95% confidence interval [CI] 1.00-1.53) and were more likely to meet criteria for possible sleep-onset insomnia disorder (10.8% vs 7.3%; AOR 1.51, 95% CI 1.07-2.12). Postmenopausal women were also more likely to screen positive for OSA (14.6% vs 10.4%; AOR 1.48, 95% CI 1.14-1.92). The two groups did not differ on sleep dissatisfaction (32.4% vs 29%), daytime somnolence disorder (1.6% vs 1.3%), sleep-maintenance insomnia disorder (17% vs 14.5%), RLS (23.5% vs 20.9%), or RBD (3.9% vs 4.0%). CONCLUSIONS: Menopause is associated with increased sleep-onset insomnia. Postmenopausal women also are more likely to screen positive for OSA. However, menopausal status is not associated with sleep maintenance, somnolence, or RLS, and RBD. : Video Summary:http://links.lww.com/MENO/A501.


Assuntos
Menopausa/fisiologia , Pós-Menopausa/fisiologia , Transtornos do Sono-Vigília/epidemiologia , Sono/fisiologia , Canadá/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/etiologia , Feminino , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Síndrome das Pernas Inquietas/epidemiologia , Síndrome das Pernas Inquietas/etiologia , Apneia Obstrutiva do Sono/epidemiologia , Apneia Obstrutiva do Sono/etiologia , Transtornos do Sono-Vigília/etiologia , Fatores de Tempo
12.
NeuroRehabilitation ; 45(3): 409-418, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31796704

RESUMO

BACKGROUND: Previous studies examining insomnia in populations with traumatic brain injury (TBI) have not distinguished between transient insomnia symptoms and insomnia disorder and associations have been confounded by other highly prevalent sleep disorders post-TBI. OBJECTIVE: To investigate the associations between affective symptoms and somatoform symptoms in patients with TBI and insomnia, sleep apnoea and hypersomnolence. METHODS: Twenty-four participants from a multidisciplinary brain injury rehabilitation service with TBI were assessed for insomnia disorder, using Diagnostic and Statistical Manual Fifth Edition (DSM-5) criteria. Associations with affective and somatic symptoms were assessed, using the DASS-21 and PHQ-15 respectively. The same cohort was divided for Obstructive Sleep Apnoea (OSA) and hypersomnolence and analysed for the same outcomes. Associations were assessed using Pearson's correlation and a logistic binary regression model was developed to predict insomnia in patients with brain injury. RESULTS: The insomnia disorder group (n = 11) had significantly higher rates somatoform symptoms (p < 0.05), compared to those without insomnia disorder (n = 13). These factors were not significantly associated with OSA or hypersomnolence. Pain was significantly associated with insomnia disorder. CONCLUSIONS: Insomnia disorder, not OSA or hypersomnolence, may be related to the presence of somatoform symptoms in people with TBI. Addressing insomnia disorder may potentially improve recovery.


Assuntos
Lesões Encefálicas Traumáticas/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Sintomas Inexplicáveis , Apneia Obstrutiva do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto , Lesões Encefálicas Traumáticas/diagnóstico , Lesões Encefálicas Traumáticas/psicologia , Estudos de Coortes , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/psicologia , Distúrbios do Início e da Manutenção do Sono/diagnóstico , Distúrbios do Início e da Manutenção do Sono/psicologia
13.
Respir Res ; 20(1): 276, 2019 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-31801522

