Excessive daytime sleepiness and sleep hygiene of working adults in Spain

Authors

  • M.T. Rodríguez González-Moro Universidad Católica de Murcia
  • J.I. Gallego-Gómez Universidad Católica de Murcia
  • T. Vera Catalán Universidad Católica de Murcia
  • M.L. López López Universidad Católica de Murcia
  • M.C. Marín Sánchez Servicio de Prevención de Riesgos Laborales de la Comunidad Autónoma de la Región de Murcia
  • A.J. Simonelli-Muñoz Universidad Católica de Murcia

DOI:

https://doi.org/10.23938/ASSN.0378

Keywords:

Epworth Sleepiness Scale. Excessive daytime sleepiness. Workers. Sleep higiene. Shift work.

Abstract

Background. To calculate the prevalence of excessive daytime sleepiness (EDS) (through the Epworth Sleepiness Scale, ESE) and to identify the personal and working variables predicting the risk of EDS.

Methods. Cross-sectional study performed on 476 civil servants from Murcia (October 2013 - February 2016). Prevalence of EDS and bad sleep hygiene (LSH) were determined from scores on the Epworth Sleepiness Scale and Sleep Hygiene Scale (SHS), respectively, and their association with different variables was obtained from a self-administered questionnaire. Independent predictors of EDS were identified by multivariate logistic regression.

Results. EDS was less prevalent (16.7%) than LSH (23.4%). Women scored higher in ESE (7.5 vs 6.3; p=0,001) and suffered twice the EDS of men (23.0 vs 10.7%, p<0.001). Workers with EDS scored higher on SHS (34.3 vs 32.7; p=0.044) and had LSH more frequently (38.7 vs 24.9%, p=0.014). Smokers were predominantly women (57.0%; p=0.087) with LSH (50.0 vs 25.8 and 18.9% amongst ex-smokers and non-smokers, p<0.001). Being a woman OR=2.5, 95%IC: 1.4-4.3; p<0.001) and having bad sleep hygiene (OR=1.8 95%IC: 1.0-3.2, p=0.032) were predictive factors irrespective of suffering from EDS.

Conclusions. EDS was present in civil servants in the region of Murcia, and was higher in women than men. Excessive daytime sleepiness is strongly associated with bad sleep hygiene and became a woman.

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References

HOEY LM, FULBROOK P, DOUGLAS JA. Sleep assessment of hospitalised patients: A literature review. Int J Nurs Stud 2014; 51: 1281-1288.

MIRÓ E, CANO-LOZANO MC, BUELA-CASAL G. Sueño y calidad de vida. Rev Colomb Psicol 2005; 14: 11-27.

AL-TANNIR M, KOBROSLY SY, AL-BADR AH, SALLOUM NA, ALTANNIR YM. Characterizing sleeping habits and disturbances among Saudi adults. Saudi Med J 2006; 37: 1372-1380.

CARSKADON MA. Sleep deprivation: health consequences and societal impact. Med Clin North Am 2004; 88: 767-776.

MARÍN HA, VINACCIA S. Contribuciones desde la medicina comportamental del sueño al manejo de la somnolencia excesiva diurna. Psicología desde el Caribe. 2011; 0: 95-116.

CHICA HL, ESCOBAR F, ECHEVERRY J. Clinical evaluation of hypersomnia. Rev Colomb Psiquiatr 2004; 33: 45-63.

LIVIYA NGW, FREAK-POLI R, PEETERS A. The prevalence and characteristics associated with excessive daytime sleepiness among Australian workers. J Occup Environ Med 2014; 56: 935-945.

MERINO-ANDRÉU M, ÁLVAREZ-RUIZ A, MADRID-PÉREZ JA, MARTÍNEZ-MARTÍNEZ MA, PUERTAS-CUESTA FJ, ASENCIO-GUERRA AJ et al. Sueño saludable: evidencias y guías de actuación. Documento oficial de la Sociedad Española de Sueño. Rev Neurol 2016; 63: S1-27.

ZHANG L, SAMET J, CAFFO B, PUNJABI NM. Cigarette smoking and nocturnal sleep architecture. Am J Epidemiol 2016; 164: 529-537.

ARAÚJO MF, FREITAS RW, LIMA AC, PEREIRA DC, ZANETTI ML, DAMASCENO MM. Health indicators associated with poor sleep quality among university students. Rev Esc Enferm USP 2014; 48: 1085-1092.

PHILLIPS B, ANCOLI-ISRAEL S. Sleep disorders in the elderly. Sleep Med 2001; 2: 99-114.

VARELA LF, TELLO T, ORTIZ PJ, CHÁVEZ H. Valoración de la higiene del sueño mediante una escala modificada en adultos mayores. Acta Médica Peruana. 2010; 27: 233-237.

