Canadian Respiratory Journal

Canadian Respiratory Journal / 2012 / Article

Original Article | Open Access

Volume 19 |Article ID 287309 |

P Pahwa, CP Karunanayake, L Hagel, JA Gjevre, D Rennie, J Lawson, JA Dosman, "Prevalence of High Epworth Sleepiness Scale Scores in a Rural Population", Canadian Respiratory Journal, vol. 19, Article ID 287309, 5 pages, 2012.

Prevalence of High Epworth Sleepiness Scale Scores in a Rural Population


BACKGROUND: Increased daytime sleepiness is an important symptom of obstructive sleep apnea (OSA). OSA is frequently underdiagnosed, and the Epworth Sleepiness Scale (ESS) can be a useful tool in alerting physicians to a potential problem involving OSA.OBJECTIVE: To measure the prevalence and determinants of daytime sleepiness measured using the ESS in a rural community population.METHODS: A community survey was conducted to examine the risk factors associated with ESS in a rural population in 154 households comprising 283 adults. Questionnaire information was obtained regarding physical factors, social factors, general medical history, family medical history, ESS score, and self-reported height and weight. Multivariable binary logistic regression analysis based on the generalized estimating equations approach to account for clustering within households was used to predict the relationship between a binary ESS score outcome (normal or abnormal) and a set of explanatory variables.RESULTS: The population included 140 men (49.5%) and 143 women (50.5%) with an age range of 18 to 97 years (mean [± SD] 52.0±14.9 years). The data showed that 79.2% of the study participants had an ESS score in the normal range (0 to 10) and 20.8% had an ESS score >10, which is considered to be abnormal or high sleepiness. Multivariable regression analysis revealed that obesity was significantly associated with an abnormal or high sleepiness score on the ESS (OR 3.40 [95% CI 1.31 to 8.80).CONCLUSION: High levels of sleepiness in this population were common. Obesity was an important risk factor for high ESS score.

Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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