Abstract
The epidemiology of sleep refers to the study of patterns of sleep and sleep disorders across the population. Under the broad heading of the epidemiology of sleep, there are numerous specific questions to be asked about sleep hygiene practices, sleep architecture, sleep duration, and any one of a set of disorders. This chapter focuses on what is known about patterns of sleep duration, sleep apnea, insomnia, and restless legs syndrome (RLS) in the general US population and how they relate to three important epidemiological categories: sex, race, and age.
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References
National Sleep Foundation (2005) Sleep in America Poll. Available at:http://www.sleepfoundation.org/ content/hottopic/2005_summary_of_findings.pdf. Accessed Dec. 2006.
Lauderdale DS, Knutson KL, Yan LL, et al. (2006) Objectively measured sleep characteristics among early-middle-aged adults: the CARDIA study. Am J Epidemiol 164(1):5–16.
Gangwisch JE, Heymsfield SB, Boden-Albala B, et al. (2006) Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension 47(5):833–839.
Gangwisch JE, Malaspina D, Boden-Albala B, Heymsfield SB (2005) Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep 28(10): 1289–1296.
Haack M, Mullington JM (2005) Sustained sleep restriction reduces emotional and physical wellbeing. Pain 119(l-3):56–64.
Kaplow R (2005) Sleep deprivation and psychosocial impact in acutely ill cancer patients. Crit Care Nurs Clin North Am 17(3):225–237.
Kripke DF, Simons RN, Garfinkel L, Hammond EC (1979) Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry 36(l):103–116.
Tamakoshi A, Ohno Y (2004) Self-reported sleep duration as a predictor of all-cause mortality: results from the JACC study, Japan. Sleep 27(l):51–54.
Wingard DL, Berkman LF (1983) Mortality risk associated with sleeping patterns among adults. Sleep 6(2): 102–107.
Qureshi AI, Giles WH, Croft JB, Bliwise DL (1997) Habitual sleep patterns and risk for stroke and coronary heart disease: a 10-year follow-up from NHANES I. Neurology 48(4):904–911.
Patel SR, Ayas NT, Malhotra MR, et al. (2004) A prospective study of sleep duration and mortality risk in women. Sleep 27(3):440–444.
Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marier MR (2002) Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 59(2): 131–136.
Ayas NT, White DP, Al-Delaimy WK, et al (2003) A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care 26(2):380–384.
Ayas NT, White DP, Manson JE, et al. (2003) A prospective study of sleep duration and coronary heart disease in women. Arch Intern Med 163(2):205–209.
Jefferson CD, Drake CL, Roehrs T, Roth T (2005) Sleep Habits in Healthy Normals. Sleep 28 (Abstract Suppl): A328–A329.
Hale L, Do DP (2006) Sleep and the City: An Analysis of Sleep Duration, Race, and Neighborhood Context in the NHIS. Presented at the Annual Meetings of the Population Association of America.
Hale L (2005) Who has time to sleep? J Public Health (Oxf) (2):205–211.
Biddle JE (1990) Hamermesh DS. Sleep and the Allocation of Time. The Journal of Political Economy.;98(5):922–943.
Rao U, Poland RE, Lutchmansingh P, Ott GE, McCracken JT, Lin KM (1999) Relationship between ethnicity and sleep patterns in normal controls: implications for psychopathology and treatment. J Psychiatr Res 33(5):419–426.
Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV (2004) Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 27(7):1255–1273.
Young T, Peppard PE, Gottlieb DJ (2002) Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 165(9): 1217–1239.
Bearpark H, Elliott L, Grunstein R, et al. (1995) Snoring and sleep apnea. A population study in Australian men. Am J Respir Crit Care Med 151(5):1459–1465.
Gislason T, Almqvist M, Eriksson G, Taube A, Boman G (1988) Prevalence of sleep apnea syndrome among Swedish men—an epidemiological study. J Clin Epidemiol 41(6):571–576.
Kripke DF, Ancoli-Israel S, Klauber MR, Wingard DL, Mason WJ, Mullaney DJ (1997) Prevalence of sleep-disordered breathing in ages 40–64 years: a population-based survey. Sleep 20(l):65–76.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S (1993) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328(17): 1230–1235.