GALLEGO-GÓMEZ JI. Calidad del sueño y somnolencia diurna en estudiantes de enfermería: estudio de prevalencia. [Tesis doctoral]. Murcia: Universidad Católica de Murcia; 2013. http://repositorio.ucam.edu/bitstream/handle/10952/829/Tesis.pdf?sequence=1&isAllowed=y.

LAPIN BR, BENA JF, WALIA HK, MOUL DE. The Epworth Sleepiness Scale: validation of one-dimensional factor structure in a large clinical sample. J Clin Sleep Med 2018; 14: 1293-1301.

SEUN-FADIPE CT, ALOBA OO, OGINNI OA, MOSAKU KS. sleep hygiene index: psychometric characteristics and usefulness as a screening tool in a sample of nigerian undergraduate students. J Clin Sleep Med 2018; 14: 1285-1292.

BHAT S, PINTO-ZIPP G, UPADHYAY H, POLOS PG. “To sleep, perchance to tweet”: in-bed electronic social media use and its associations with insomnia, daytime sleepiness, mood, and sleep duration in adults. Sleep Health 2018; 4: 166-173.

DUBOSE JR, HADI K. Improving inpatient environments to support patient sleep. Int J Qual Health Care 2016; 28: 540-553.

SIMONELLI-MUÑOZ AJ, FORTEA MI, SALORIO P, GALLEGO-GÓMEZ JI, SÁNCHEZ-BAUTISTA S, BALANZA S. Dietary habits of patients with schizophrenia: a self-reported questionnaire survey. Int J Ment Health Nurs 2012; 21: 220-228.

BAKER FC, WOLFSON AR, LEE KA. Association of sociodemographic, lifestyle, and health factors with sleep quality and daytime sleepiness in women: findings from the 2007 national sleep foundation “Sleep in America Poll”. J Womens Health (Larchmt) 2009; 18: 841-849.

KING N, PICKETT W, HAGEL L, LAWSON J, TRASK C, DOSMAN JA. Impact of excessive daytime sleepiness on the safety and health of farmers in saskatchewan. Can Respir J 2014; 21: 363-369.

MADRID-VALERO JJ, MARTÍNEZ-SELVA, JM, RIBEIRO B, SÁNCHEZ-ROMERA JF, ORDOÑANA JR. Age and gender effects on the prevalence of poor sleep quality in the adult population. Gac Sanit 2017; 31: 18-22.

THEORELL-HAGLÖW J, MILLER CB, BARTLETT DJ, YEE BJ, OPENSHAW HD, GRUNSTEIN RR. Gender differences in obstructive sleep apnea, insomnia and restless legs syndrome in adults–What do we know? A clinical update. Sleep Med Rev 2018; 38: 28-38.

ZHANG B, WING YK. Sex differences in insomnia: A meta-analysis. Sleep 2006; 29: 85-93.

SACOMORI C, CARDOSO FL, LOUZADA FM, PEREIRA EF. Excessive daytime sleepiness and nocturia in women. Sleep Med 2014; 15: 677-680.

KRYSTAL AD. Depression and insomnia in women. Clin Cornerstone 2004; 6 (Suppl 1B): 19-28.

TELLEZ A, VILLEGAS DR, JUÁREZ DM, SEGURA LG, FUENTES L. Sleep disorders and sleep quality in shift and daytime industrial workers. Univ Psychol 2015; 14: 711-722.

MORENO-CASBAS MT, ALONSO-PONCELAS E, GÓMEZ-GARCÍA T, MARTÍNEZ-MADRID MJ, ESCOBAR-AGUILAR G. Percepción sobre la calidad de los cuidados, entorno laboral y características del sueño de las enfermeras que trabajan en el Sistema Nacional de Salud. Enferm Clin 2018. doi:10.1016/j.enfcli.2018.01.001.

International classification of sleep disorders: diagnostic and coding manual. Westchester: American Academy of Sleep Medicine, 2005.

MCKENNA FP. Can sleep habits predict driver behaviour? Rev Eur Psychol Appl 2014; 64: 97-100.

CHINER E, ARRIERO JM, SIGNES-COSTA J, MARCO J, FUENTES I. Validación de la versión española del test de somnolencia Epworth en pacientes con síndrome de apnea de sueño. Arch Bronconeumol 1999; 35: 422-427.

Published

2018-12-26

How to Cite

1.
Rodríguez González-Moro M, Gallego-Gómez J, Vera Catalán T, López López M, Marín Sánchez M, Simonelli-Muñoz A. Excessive daytime sleepiness and sleep hygiene of working adults in Spain. An Sist Sanit Navar [Internet]. 2018 Dec. 26 [cited 2025 Dec. 25];41(3):329-38. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/65914

Issue

Section

Research articles

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