TY - JOUR
T1 - Daytime sleepiness associated with poor sustained attention in middle and late adulthood
AU - Yun, Chang Ho
AU - Kim, Hyun
AU - Lee, Seung Ku
AU - Suh, Sooyeon
AU - Lee, Seung Hoon
AU - Park, Seong Ho
AU - Thomas, Robert J.
AU - Au, Rhoda
AU - Shin, Chol
N1 - Funding Information:
The present study was supported by the Korea Centers for Disease Control and Prevention ( 2010-E71001-00 and 2011-E71004-00 ; principal investigator, C.S.).
Publisher Copyright:
© 2014 Elsevier B.V.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Objective: We aimed to determine the association between psychomotor vigilance task (PVT) performance and sleep-related factors including sleep duration, daytime sleepiness, poor sleep quality, insomnia, and habitual snoring in a population-based sample. Methods: This was a cross-sectional analysis from the ongoing prospective cohort study, the Korean Genome and Epidemiology Study. We measured PVT performance and documented demographics, sleep-related factors, life style, and medical conditions in community dwelling adults (N=2499; mean age 57.1±7.3; male 1259). Associations between PVT parameters and sleep-related factors were tested, adjusting for age, gender, smoking, alcohol use, education, body mass index, hypertension, diabetes, depression, and the interval between mid-sleep time and PVT test. Results: High Epworth Sleepiness Scale (ESS, ≥8) was associated with slower mean reciprocal response speed (mean RRT) (3.69±0.02 vs. 3.77±0.01, p<0.001), higher probability for increased lapses (≥4) (OR 1.48, CI 1.12-1.88, p=0.001), and more negative RRT slope (-0.036±0.002 vs. -0.030±0.001, p=0.02). Older age, female gender, low education level, depressive mood, and the interval between mid-sleep and PVT test were also associated with poor performance. Sleep duration, habitual snoring, insomnia, or poor sleep quality (the Pittsburgh Sleep Quality Index score>5) was not related to PVT parameters. Conclusions: At the population level, our results revealed important modifiers of PVT performance, which included subjective reports of daytime sleepiness.
AB - Objective: We aimed to determine the association between psychomotor vigilance task (PVT) performance and sleep-related factors including sleep duration, daytime sleepiness, poor sleep quality, insomnia, and habitual snoring in a population-based sample. Methods: This was a cross-sectional analysis from the ongoing prospective cohort study, the Korean Genome and Epidemiology Study. We measured PVT performance and documented demographics, sleep-related factors, life style, and medical conditions in community dwelling adults (N=2499; mean age 57.1±7.3; male 1259). Associations between PVT parameters and sleep-related factors were tested, adjusting for age, gender, smoking, alcohol use, education, body mass index, hypertension, diabetes, depression, and the interval between mid-sleep time and PVT test. Results: High Epworth Sleepiness Scale (ESS, ≥8) was associated with slower mean reciprocal response speed (mean RRT) (3.69±0.02 vs. 3.77±0.01, p<0.001), higher probability for increased lapses (≥4) (OR 1.48, CI 1.12-1.88, p=0.001), and more negative RRT slope (-0.036±0.002 vs. -0.030±0.001, p=0.02). Older age, female gender, low education level, depressive mood, and the interval between mid-sleep and PVT test were also associated with poor performance. Sleep duration, habitual snoring, insomnia, or poor sleep quality (the Pittsburgh Sleep Quality Index score>5) was not related to PVT parameters. Conclusions: At the population level, our results revealed important modifiers of PVT performance, which included subjective reports of daytime sleepiness.
KW - Insomnia
KW - Lapse
KW - Psychomotor vigilance
KW - Sleep duration
KW - Sleep quality
KW - Snoring
UR - http://www.scopus.com/inward/record.url?scp=84921438440&partnerID=8YFLogxK
U2 - 10.1016/j.sleep.2014.07.028
DO - 10.1016/j.sleep.2014.07.028
M3 - Article
C2 - 25534582
AN - SCOPUS:84921438440
SN - 1389-9457
VL - 16
SP - 143
EP - 151
JO - Sleep Medicine
JF - Sleep Medicine
IS - 1
ER -