Insufficient sleep rather than the apnea-hypopnea index can be associated with sleepiness-related driving problems of Japanese obstructive sleep apnea syndrome patients residing in metropolitan areas.


OBJECTIVE:Obstructive sleep apnea syndrome (OSAS) and insufficient sleep might increase the risk of drowsy driving and sleepiness-related vehicular accidents. This study retrospectively investigated the factors associated with these driving problems, particularly addressing OSAS severity and sleep amounts of affected drivers. METHODS:This study examined 161 patients (146 male and 15 female) with OSAS (apnea-hypopnea index [AHI] ≥ 5) who drove on a routine basis and who completed study questionnaires. To investigate factors associated with drowsy driving during the prior year and sleepiness-related vehicular accidents or near-miss events during the prior five years, logistic regression analyses were performed with age, body mass index, monthly driving distance, habitual sleep duration on weekdays, the Japanese version of Epworth Sleepiness Scale score, AHI, and periodic limb movement index as independent variables. RESULTS:Of the patients, 68 (42.2%) reported drowsy driving experiences, and 86 (53.4%) reported sleepiness-related vehicular accidents or near-miss events. Analyses revealed the following: older age (46-65 years, ≥66 years) was negatively associated with drowsy driving (p <0.05, p <0.05), and habitually shorter sleep duration on weekdays (≤6 hours) was positively associated with drowsy driving (p <0.01). Habitual sleep duration of ≤6 hours (p <0.01) and Epworth Sleepiness Scale score of ≥11 (p <0.01) were positively associated with sleepiness-related vehicular accidents and near-miss events. However, AHI was not associated with these driving problems. CONCLUSION:Insufficient sleep, rather than severity of OSAS, was associated with sleepiness-related driving problems in these Japanese OSAS patients.


Sleep Med


Sleep medicine


Matsui K,Sasai-Sakuma T,Ishigooka J,Inoue Y




Has Abstract


2017-05-01 00:00:00












  • Cognitive and behavioral effects of obstructive sleep apnea syndrome in children: a systematic literature review.

    abstract::Obstructive sleep apnea syndrome (OSA) is a common respiratory sleep disorder in children that is believed to adversely affect both quality of life and cognition. The purpose of the present systematic review was to obtain evidence of the impact of OSA on children's cognitive/behavioral abilities from primary studies p...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: da Silva Gusmão Cardoso T,Pompéia S,Miranda MC

    更新日期:2018-06-01 00:00:00

  • Sleep duration associated with body mass index among Chinese adults.

    abstract:OBJECTIVE:The objective of this study was to investigate the relationship between sleep duration and obesity among Chinese adults. METHODS:A community-based cross-sectional study was conducted among Chinese adults in 2008. In total, 3225 participants were selected by a multistage cluster sampling method. Self-reported...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Sun W,Huang Y,Wang Z,Yu Y,Lau A,Ali G,Huang P,Geng Y,Xu T,Shan G

    更新日期:2015-05-01 00:00:00

  • U-shaped relationships between sleep duration and metabolic syndrome and metabolic syndrome components in males: a prospective cohort study.

    abstract:OBJECTIVE:Based on cross-sectional studies, sleep duration has been shown to have a relationship with the prevalence of metabolic syndrome (MS); however, no prospective studies have verified a correlation between the incidence of MS and the gender difference. Herein we prospectively determined the association between M...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Li X,Lin L,Lv L,Pang X,Du S,Zhang W,Na G,Ma H,Zhang Q,Jiang S,Deng H,Han T,Sun C,Li Y

    更新日期:2015-08-01 00:00:00

  • Japanese Sleep Questionnaire for Elementary Schoolers (JSQ-ES): validation and population-based score distribution.

    abstract:OBJECTIVE:The Japanese Sleep Questionnaire for Elementary Schoolers (JSQ-ES) was developed to measure the sleep habits and disturbances of Japanese children. The current study aimed to present psychometric properties and describe the score distribution of the JSQ-ES. In addition, it examined correlations between the sl...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Kuwada A,Mohri I,Asano R,Matsuzawa S,Kato-Nishimura K,Hirata I,Mitsuhosi T,Kagitani-Shimono K,Nakanishi M,Tachibana M,Ohno Y,Taniike M

    更新日期:2018-01-01 00:00:00

  • Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versions.

    abstract:OBJECTIVE:The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Chen PY,Jan YW,Yang CM

    更新日期:2017-07-01 00:00:00

  • Napping and the risk of type 2 diabetes: a population-based prospective study.