Bixler EO, Vgontzas AN, Ten Have T, Tyson K, Kales A (1998) Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med 157(1): 144–148.
Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleepdisordered breathing and hypertension. N Engl J Med 342(19): 1378–1384.
Nieto FJ, Young TB, Lind BK, et al. (2000) Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA 283(14): 1829–1836.
Shahar E, Whitney CW, Redline S, et al. (2001) Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 163(1):19–25.
Hu FB, Willett WC, Manson JE, et al. (2000) Snoring and risk of cardiovascular disease in women. J Am Coll Cardiol 35(2):308–313.
Arzt M, Young T, Finn L, Skatrud JB, Bradley TD (2005) Association of Sleep-Disordered Breathing and the Occurrence of Stroke. Am J Respir Crit Care Med 172(11):1447–1451.
Vgontzas AN, Bixler EO, Chrousos GP (2005) Sleep apnea is a manifestation of the metabolic syndrome. Sleep Med Rev 9(3):211–224.
Reichmuth KJ, Austin D, Skatrud JB, Young T (2005) Association of sleep apnea and type II diabetes: a population-based study. Am J Respir Crit Care Med 172(12):1590–1595.
Kim HC, Young T, Matthews CG, Weber SM, Woodward AR, Palta M (1997) Sleep-disordered breathing and neuropsychological deficits. A population-based study. Am J Respir Crit Care Med 156(6):1813–1819.
Redline S, Strauss ME, Adams N, et al. (1997) Neuropsychological function in mild sleep-disordered breathing. Sleep 20(2):160–167.
Teran-Santos J, Jimenez-Gomez A, Cordero-Guevara J (1999) The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander. N Engl J Med 340(11): 847–851.
Young T, Blustein J, Finn L, Palta M (1997) Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults. Sleep 20(8):608–613.
Finn L, Young T, Palta M, Fryback DG(1998) Sleep-disordered breathing and self-reported general health status in the Wisconsin Sleep Cohort Study. Sleep 21(7):701–706.
Baldwin CM, Griffith KA, Nieto FJ, O’Connor GT, Walsleben JA, Redline S (2001) The association of sleep-disordered breathing and sleep symptoms with quality of life in the Sleep Heart Health Study. Sleep 24(l):96–105.
Young T, Hutton R, Finn L, Badr S, Palta M (1996) The gender bias in sleep apnea diagnosis. Are women missed because they have different symptoms? Arch Intern Med 156(21):2445–2451.
Tishler PV, Larkin EK, Schluchter MD, Redline S (2003) Incidence of sleep-disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. JAMA 289(17):2230–2237.
Faulx MD, Larkin EK, Hoit BD, Aylor JE, Wright AT, Redline S (2004) Sex influences endothelial function in sleep-disordered breathing. Sleep 27(6): 1113–1120.
Shepertycky MR, Banno K, Kryger MH (2005) Differences between men and women in the clinical presentation of patients diagnosed with obstructive sleep apnea syndrome. Sleep 28(3):309–314.
Young T, Peppard PE (2005) Clinical presentation of OSAS: gender does matter. Sleep 28(3):293–295.
Patel SR, Palmer LJ, Larkin EK, Jenny NS, White DP, Redline S (2004) Relationship between obstructive sleep apnea and diurnal leptin rhythms. Sleep 27(2):235–239.
Hale L, Peppard PE, Young T 2006 Does the demography of sleep contribute to health disparities? in: Sleep Disorders: Their Impact on Public Health. 1 ed. (Leger D, Pandi-Perumal SR, eds.) Informa Healthcare, New York.
Redline S, Tishler PV, Hans MG, Tosteson TD, Strohl KP, Spry K (1997) Racial differences in sleepdisordered breathing in African-Americans and Caucasians. Am J Respir Crit Care Med 155(1): 186–192.
Ancoli-Israel S, Klauber MR, Stepnowsky C, Estline E, Chinn A, Fell R (1995) Sleep-disordered breathing in African-American elderly. Am J Respir Crit Care Med 152 (6 Pt 1):1946–1949.