RESUMO

BACKGROUND: Obstructive sleep apnea (OSA) and excessive daytime sleepiness (EDS) were considered to contribute to MetS. This study was performed to assess the association between MetS and EDS in two independent large-scale populations, and in subjects who underwent upper-airway surgery. METHODS: A total of 6312 patients without self-reported depression and 3578 suspected OSA patients were consecutively recruited, during health screening examinations and from our sleep center, respectively. A total of 57 subjects with OSA who underwent upper-airway surgery were also included. Demographic, anthropometric, biochemical, and polysomnographic data were obtained. RESULTS: In the health screening examination group, 233 (9.23%) women and 350 (10.93%) men had complaints of EDS. A total of 229 (7.04%) women and 1182 (36.88%) men met the criteria for MetS. In the OSA group, 147 (21.18%) women and 1058 (36.69%) men reported EDS. In addition, 93 (13.4%) women and 1368 (47.43%) men reported MetS. In the health screening examination group, EDS did not contribute significantly to MetS (OR = 1.125, 95% CI: 0.907-1.395; p = 0.283). In the OSA group, EDS significantly contributed to MetS (OR = 1.249, 95% CI: 1.063-1.468; p = 0.007); however, the results were not significant after adjusting for sleep variables (OR = 1.071, 95% CI: 0.905-1.268; p = 0.423). Upper-airway surgery did not affect cardio-metabolic variables in OSA patients with or without EDS. CONCLUSIONS: EDS was not associated with MetS in two independent large-scale cohorts. In addition, upper-airway surgery did not affect components of MetS in OSA patients with and without EDS.


Assuntos
Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Doenças Metabólicas/diagnóstico , Doenças Metabólicas/epidemiologia , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/epidemiologia , Adulto , Fatores Etários , Índice de Massa Corporal , China , Estudos de Coortes , Comorbidade , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Polissonografia/métodos , Prevalência , Prognóstico , Medição de Risco , Índice de Gravidade de Doença , Fatores Sexuais , Apneia Obstrutiva do Sono/cirurgia
15.
Rev. esp. patol. torac ; 31(4): 232-239, dic. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-187183

RESUMO

Objetivo: a pesar del interés creciente en la asociación entre apnea de sueño (AS) y cáncer, apenas existen estudios que investiguen tumores concretos. Nuestro objetivo fue analizar la prevalencia y características clínicas de la AS en mujeres con cáncer de mama (CM). Métodos: estudio piloto transversal. Se incluyen consecutivamente 83 mujeres entre 18 - 65, años diagnosticadas por primera vez de CM. En todos los casos se realizó un cuestionario clínico y una poligrafía respiratoria domiciliaria. La AS se definió como un índice de apneas-hipopneas (IAH) ≥5, y el síndrome de apneas-hipopneas del sueño (SAHS) como la asociación de un IAH ≥5 y excesiva somnolencia diurna (ESD, Epworth >10). Resultados: la media (DE) de edad fue de 48,8 (8,8) años, el índice de masa corporal (IMC) de 27,4 (5,4) y el 50,6% eran postmenopáusicas. La prevalencia de AS fue del 51,8% (43 casos), y la mediana de IAH de 5,1 (RIQ 2 - 9,4). De las 43 pacientes con AS, 32 presentaron un IAH 5 - 14,9 y 11 IAH ≥15. La prevalencia de SAHS fue del 10,8% (9 casos). Comparadas con las mujeres sin AS, aquellas con AS presentaron más ronquido, pero no hubo diferencias en otros síntomas relacionados con el sueño. En el análisis multivariado, la edad y las variables antropométricas, pero no la ESD, se asociaron independientemente a la AS. Conclusión: la prevalencia de AS es elevada en mujeres de mediana edad diagnosticadas de CM, aunque la mayoría no presentan ESD ni otras características diferenciales. La edad y la obesidad fueron predictores de AS en esta población


Objective: Despite growing interest in the association between sleep apnea and cancer, there are hardly any studies that research specific tumors. Our objective was to analyze the prevalence and characteristics of sleep apnea in women with breast cancer. Methods: A transversal pilot study. 83 women between the ages of 18 and 65 diagnosed with breast cancer for the first time were included consecutively. All participants completed a clinical questionnaire and underwent home respiratory polygraphy. Sleep apnea was defined as an apnea-hypopnea index (AHI) ≥5 and sleep apnea-hypopnea syndrome (SAHS) was defined as the association between an AHI ≥5 and excessive daytime sleepiness (EDS, Epworth >10). Results: The average (SD) age was 48.8 (8.8) years old, the body mass index (BMI) was 27.4 (5.4) and 50.6% were postmenopausal. The prevalence of sleep apnea was 51.8% (43 cases) and the average AHI was 5.1 (IQR: 2 - 9.4). Of the 43 patients with sleep apnea, 32 had an AHI between 5 and 14 and 11 had an AHI ≥15. The prevalence of SAHS was 10.8% (9 cases). Compared to women without sleep apnea, those with the disease snored more, but there were no differences in other sleep-related symptoms. In the multivariate analysis, age and anthropometric variables, but not EDS, were independently associated with sleep apnea. Conclusion: The prevalence of sleep apnea is higher in middle-aged women diagnosed with breast cancer, although the majority do not present with EDS or other distinguishing characteristics. Age and obesity were predictors for sleep apnea in this population


Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Síndromes da Apneia do Sono/epidemiologia , Neoplasias da Mama/diagnóstico , Projetos Piloto , Neoplasias da Mama/patologia , Estudos Transversais , Inquéritos e Questionários , Antropometria , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Fatores de Risco
16.
Rev Colomb Psiquiatr ; 48(4): 222-231, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31779873

RESUMO

INTRODUCTION: Excessive daytime sleepiness (EDS) can interfere with academic and professional performance, as affected individuals tend to fall asleep in situations that demand a high level of alertness. Medical students are often a population at risk of suffering from EDS due to the demanding number of study hours, the significant number of credits per subject in the academic curriculum, practical teaching sessions and hospital night shifts, which can lead to sleep deprivation or sleep debt. It is for these reasons that it is important to estimate the prevalence of EDS and its associated factors in medical students of a Higher Education Institution (HEI) in Bucaramanga, in order to implement early prevention strategies to reduce the occurrence of this problem and to improve the students' quality of life and academic performance. MATERIAL AND METHODS: An observational, cross-sectional analytical study with a population sample of 458 medical students enrolled in the second semester of 2015 at the Universidad Autonoma de Bucaramanga (UNAB), who completed four questionnaires: Sociodemographic Variables, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index and Sleep Hygiene Index (SHI). A bivariate and multivariate analysis was performed to identify any correlations with EDS. RESULTS: Mean student age was 20.3 years and 62.88% of the 458 respondents were women. We were able to establish that 80.75% of participants suffered from EDS and 80.55% had a negative perception of their sleep quality (OR=1.91; 95% CI, 1.11-3.29; p =0.019]. In the multivariate analysis, it was found that the risk of EDS is lower in the clinical sciences than in the basic cycle. Furthermore, it was noted that a score higher than 15 in the Sleep Hygiene Index significantly increases the risk of suffering from EDS. CONCLUSIONS: Although EDS is very common in medical students, only a small percentage present the most severe form of this sleep disorder. Being enrolled in basic cycle subjects is associated with a higher risk of suffering EDS, so it is important for the curriculum committees of higher education institutions to regularly evaluate the number of hours of supervised and independent work performed by medical students. Finally, it is important to implement campaigns aimed at improving university students' perception of the risk of taking energy drinks and to establish sleep hygiene recommendations from the start of the academic programme.


Assuntos
Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Qualidade de Vida , Estudantes de Medicina/estatística & dados numéricos , Adolescente , Adulto , Colômbia , Estudos Transversais , Currículo , Distúrbios do Sono por Sonolência Excessiva/etiologia , Feminino , Humanos , Masculino , Prevalência , Índice de Gravidade de Doença , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
17.
Nutrients ; 11(10)2019 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-31590356

RESUMO

Epidemiological evidence on the association between macronutrient intake and excessive daytime sleepiness (EDS) is scarce. Using data from the North West Adelaide Health Study, we aimed to determine the association between iso-caloric substitution of macronutrients and EDS. Data from 1997 adults aged ≥ 24 years were analyzed. Daytime sleepiness was measured using the Epworth Sleepiness Scale, a score ≥ 11 was considered EDS. Dietary intake data were collected using a food frequency questionnaire. We determined absolute and relative energy intake based on consumption of saturated and unsaturated fats, protein, and carbohydrate. Odds ratios (ORs) were used to determine the associations using log-binomial logistic regression with and without iso-caloric substitution methods, and models were adjusted for confounders. The prevalence of EDS in the sample was 10.6%. After adjusting for potential confounders, substituting 5% energy intake from protein with an equal amount of saturated fat (OR = 1.57; 95% CI: 1.00-2.45) and carbohydrate (OR = 1.23; 95% CI: 0.92-1.65) increased the odds of EDS. When carbohydrate was substituted with saturated fat (OR = 1.27; 95% CI: 0.93-1.59), the odds of EDS were increased. The odds of EDS were lower when saturated fat was substituted with unsaturated fat (OR = 0.74; 95% CI: 0.51-1.06), protein (OR = 0.63; 95% CI: 0.41-0.99) or carbohydrate (OR = 0.79; 95% CI: 0.57-1.08). While these results were consistent over different iso-caloric substitution methods, inconsistent results were found with standard regression. While substitution of fat and carbohydrate with protein was inversely associated with EDS, substitution of protein with fat and carbohydrate was positively associated with EDS. Randomized trials are needed to confirm if dietary interventions can be used to improve daytime alertness in those with EDS.


