Body mass index, gender, and ethnic variations alter the clinical implications of the Epworth Sleepiness Scale in patients with suspected obstructive sleep apnea

Open Respiratory Medicine Journal

Volumn 6, Issue 1, 2012, Pages 20-27

  Hesselbacher, Sean ^a   Subramanian, Shyam ^a   Allen, Jerry ^b   Surani, Sara ^b   Surani, Salim ^a,b,c,d  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b Torr Sleep Center   (United States)

^c TEXAS A AND M UNIVERSITY CORPUS CHRISTI   (United States)

^d Christus Spohn Hospital   (United States)

Author keywords

Epworth sleepiness scale; Ethnicity; Gender; Obstructive sleep apnea; Screening

Indexed keywords

ADULT; ARTICLE; BODY MASS; CAUCASIAN; CLINICAL EVALUATION; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE SEVERITY; EPWORTH SLEEPINESS SCALE; ETHNIC DIFFERENCE; FEMALE; HIGH RISK POPULATION; HISPANIC; HUMAN; MAJOR CLINICAL STUDY; MALE; MORPHOMETRICS; POLYSOMNOGRAPHY; PREDICTION; PREDICTIVE VALUE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SCREENING TEST; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; SLEEP APNEA SYNDROME;

EID: 84861841061     PISSN: None     EISSN: 18743064     Source Type: Journal    
DOI: 10.2174/1874306401206010020     Document Type: Article

References (28)

1. Punjabi NM, Caffo BS, Goodwin JL, Gottlieb DJ. Sleep-disordered breathing and mortality: a prospective cohort study. PLoS Med 2009; 6: e1000132.
2. Nieto FJ, Young TB, Lind BK, et al. Pickering TG for the Sleep Heart Health Study. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. JAMA 2000; 283: 1829-1836.
3. Punjabi NM, Shahar E, Redline S, Gottlieb DJ, Givelber R, Resnick HE. Sleep Heart Health Study Investigators. Sleep-disordered breathing, glucose intolerance, and insulin resistance. Am J Epidemiol 2004; 160: 521-530.
4. Chami HA, Devereux RB, Gottdiener JS, et al. Left ventricular morphology and systolic function in sleep-disordered breathing: the Sleep Heart Health Study. Circulation 2008; 117: 2599-2607.
5. O'Connor GT, Caffo B, Newman AB, et al. Prospective study of sleep-disordered breathing and hypertension. Am J Respir Crit Care Med 2009; 179: 1159-1164.
6. Redline S, Yenokyan G, Gottlieb DJ, et al. Obstructive sleep apnea-hypopnea and incident stroke: the Sleep Heart Health Study. Am J Respir Crit Care Med 2010; 182: 269-277.
7. George CF, Boudreau AC, Smiley A. Effects of nasal CPAP on simulated driving performance in patients with obstructive sleep apnoea. Thorax 1997; 52: 648-653.
8. Turkington PM, Sircar M, Allgar V, Elliott MW. Relationship between obstructive sleep apnoea, simulated driving performance, and risk of road traffic accidents. Thorax 2001; 56: 800-805.
9. Pichel F, Zamarrón C, Magán F, Rodríguez JR. Sustained attention measurements in obstructive sleep apnea and risk of traffic accidents. Respir Med 2006; 100: 1020-1027.
10. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14: 540-545.
11. Johns MW. Daytime sleepiness, snoring, and obstructive sleep apnea: the epworth sleepiness scale. Chest 1993; 103: 30-36.
12. Hirshkowitz M, Bibbs M, Smith JM. Epworth Sleepiness Scale normative values [abstract]. Sleep Med 2003; 4(Suppl 1): S18.
13. Rosenthal LD, Dolan DC. The epworth sleepiness scale in the identification of obstructive sleep apnea. J Nerv Ment Dis 2008; 196:429-431.
14. Doghramji PP. Recognition of obstructive sleep apnea and associated excessive daytime sleepiness in primary care. J Fam Pract 2008; 57 (Suppl 8): S17-S23.
15. NCD for continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea. 15 Oct 2008. Available at: http://www.cms.gov/transmittals/downloads/R96NCD.pdf [Accessed on 20 Mar 2011].
16. Subramanian S, Guntupalli B, Murugan T, et al. Gender and ethnic differences in prevalence of self-reported insomnia among patients with obstructive sleep apnea. Sleep Breath 2011; 15: 711-715.
17. Ye L, Pien GW, Ratcliffe SJ, Weaver TE. Gender differences in obstructive sleep apnea and treatment response to continuous positive airway pressure. J Clin Sleep Med 2009; 5: 512-518.
18. Baldwin CM, Ervin AM, Mays MZ, et al. Sleep disturbances, quality of life, and ethnicity: the Sleep Heart Health Study. J Clin Sleep Med 2010; 6: 176-183.
19. Sanford SD, Lichstein KL, Durrence HH, Riedel BW, Taylor DJ, Bush AJ. The influence of age, gender, ethnicity, and insomnia on Epworth sleepiness scores: a normative US population. Sleep Med 2006; 7: 319-326.
20. Gander PH, Marshall NS, Harris R, Reid P. The Epworth Sleepiness Scale: influence of age, ethnicity, and socioeconomic deprivation. Epworth sleepiness scores of adults in New Zealand. Sleep 2005; 28: 249-253.
21. Walsleben JA, Kapur VK, Newman AB, et al. Sleep and reported daytime sleepiness in normal subjects: the Sleep Heart Health Study. Sleep 2004; 27: 293-298.
22. Baldwin CM, Kapur VK, Holberg CJ, Rosen C, Nieto FJ. Sleep Heart Health Study Group. Associations between gender and measures of daytime somnolence in the Sleep Heart Health Study. Sleep 2004; 27:305-311.
23. Iber C, Ancoli-Israel S, Chesson A, Quan S. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications, 1st ed. Westchester, IL: American Academy of Sleep Medicine 2007.
24. Surani S, Aguillar R, Aguillar R, Subramanian S. Standardization of quality assurance for technologist: a model. Sleep Breath 2010; 14: 3-12.
25. O'Connor GT, Lind BK, Lee ET, et al. Variation in symptoms of sleep-disordered breathing with race and ethnicity: The Sleep Heart Health Study. Sleep 2003; 26: 74-79.
26. Valipour A, Lothaller H, Rauscher H, Zwick H, Burghuber OC, Lavie P. Gender-related differences in symptoms of patients with suspected breathing disorders in sleep: a clinical population study using the sleep disorders questionnaire. Sleep 2007; 30: 312-319.
27. Scharf SM, Seiden L, DeMore J, Carter-Pokras O. Racial differences in clinical presentation of patients with sleep-disordered breathing. Sleep Breath 2004; 8: 173-183.
28. Bixler EO, Vgontzas AN, Lin HM, Calhoun SL, Vela-Bueno A, Kales A. Excessive daytime sleepiness in a general population sample: the role of sleep apnea, age, obesity, diabetes, and depression. J Clin Endocrinol Metab 2005; 90: 4510-4515.