Young T, Peppard P, Palta M, et al. (1997) Population-based study of sleep-disordered breathing as a risk factor for hypertension. Arch Intern Med 157(15): 1746–1752.
Young T, Shahar E, Nieto FJ, et al. (2002) Predictors of sleep-disordered breathing in communitydwelling adults: the Sleep Heart Health Study. Arch Intern Med 162(8): 893–900.
State-of-Science Conference Statement: National Institute of Health, 2005.
Buscemi N, Vandermeer B, Friesen C, et al. (2005) Manifestations and management of chronic insomnia in adults. Evid Rep Technol Assess (Summ) (125):1–10.
Chesson AL Jr, Anderson WM, Littner M, et al. (1999) Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep 22(8):1128–1133.
Morin CM, LeBlanc M, Daley M, Gregoire JP, Merette C (2006) Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Med 7(2): 123–130.
Phillips B, Mannino D Does Insomnia Kill? Annual Meetings of the Assoicated Professional Sleep Socieites. Denver, 2005.
Leger D (2000) Public health and insomnia: economic impact. Sleep 23(Suppl 3):S69–S76.
Walsh JK, Engelhardt CL (1999) The direct economic costs of insomnia in the United States for 1995. Sleep 22(Suppl 2):S386–S393.
Bixler EO, Vgontzas AN, Lin HM, Vela-Bueno A, Kales A (2002) Insomnia in central Pennsylvania. J Psychosom Res 53(l):589–592.
Hajak G (2001) Epidemiology of severe insomnia and its consequences in Germany. Eur Arch Psychiatry Clin Neurosci 251(2):49–56.
Ishigooka J, Suzuki M, Isawa S, Muraoka H, Murasaki M, Okawa M (1999) Epidemiological study on sleep habits and insomnia of new outpatients visiting general hospitals in Japan. Psychiatry Clin Neurosci 53(4):515–522.
Leger D, Guilleminault C, Dreyfus JP, Delahaye C, Paillard M (2000) Prevalence of insomnia in a survey of 12,778 adults in France. J Sleep Res 9(1):35–42.
Leppavuori A, Pohjasvaara T, Vataja R, Kaste M, Erkinjuntti T (2002) Insomnia in ischemic stroke patients. Cerebrovasc Dis 14(2):90–97.
Ohayon MM, Partinen M (2002) Insomnia and global sleep dissatisfaction in Finland. J Sleep Res 11(4):339–346.
Rocha FL, Guerra HL, Lima-Costa MF (2002) Prevalence of insomnia and associated socio-demographic factors in a Brazilian community: the Bambui study. Sleep Med 3(2):121–126.
Rocha FL, Uchoa E, Guerra HL, Firmo JO, Vidigal PG, Lima-Costa MF (2002) Prevalence of sleep complaints and associated factors in community-dwelling older people in Brazil: the Bambui Health and Ageing Study (BHAS). Sleep Med 3(3):231–238.
Taylor D, Lichstein K, Durance H (2003) Insomnia as a health risk factor. Behav Sleep Med 1(4): 227–242.
Terzano MG, Parrino L, Cirignotta F, et al. (2004) Studio Morfeo: insomnia in primary care, a survey conducted on the Italian population. Sleep Med 5(l):67–75.
Yeo BK, Perera IS, Kok LP, Tsoi WF (1996) Insomnia in the community. Singapore Med J 37(3):282–284.
Broman JE, Lundh LG, Hetta J (1996) Insufficient sleep in the general population. Neurophysiol Clin 26(l):30–39.
Dorsey CM, Bootzin RR (1997) Subjective and psychophysiologic insomnia: an examination of sleep tendency and personality. Biol Psychiatry 41(2):209–216.
Han SY, Yoon JW, Jo SK, et al. (2002) Insomnia in diabetic hemodialysis patients. Prevalence and risk factors by a multicenter study. Nephron 92(1):127–132.
Kappler C, Hohagen F (2003) Psychosocial aspects of insomnia. Results of a study in general practice. Eur Arch Psychiatry Clin Neurosci 253(l):49–52.