Assuntos
Dieta/efeitos adversos , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Ingestão de Energia , Nutrientes/administração & dosagem , Valor Nutritivo , Recomendações Nutricionais , Sono , Adulto , Idoso , Carboidratos da Dieta/administração & dosagem , Gorduras na Dieta/administração & dosagem , Proteínas na Dieta/administração & dosagem , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Austrália do Sul/epidemiologia
18.
Acta Med Port ; 32(10): 641-646, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31625876

RESUMO

INTRODUCTION: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population. MATERIAL AND METHODS: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables. RESULTS: Among 256 respondents, 46.1% reported "poor" quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42). DISCUSSION: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations. CONCLUSION: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.


Assuntos
Anestesiologistas , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Sono/fisiologia , Adulto , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Portugal/epidemiologia , Medicamentos Indutores do Sono/administração & dosagem , Estatísticas não Paramétricas , Estresse Psicológico/epidemiologia , Fatores de Tempo , Trabalho/estatística & dados numéricos
19.
Artigo em Inglês | MEDLINE | ID: mdl-31470500

RESUMO

BACKGROUND: The aim of this study was to investigate depression and other determinants (sleep-deprived behaviors such as hours spent sleeping, watching television, and on the computer) and their association with excessive daytime sleepiness (EDS) among college freshmen. METHODS: Self-administered questionnaires were collected from two colleges in northern Taiwan from July to September 2014. A total of 2643 students (38.7% male; ages ranged 18-23 years; mean age of 18.8 ± 1.2 years) completed an anonymous questionnaire on lifestyle behaviors (including personal habits, sleep duration and quality, and hours spent watching television and on the computer); perception of one's health, a validated depression scale (Brief Symptom Rating Scale, BSRS-5); insomnia symptoms (the Chinese version of the Athens Insomnia Scale, CAIS); and EDS rated with the Chinese Epworth sleepiness scale (CESS). The data were analyzed using the chi-squared test, t-test, multivariate logistic regression, and multiple linear regression. RESULTS: The prevalence of EDS among college students was approximately 27.1% (717/2643). The risk of EDS was elevated with increasing severity of depression: odds ratio (OR) = 2.8/3.71/5.01 for female, and OR = 3.29/5.07/5.07 for mild/moderate/severe depression for male, respectively (p < 0.05; marginally higher in male severe depression, p = 0.08). If depression score increased by 1 point, CESS score increased by 0.35 point; if time spent on the computer during non-holidays increased by 1 h, CESS score increased by 0.1 point; and for those whose sleep duration increased by 1 h during non-holidays, CESS score decreased by 0.1 point. CONCLUSIONS: EDS significantly predicted depression among college freshmen. Using a computer for a long time and less sleep duration during non-holidays contributed to EDS of college freshmen. Youths who experience EDS are recommended to seek assessment for depression symptoms and sleep-deprived behaviors, thus allowing physicians to offer appropriate screening and treatment.


Assuntos
Depressão/complicações , Distúrbios do Sono por Sonolência Excessiva/complicações , Privação do Sono/complicações , Adolescente , Grupo com Ancestrais do Continente Asiático , Depressão/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Feminino , Humanos , Estilo de Vida , Modelos Logísticos , Masculino , Razão de Chances , Prevalência , Escalas de Graduação Psiquiátrica , Fatores de Risco , Sono , Distúrbios do Início e da Manutenção do Sono , Estudantes , Inquéritos e Questionários , Taiwan/epidemiologia , Universidades , Adulto Jovem
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