Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Gjevre, John; Pahwa, Punam; Karunanayake, Chandima; Hagel, Louise; Rennie, Donna; Lawson, Josh; Dyck, Roland; Dosman, James A.

doi:10.1155/2014/921541

Cited by 21 publications

(28 citation statements)

References 63 publications

(74 reference statements)

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“…The prevalence of high ESS scores in this fairly young population (men 33.7 years, women 35.9 years) that we studied was 11.0%. The prevalence of high ESS score (25.9%) in the oldest (>55 year) age group was higher than in the non-Indigenous population (18.5%) of rural Saskatchewan described by Gjevre et al [ 5 ], and more like that described by Paine et al for the Maori population (21.3%) in New Zealand [ 25 ].…”

Section: Discussionmentioning

confidence: 83%

“…In the multivariate analysis borderline significance for age persisted. Increasing age is recognized as being associated with increased risk for EDS [ 3 , 5 ]. The prevalence of high ESS scores in this fairly young population (men 33.7 years, women 35.9 years) that we studied was 11.0%.…”

Section: Discussionmentioning

confidence: 99%

“…Excessive daytime sleepiness (EDS) is a common problem in various populations [ 1 – 5 ]. It has been associated with age [ 3 , 5 ], sex [ 5 – 7 ], body mass index (BMI) [ 8 – 10 ], shift work [ 11 ], snoring [ 12 – 14 ], comorbidities [ 15 ], social conditions [ 5 , 16 ] and obstructive sleep apnea [ 2 , 17 , 18 ]. Deleterious outcomes of EDS include poor work performance [ 19 ], motor vehicles accidents [ 20 , 21 ], and work injuries [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Deleterious outcomes of EDS include poor work performance [ 19 ], motor vehicles accidents [ 20 , 21 ], and work injuries [ 22 , 23 ]. We have recently observed EDS prevalence of 15.9% to 20.8% in Caucasian populations in rural Saskatchewan [ 5 , 24 ]. High rates of EDS have been documented in New Zealand Maori Indigenous populations (21.3%) compared to New Zealand non-Maori populations (13.9%) [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of excessive daytime sleepiness in two First Nation communities

et al. 2017

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BackgroundExcessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan.MethodsData for this study were from a 2012–13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan. Community research assistants conducted the assessments in two stages. In the first stage, brochures describing the purpose and nature of the project were distributed on a house by house basis. In the second stage, all individuals age 17 years and older not attending school in the participating communities were invited to the local health care center to participate in interviewer-administered questionnaires and clinical assessments. Excessive daytime sleepiness was defined as Epworth Sleepiness Scale score > 10.ResultsOf 874 persons studied, 829 had valid Epworth Sleepiness Scale scores. Of these, 91(11.0%) had excessive daytime sleepiness; 12.4% in women and 9.6% in men. Multivariate logistic regression analysis indicated that respiratory comorbidities, environmental exposures and loud snoring were significantly associated with excessive daytime sleepiness.ConclusionsExcessive daytime sleepiness in First Nations peoples living on reserves in rural Saskatchewan is associated with factors related to respiratory co-morbidities, conditions of poverty, and loud snoring.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of excessive daytime sleepiness in two First Nation communities

et al. 2017

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“…The populations from the communities that we studied (mean age 35.2 years) are much younger than non-Indigenous populations in rural Saskatchewan described by Gjevre et al (55.0 years) [19] and Pahwa et al (52.0 years) [20]. The prevalence of snoring in the two communities was related to age and BMI.…”

Section: Discussionmentioning

confidence: 55%

Risk Factors for Snoring in Two Canadian First Nations Communities

et al. 2019

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Snoring may be an important predictor of sleep-disordered breathing. Factors related to snoring among First Nations people are not well understood in a population with high rates of smoking and excess body weight. An interviewer-administered survey was conducted among 874 individual participants from 406 households in 2012 and 2013 in two Canadian First Nations communities. The survey collected information on demographic variables, individual and contextual determinants of respiratory health and snoring (classified as present versus absent) and self-reported height and weight. Multiple logistic regression analyses were conducted to examine relationships between snoring and potential risk factors adjusting for age and sex. Snoring was present in 46.2% men and 47.0% women. Considering body mass index, 259 people (30.3%) were overweight and 311 (36.4%) were considered obese. The combined current/former smoking rate was 90.2%. Being overweight, obesity, sinus trouble, current smoking status and former smoking were significantly associated with snoring. Exposure to home dampness and mold were suggestive of an association with snoring. To the degree that snoring may be a predictor of possible sleep-disordered breathing, these results indicate that environmental conditions such as smoking and home exposures may be important factors in the pathogenesis of these conditions.

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Prevalence and associated factors of excessive daytime sleepiness in rural older adults: a population-based study

Ren,

Liu,

Zhao

et al. 2024

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Objective To investigate the prevalence and associated factors of excessive daytime sleepiness (EDS) among rural-dwelling Chinese older adults. Methods We collected data on demographic, epidemiological, and clinical factors via in-person interviews and clinical examinations following a structured questionnaire. The 15-item Geriatric Depression Scale (GDS-15) was used to assess depressive symptoms, the Berlin questionnaire (BQ) to assess obstructive sleep apnea (OSA) risk; and the Epworth Sleepiness Scale (ESS) to assess sleep characteristics. EDS was defined as the total ESS score > 10. Results This population-based study engaged 4845 participants (age ≥ 65 years, 57.3% female) in the 2018 examination of the Multimodal Interventions to Delay Dementia and Disability in Rural China. The prevalence of EDS was 9.3% in the total sample, 8.3% in females, and 10.6% in males, and the prevalence decreased with advanced age. Logistic regression analysis revealed that EDS was significantly associated with age (multivariable-adjusted odds ratio [OR] = 0.97; 95% confidence interval [CI] 0.95–0.99), female sex (0.53; 0.36–0.77), hypertension (0.68; 0.54–0.85), depressive symptoms (2.68; 2.07–3.46), high OSA risk (2.11; 1.69–2.63), and poor sleep quality (2.12; 1.60–2.82). Conclusion EDS affects nearly one-tenth of rural older adults in China. Older age, female sex, and hypertension were associated with a decreased likelihood of EDS, while depressive symptoms, high OSA risk, and poor sleep quality were correlated with an elevated likelihood of EDS.

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Excessive Daytime Sleepiness among Rural Residents in Saskatchewan

Abstract: High levels of excessive daytime sleepiness in this particular rural population are common and men >55 years of age are at highest risk. Examination of reasons for residual sleepiness and snoring in persons with and without sleep apnea is warranted.

Cited by 21 publications

References 63 publications

Determinants of excessive daytime sleepiness in two First Nation communities

Determinants of excessive daytime sleepiness in two First Nation communities

Risk Factors for Snoring in Two Canadian First Nations Communities

Prevalence and associated factors of excessive daytime sleepiness in rural older adults: a population-based study

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