Lichstein KL, Durrence HH, Bayen UJ, Riedel BW (2001) Primary versus secondary insomnia in older adults: subjective sleep and daytime functioning. Psychol Aging 16(2):264–271.
Riedel BW, Durrence HH, Lichstein KL, Taylor DJ, Bush AJ (2004) The relation between smoking and sleep: the influence of smoking level, health, and psychological variables. Behav Sleep Med 2(l):63–78.
Ancoli-Israel S, Roth T (1999) Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I. Sleep 22(Suppl 2):S347–S353.
Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ (2005) Epidemiology of insomnia, depression, and anxiety. Sleep 28(11):1457–1464.
Harvey AG, Greenall E (2003) Catastrophic worry in primary insomnia. J Behav Ther Exp Psychiatry
Kawada T, Yosiaki S, Yasuo K, Suzuki S (2003) Population study on the prevalence of insomnia and insomnia-related factors among Japanese women. Sleep Med 4(6):563–567.
Pallesen S, Nordhus IH, Kvale G, et al. (2002) Psychological characteristics of elderly insomniacs. Scand J Psychol 43(5):425–432.
Kageyama T, Kabuto M, Nitta H, et al. (1997) A population study on risk factors for insomnia among adult Japanese women: apossible effect of road traffic volume. Sleep 20(11):963–971.
Kageyama T, Nishikido N, Kobayashi T, Oga J, Kawashima M (2001) Cross-sectional survey on risk factors for insomnia in Japanese female hospital nurses working rapidly rotating shift systems. J Hum Ergol (Tokyo) 30(1–2): 149–154.
Braga-Neto P, da Silva-Junior FP, Sueli Monte F, de Bruin PF, de Bruin VM (2004) Snoring and excessive daytime sleepiness in Parkinson’s disease. J Neurol Sci 217(1):41–45.
Hohagen F, Kappler C, Schramm E, Riemann D, Weyerer S, Berger M (1994) Sleep onset insomnia, sleep maintaining insomnia and insomnia with early morning awakening—temporal stability of subtypes in a longitudinal study on general practice attenders. Sleep 17(6):551–554.
Ohayon MM, Roth T (2001) What are the contributing factors for insomnia in the general population? J Psychosom Res 51(6):745–755.
Winkelman JW, Finn L, Young T (2006) Prevalence and correlates of restless legs syndrome symptoms in the Wisconsin Sleep Cohort. Sleep Med 7:545–552.
Van De, Vijver DA, Walley T, Petri H (2004) Epidemiology of restless legs syndrome as diagnosed in UK primary care. Sleep Med 5(5):435–440.
Garcia-Borreguero D, Egatz R, Winkelmann J, Berger K (2006) Epidemiology of restless legs syndrome: the current status. Sleep Med Rev 10(3):153–167.
Rothdach AJ, Trenkwalder C, Haberstock J, Keil U, Berger K (2000) Prevalence and risk factors of RLS in an elderly population: the MEMO study. Memory and Morbidity in Augsburg Elderly. Neurology 54(5): 1064–1068.
Hogl B, Kiechl S, Willeit J, et al. (2005) Restless legs syndrome: a community-based study of prevalence, severity, and risk factors. Neurology 64(11): 1920–1924.
Kutner NG, Bliwise DL (2002) Restless legs complaint in African-American and Caucasian hemodialysis patients. Sleep Med 3(6):497–500.
Nomura T, Inoue Y, Miyake M, Yasui K, Nakashima K (2006) Prevalence and clinical characteristics of restless legs syndrome in Japanese patients with Parkinson’s disease. Mov Disord 21(3):380–384.
Tan EK, Seah A, See SJ, Lim E, Wong MC, Koh KK (2001) Restless legs syndrome in an Asian population: A study in Singapore. Mov Disord 16(3):577–579.
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Hale, L. (2007). Epidemiology of Sleep. In: Pagel, J.F., Pandi-Perumal, S.R. (eds) Primary Care Sleep Medicine. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-421-6_2
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DOI: https://doi.org/10.1007/978-1-59745-421-6_2
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