    abstract:OBJECTIVE:Some studies indicate an association between napping and increased risk of type 2 diabetes. We studied this prospectively in a sample representative of general population. METHODS:A questionnaire was administered to the Finnish Twin Cohort in 1990 (response rate 77%, age 33-60 years). The study population in...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Hublin C,Lehtovirta M,Partinen M,Koskenvuo M,Kaprio J

    更新日期:2016-01-01 00:00:00

  • Impact of sleep on osteoporosis: sleep quality is associated with bone stiffness index.

    abstract:OBJECTIVE:The aim of the present study was to investigate the impact of sleep on osteoporosis. METHODS:The study used a baseline examination of the Hiroshima Sleep and Healthcare study, which was a cross-sectional and cohort study that addressed the association of sleep habits with lifestyle-related diseases. A total ...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Sasaki N,Fujiwara S,Yamashita H,Ozono R,Teramen K,Kihara Y

    更新日期:2016-09-01 00:00:00

  • Obstructive lingual thyroid causing sleep apnea: a case report and review of the literature.

    abstract::Lingual thyroid has been reported to cause obstructive sleep apnea (OSA) only once in the literature. We present a case of a 49-year-old nonobese female with a 2-year history of progressive snoring, apneas, snort arousals, and daytime somnolence associated with the sensation of an 'enlarging tongue'. She was found to ...

    journal_title:Sleep medicine

    pub_type: 杂志文章,评审


    authors: Barnes TW,Olsen KD,Morgenthaler TI

    更新日期:2004-11-01 00:00:00

  • Nasal bilevel positive airway pressure therapy in children with a sleep-related breathing disorder and attention-deficit hyperactivity disorder: effects on electrophysiological measures of brain function.

    abstract:OBJECTIVE:To examine the effect of nasal bilevel positive airway pressure (BiPAP) treatment for concurrent sleep-related breathing disorders (SRBDs) and attention-deficit hyperactivity disorder (ADHD) on electrophysiological measures of spontaneous brain activity and auditory stimulus processing. METHODS:Nineteen chil...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Johnstone SJ,Tardif HP,Barry RJ,Sands T

    更新日期:2001-09-01 00:00:00

  • Minimum duration of actigraphy-defined nocturnal awakenings necessary for morning recall.

    abstract:BACKGROUND:Healthy adults awaken between each sleep cycle approximately 5 times each night but generally do not remember all of these awakenings in the morning. A rule of thumb has arisen in the sleep field that approximately 5 min of continuous wakefulness are required to form a memory for an awakening. However, few s...

    journal_title:Sleep medicine

    pub_type: 临床试验,杂志文章


    authors: Winser MA,McBean AL,Montgomery-Downs HE

    更新日期:2013-07-01 00:00:00

  • Effects of modafinil on sustained attention performance and quality of life in OSA patients with residual sleepiness while being treated with nCPAP.

    abstract:BACKGROUND:Some patients with obstructive sleep apnea/hypopnea syndrome (OSA/HS) who are regular users of nasal continuous positive airway pressure (nCPAP) therapy continue to experience daytime sleepiness that impairs performance and quality of life. A randomized, double-blind, placebo-controlled, parallel-group study...

    journal_title:Sleep medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Dinges DF,Weaver TE

    更新日期:2003-09-01 00:00:00

  • Rapid eye movement sleep behavior disorder in adults younger than 50 years of age.

    abstract::Rapid eye movement (REM) sleep behavior disorder (RBD) occurring prior to age 50 is termed early-onset RBD. Early-onset RBD comprises a substantial minority of cases, and demonstrates the differences in demographics, comorbidities, and clinical considerations from previously described typical RBD with onset >50years. ...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Ju YE

    更新日期:2013-08-01 00:00:00

  • Mentoring junior URM scientists to engage in sleep health disparities research: experience of the NYU PRIDE Institute.

    abstract:AIM:The aim of this study was to evaluate the National Institute of Health (NIH)-funded PRIDE Institute in Behavioral Medicine and Sleep Disorders Research at New York University (NYU) Langone Medical Center. The NYU PRIDE Institute provides intensive didactic and mentored research training to junior underrepresented m...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Jean-Louis G,Ayappa I,Rapoport D,Zizi F,Airhihenbuwa C,Okuyemi K,Ogedegbe G

    更新日期:2016-02-01 00:00:00

  • Decreased concentration of klotho and increased concentration of FGF23 in the cerebrospinal fluid of patients with narcolepsy.

    abstract:OBJECTIVE:to explore the status of concentration of klotho and fibroblast growth factor 23 (FGF23) in cerebrospinal fluid (CSF) of patients with narcolepsy. PATIENTS/METHODS:59 patients with narcolepsy and 17 control individuals were enrolled. We used radioimmunoassay, human klotho enzyme-linked immunosorbent assay (E...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: da Paz Oliveira G,Elias RM,Peres Fernandes GB,Moyses R,Tufik S,Bichuetti DB,Coelho FMS

