Cigarette Smoking and Sleep Disturbance

Phillips, Barbara

doi:10.1001/archinte.1995.00430070088011

Cited by 253 publications

(50 citation statements)

References 12 publications

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“…Consistent with previous studies, active smoking was associated with insufficient rest/sleep in the current study (14;17;21;27). Effect of smokeless tobacco on sleep has not been studied before.…”

Section: Discussionsupporting

confidence: 93%

“…Data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) showed that 11% of Americans reported insufficient rest/sleep for the preceding 30 days (12). Cigarette smoking has been shown to be associated with a range of sleep disorders including shorter sleep duration (13), difficulty initiating and maintaining sleep (14;15), snoring (16) and daytime sleepiness (17). Previous cross-sectional studies have reported associations between active cigarette smoking and insufficient rest/sleep (18) (19).…”

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confidence: 99%

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The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep

2011

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Background Studies have shown that cigarette smoking is associated with sleep disorders in the general population. But studies examining the association between smokeless tobacco use, secondhand smoke exposure and insufficient rest/sleep are limited. Methods We examined the association between smoking, smokeless tobacco use (n=83,072), secondhand smoke exposure (n=28,557) and insufficient rest/sleep among adults aged ≥20 years in the state-based 2008 Behavioral Risk Factor Surveillance System. Exposure to secondhand smoke was defined as >1 day of exposure to cigarette smoking either at home or in the workplace in the preceding 7 days. Insufficient rest/sleep was defined as not getting enough rest/sleep everyday in the preceding 30 days. Results Compared to never smokeless tobacco users, the odds ratio (OR; 95% confidence interval [CI]) of insufficient rest/sleep was 1.16 (1.00–1.36) and 1.74 (1.37–2.22) among former and current users. Compared to non-smokers/non-smokeless tobacco users, the OR (95% CI) of insufficient rest/sleep for those who were both current smokers and current smokeless tobacco users was 2.21 (1.66–2.94). Regarding secondhand smoke exposure among non-smokers, those with second-hand smoke exposure had higher odds for insufficient rest/sleep than those without. In contrast, the odds of insufficient rest/sleep were similar among current smokers with or without secondhand smoke exposure. Conclusions In a multiethnic sample of US adults, compared to non-smokers/non-smokeless tobacco users, those who were both current smokers and current smokeless tobacco users had twice the odds of insufficient sleep. Secondhand smoke exposure was associated with insufficient rest/sleep among non-smokers.

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Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep

2011

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“…Indeed, smokers have difficulties in initiating sleep, 54 which agrees with the lack of involuntary sleep in the present study. However, the same, and other 43 studies, also report higher sleepiness in smokers.…”

Section: Discussionsupporting

confidence: 90%

Work organisation and unintentional sleep: results from the WOLF study

Åkerstedt

Knutsson²,

Westerholm³

et al. 2002

Occup Environ Med

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Background: Falling asleep at work is receiving increasing attention as a cause of work accidents. Aims: To investigate which variables (related to work, lifestyle, or background) are related to the tendency to fall asleep unintentionally, either during work hours, or during leisure time. Methods: 5589 individuals (76% response rate) responded to a questionnaire. A multiple logistic regression analysis of the cross sectional data was used to estimate the risk of falling asleep. Results: The prevalence for falling asleep unintentionally at least once a month was 7.0% during work hours and 23.1% during leisure time. The risk of unintentional sleep at work was related to disturbed sleep, having shift work, and higher socioeconomic group. Being older, being a woman, and being a smoker were associated with a reduced risk of unintentionally falling asleep at work. Work demands, decision latitude at work, physical load, sedentary work, solitary work, extra work, and overtime work were not related to falling asleep at work. Removing "disturbed sleep" as a predictor did not change the odds ratios of the other predictors in any significant way. With respect to falling asleep during leisure time, disturbed sleep, snoring, high work demands, being a smoker, not exercising, and higher age (>45 years) became risk indicators.

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“…There is a strong negative association between smoking and sleep duration [36]. Smokers have longer sleep latency and lighter sleep [37,38]. Additionally, smokers had more daytime sleepiness, minor accidents and depression, and high daily caffeine intake [37].…”

Section: Discussionmentioning

confidence: 99%

Evening types are more often current smokers and nicotine-dependent-a study of Finnish adult twins

et al. 2010

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Aim To examine the association between diurnal type and smoking status and nicotine dependence (ND). Design Cohort study using random-effects model regressions for repeated longitudinal panel data were used to analyze smoking status by diurnal type. Regression analyses examined the association between diurnal type and ND. Participants 23289 same-sex adult twin individuals from Finnish Twin Cohort. Nicotine dependence was studied in a subsample of 676 twin individuals. Measurements Subjects were classified by self-report into four categories: morning type, somewhat morning type, somewhat evening type, evening type (in 1981). Smoking status was defined as current and ever smoking (in 1975, 1981 and 1990). ND was measured by DSM-IV and Fagerström Test for Nicotine Dependence (FTND) (during 2001–2005). Findings Evening types of both genders were much more likely to be current (OR= 2.91, 95 % CI 2.50, 3.38) and lifetime smokers (OR=2.67, 95 % CI 2.96, 4.07) compared to morning types. Evening types were less likely to stop smoking. The risk of nicotine dependence assessed by DSM-IV criteria was higher among evening types (OR=2.78, 95 % CI 1.64, 4.72). Evening types scored 0.59 (95 % CI 0.01, 1.17) points higher than morning types on the FTND. Adjustment for potential confounders did not change these associations. Conclusions Being an evening type is independently associated with a higher risk of being a current smoker, being more highly dependent on cigarettes, and a lower likelihood of stopping smoking. Understanding the cause of these associations could elucidate the causes of tobacco addiction.

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Cigarette Smoking and Sleep Disturbance

Abstract: Individuals with sleep complaints should be queried about tobacco use. Those who are smokers should be advised that there is a relationship between cigarette smoking and sleep disturbance.

Cited by 253 publications

References 12 publications

The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep

The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep

Work organisation and unintentional sleep: results from the WOLF study

Evening types are more often current smokers and nicotine-dependent-a study of Finnish adult twins

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