Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study

Abstract Excessive daytime sleepiness (EDS) is highly prevalent in the general population; however little is known about its evolution and predictors. Our objectives were to document its natural history, provide estimates of its prevalence, incidence and persistence rates, and to identify predictors...

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Autores principales:	I. Jaussent, C. M. Morin, H. Ivers, Y. Dauvilliers
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/130aa806aefc4796a1a3e08a8e212815
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spelling	oai:doaj.org-article:130aa806aefc4796a1a3e08a8e2128152021-12-02T11:40:22ZIncidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study10.1038/s41598-017-01547-02045-2322https://doaj.org/article/130aa806aefc4796a1a3e08a8e2128152017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-01547-0https://doaj.org/toc/2045-2322Abstract Excessive daytime sleepiness (EDS) is highly prevalent in the general population; however little is known about its evolution and predictors. Our objectives were to document its natural history, provide estimates of its prevalence, incidence and persistence rates, and to identify predictors of increased daytime sleepiness (DS) in a longitudinal community study of 2157 adults over 5 years. Participants completed postal assessment at baseline and at each yearly follow-up. DS was evaluated by the Epworth Sleepiness scale (ESS). At baseline, 33% reported EDS (ESS > 10) with 33% of them reported persistent EDS. Of those without EDS at baseline, 28% developed incident EDS (15% were persistent) and 31% increased DS (augmentation ≥4-points between two consecutive evaluations). Younger age and depression were independent predictors of incident EDS and DS increase while lower coffee consumption, smoking, insomnia, tiredness and chronic pain were associated with incident EDS, and living alone with DS increase only. Persistent vs transient EDS or DS showed association with poor general health including metabolic diseases. Thus, sleepiness fluctuated over time and it was predicted by common lifestyle and psychological factors potentially modifiable. However, persistent sleepiness was associated with chronic medical diseases thus highlighting a homogeneous group at risk requiring a dedicated management.I. JaussentC. M. MorinH. IversY. DauvilliersNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-11 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q I. Jaussent C. M. Morin H. Ivers Y. Dauvilliers Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
description	Abstract Excessive daytime sleepiness (EDS) is highly prevalent in the general population; however little is known about its evolution and predictors. Our objectives were to document its natural history, provide estimates of its prevalence, incidence and persistence rates, and to identify predictors of increased daytime sleepiness (DS) in a longitudinal community study of 2157 adults over 5 years. Participants completed postal assessment at baseline and at each yearly follow-up. DS was evaluated by the Epworth Sleepiness scale (ESS). At baseline, 33% reported EDS (ESS > 10) with 33% of them reported persistent EDS. Of those without EDS at baseline, 28% developed incident EDS (15% were persistent) and 31% increased DS (augmentation ≥4-points between two consecutive evaluations). Younger age and depression were independent predictors of incident EDS and DS increase while lower coffee consumption, smoking, insomnia, tiredness and chronic pain were associated with incident EDS, and living alone with DS increase only. Persistent vs transient EDS or DS showed association with poor general health including metabolic diseases. Thus, sleepiness fluctuated over time and it was predicted by common lifestyle and psychological factors potentially modifiable. However, persistent sleepiness was associated with chronic medical diseases thus highlighting a homogeneous group at risk requiring a dedicated management.
format	article
author	I. Jaussent C. M. Morin H. Ivers Y. Dauvilliers
author_facet	I. Jaussent C. M. Morin H. Ivers Y. Dauvilliers
author_sort	I. Jaussent
title	Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
title_short	Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
title_full	Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
title_fullStr	Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
title_full_unstemmed	Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
title_sort	incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/130aa806aefc4796a1a3e08a8e212815
work_keys_str_mv	AT ijaussent incidenceworseningandriskfactorsofdaytimesleepinessinapopulationbased5yearlongitudinalstudy AT cmmorin incidenceworseningandriskfactorsofdaytimesleepinessinapopulationbased5yearlongitudinalstudy AT hivers incidenceworseningandriskfactorsofdaytimesleepinessinapopulationbased5yearlongitudinalstudy AT ydauvilliers incidenceworseningandriskfactorsofdaytimesleepinessinapopulationbased5yearlongitudinalstudy
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Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study

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