    更新日期:2020-12-15 00:00:00

  • Prevalence and quality of life and sleep in children and adolescents with restless legs syndrome/Willis-Ekbom disease.

    abstract:OBJECTIVE:To estimate the prevalence of restless legs syndrome/Willis-Ekbom disease (RLS/WED) and its impact on sleep and quality of life in children and adolescents. METHODS:This was a cross-sectional study conducted in the Municipality of Cássia dos Coqueiros, Brazil. Participants included 383 children and adolescen...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Sander HH,Eckeli AL,Costa Passos AD,Azevedo L,Fernandes do Prado LB,França Fernandes RM

    更新日期:2017-02-01 00:00:00

  • Cohort effects associated with reduced sleep duration in adolescents.

    abstract:OBJECTIVE:The purpose of this study is to examine how the sleep duration changes during adolescence across the seventh, eighth, ninth, and 10th grade periods, and to determine whether there is a difference between the cohorts. METHOD:For these purposes, we used the latent growth curve modeling and the multi-group anal...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Yoo C

    更新日期:2020-03-01 00:00:00

  • The influence of timing of polysomnography on diagnosis of obstructive sleep apnea in patients presenting with acute myocardial infarction and stable coronary artery disease.

    abstract:BACKGROUND:We aimed to determine if timing of polysomnography (PSG) influences the diagnosis of obstructive sleep apnea (OSA) in acute myocardial infarction (AMI) or stable coronary artery disease (CAD). METHODS:A total of 160 patients admitted with AMI or stable CAD were consecutively recruited for either in-hospital...

    journal_title:Sleep medicine

    pub_type: 临床试验,杂志文章


    authors: Low TT,Hong WZ,Tai BC,Hein T,Khoo SM,Tan AY,Chan MY,Richards M,Lee CH

    更新日期:2013-10-01 00:00:00

  • Melatonin concentration as a marker of the circadian phase in patients with obstructive sleep apnoea.

    abstract:OBJECTIVE:The effects of obstructive sleep apnoea (OSA) on the markers of glucose metabolism and other hormones are of interest, particularly since there is growing evidence that OSA may be a risk factor for disorders such as insulin resistance. However, interpreting these studies depends on the target hormone not havi...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Papaioannou I,Twigg GL,Kemp M,Roughton M,Hooper J,Morrell MJ,Polkey MI

    更新日期:2012-02-01 00:00:00

  • Night-shift work increases morbidity of breast cancer and all-cause mortality: a meta-analysis of 16 prospective cohort studies.

    abstract::Night-shift work (NSW) has previously been related to incidents of breast cancer and all-cause mortality, but many published studies have reported inconclusive results. The aim of the present study was to quantify a potential dose-effect relationship between NSW and morbidity of breast cancer, and to evaluate the asso...

    journal_title:Sleep medicine

    pub_type: 杂志文章,meta分析,评审


    authors: Lin X,Chen W,Wei F,Ying M,Wei W,Xie X

    更新日期:2015-11-01 00:00:00

  • Fatal accidents following changes in daylight savings time: the American experience.

    abstract::Objective: This study examines specific hypotheses that both sleep loss and behavioral changes occurring with the time shifts for Daylight Savings Time (DST) significantly effect the number of fatal traffic accidents in the United States of America.Background: It has been reported that there is a significant increase ...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Varughese J,Allen RP

    更新日期:2001-01-01 00:00:00

  • Sleep severity and fatigue manifestations in relation to the doctor-patient relationship.

    abstract:OBJECTIVES:The doctor-patient relationship has an important role in the delivery of high-quality healthcare. The aim of the present study was to explore and evaluate the impact of sleep severity and fatigue manifestations on doctor-patient relationships. METHODS:The present study was an analysis of a cross-sectional s...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Azzez SS,Abdulah DM,Piro RS,Miho Alhakem SS

    更新日期:2019-06-01 00:00:00

  • Hearing loss mediates executive function impairment in sleep-disordered breathing.

    abstract:BACKGROUND:Sleep-disordered breathing (SDB) is often co-morbid with conductive hearing loss in early childhood due to a shared aetiology of adenotonsillar hypertrophy. Hearing loss is independently associated with impairment of executive function and behavioural difficulties. We hypothesised that these impairments in c...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Hill CM,Bucks RS,Kennedy CR,Harrison D,Carroll A,Upton N,Hogan AM

    更新日期:2017-06-01 00:00:00

  • Unaltered EEG spectral power and functional connectivity in REM microstates in frequent nightmare recallers: are nightmares really a REM parasomnia?

