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Predictors of Increased Daytime Sleepiness in Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study
Joint Authors
Leuppi, Jörg D.
Enz, Claudia
Brighenti-Zogg, Stefanie
Steveling-Klein, Esther Helen
Dürr, Selina
Maier, Sabrina
Miedinger, David
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-16
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Patients with Chronic Obstructive Pulmonary Disease (COPD) suffer from increased daytime sleepiness.
The aim of this study was to identify potential predictors of subjective daytime sleepiness with special regard to sleep-related breathing disorder and nocturnal activity.
Methods.
COPD patients were recruited at the University Hospital Basel, Switzerland.
COPD risk groups A–D were determined according to spirometry and COPD Assessment Test (CAT).
Breathing disorder evaluation was performed with the ApneaLink device.
Nocturnal energy expenditure was measured with the SenseWear Mini Armband.
Subjective daytime sleepiness was recorded using the Epworth Sleepiness Scale (ESS).
Results.
Twenty-two patients (36%) were in COPD risk group A, 28 patients (45%) in risk group B, and 12 patients (19%) in risk groups C + D (n=62).
Eleven patients (18%) had a pathological ESS ≥ 10/24.
ESS correlated positively with CAT (r=0.386, p<0.01) and inversely with age (r=-0.347, p<0.01).
In multiple linear regression age (β=-0.254, p<0.05), AHI (β=0.287, p<0.05) and CAT score (β=0.380, p<0.01) were independent predictors of ESS, while nocturnal energy expenditure showed no significant association (p=0.619).
Conclusion.
These findings provide evidence that daytime sleepiness in COPD patients may partly be attributable to nocturnal respiratory disturbances and it seems to mostly affect younger patients with more severe COPD symptoms.
American Psychological Association (APA)
Enz, Claudia& Brighenti-Zogg, Stefanie& Steveling-Klein, Esther Helen& Dürr, Selina& Maier, Sabrina& Miedinger, David…[et al.]. 2016. Predictors of Increased Daytime Sleepiness in Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study. Sleep Disorders،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1118035
Modern Language Association (MLA)
Enz, Claudia…[et al.]. Predictors of Increased Daytime Sleepiness in Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study. Sleep Disorders No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1118035
American Medical Association (AMA)
Enz, Claudia& Brighenti-Zogg, Stefanie& Steveling-Klein, Esther Helen& Dürr, Selina& Maier, Sabrina& Miedinger, David…[et al.]. Predictors of Increased Daytime Sleepiness in Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study. Sleep Disorders. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1118035
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1118035