TY - JOUR PY - 2014// TI - Daytime sleepiness associated with poor sustained attention in middle and late adulthood JO - Sleep Medicine A1 - Yun, Chang-Ho A1 - Kim, Hyun A1 - Lee, Seung Ku A1 - Suh, Sooyeon A1 - Lee, Seung Hoon A1 - Park, Seong-Ho A1 - Thomas, Robert J. A1 - Au, Rhoda A1 - Shin, Chol SP - 143 EP - 151 VL - 16 IS - 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.

Language: en

LA - en SN - 1389-9457 UR - http://dx.doi.org/10.1016/j.sleep.2014.07.028 ID - ref1 ER -