    abstract:BACKGROUND:Frequent nightmares show signs of hyperarousal in NREM sleep. Nevertheless, idiopathic nightmare disorder is considered a REM parasomnia, but the pathophysiology of REM sleep in relation to frequent nightmares is controversial. Cortical oscillatory activity in REM sleep is largely modulated by phasic and ton...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: van der Wijk G,Blaskovich B,Farahzadi Y,Simor P

    更新日期:2020-11-01 00:00:00

  • Sleep disturbances and later cognitive status: a multi-centre study.

    abstract:OBJECTIVE:To investigate the associations between sleep disturbances in mid-life and late-life and late-life cognitive status. METHODS:In four population-based studies (three Swedish studies: H70 study, Kungsholmen Project (KP) and The Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD); and one Finnis...

    journal_title:Sleep medicine

    pub_type: 杂志文章,多中心研究


    authors: Sindi S,Johansson L,Skoog J,Mattsson AD,Sjöberg L,Wang HX,Fratiglioni L,Kulmala J,Soininen H,Solomon A,Johansson B,Skoog I,Kivipelto M,Kåreholt I

    更新日期:2018-12-01 00:00:00

  • Comparative levels of excessive daytime sleepiness in common medical disorders.

    abstract:INTRODUCTION:Sleep restriction and sleep disorders are common causes of excessive daytime sleepiness (EDS). Medical disorders (MD) can also cause EDS, but previous studies have used non-standardized measures, selected samples, or have examined EDS in singular disorders. This study describes the relative degree of EDS a...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Stroe AF,Roth T,Jefferson C,Hudgel DW,Roehrs T,Moss K,Drake CL

    更新日期:2010-10-01 00:00:00

  • Non-invasive positive ventilation in the treatment of sleep-related breathing disorders.

    abstract::This chapter addresses the use of long-term non-invasive positive pressure ventilation (NIPPV) (to the exclusion of continuous positive airway pressure) in the different clinical settings in which it is currently proposed: principally in diseases responsible for hypoventilation characterized by elevated PaCO(2). Nasal...

    journal_title:Sleep medicine

    pub_type: 杂志文章,评审


    authors: Robert D,Argaud L

    更新日期:2007-06-01 00:00:00

  • Sleep extension reduces pain sensitivity.

    abstract:INTRODUCTION:Insufficient sleep increases pain sensitivity in healthy individuals. Additionally, extending sleep (eg, increasing nocturnal sleep time or adding a mid-day nap) has been shown to restore pain sensitivity to baseline levels in sleep deprived/restricted individuals. Whether sleep extension can reduce pain s...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Simonelli G,Mantua J,Gad M,St Pierre M,Moore L,Yarnell AM,Quartana PJ,Braun A,Balkin TJ,Brager AJ,Capaldi VF

    更新日期:2019-02-01 00:00:00

  • Functional respiratory imaging as a tool to assess upper airway patency in children with obstructive sleep apnea.

    abstract:OBJECTIVE:We aim to investigate if anatomical and functional properties of the upper airway using computerized 3D models derived from computed tomography (CT) scans better predict obstructive sleep apnea (OSA) severity than standard clinical markers. METHODS:Consecutive children with suspected OSA underwent polysomnog...

    journal_title:Sleep medicine

    pub_type: 临床试验,杂志文章


    authors: Van Holsbeke C,Vos W,Van Hoorenbeeck K,Boudewyns A,Salgado R,Verdonck PR,Ramet J,De Backer J,De Backer W,Verhulst SL

    更新日期:2013-05-01 00:00:00

  • The impact of delayed sleep phase disorder on adolescents and their family.

    abstract:INTRODUCTION:We investigated the impact of delayed sleep phase disorder (DSPD) on the daily lives of adolescents and their families. METHOD:In this qualitative study, six adolescents with DSPD, and six parents were given in-depth interviews. Using thematic analysis, we merged open codes into themes that reflected the ...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Montie K,Quaedackers L,Perlitius V,van der Horst E,Vandenbussche N,Overeem S,Pillen S

    更新日期:2019-12-01 00:00:00

  • Sleep disturbances in a clinical forensic psychiatric population.

    abstract:OBJECTIVE:Poor sleep is known to cause detrimental effects on the course of diverse psychiatric disorders and is a putative risk factor for hostility and aggression. Thus, sleep may be crucial in forensic psychiatric practice. However, little is known about the prevalence of sleep disturbances in these complex psychiat...

    journal_title:Sleep medicine

    pub_type: 杂志文章


    authors: Kamphuis J,Karsten J,de Weerd A,Lancel M

    更新日期:2013-11-01 00:00:00