Prevalence and factors associated with excessive daytime sleepiness among Malaysian medical students
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UniKL Business School, Universiti Kuala Lumpur 1016, Jalan Sultan Ismail, 50250 Kuala Lumpur, MALAYSIA
Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA
Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu, MALAYSIA
Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, MALAYSIA
Department of Pharmacology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Subang Jaya, Selangor, MALAYSIA
School of Bioengineering and Biosciences, Lovely Professional University, Phagwara, Punjab, INDIA
Faculty of Health and Life Sciences, INTI International University, Nilai, Negeri Sembilan, MALAYSIA
Faculty of Dentistry, AIMST University, Bedong, Kedah, MALAYSIA
Online publication date: 2024-02-12
Publication date: 2024-03-01
Electron J Gen Med 2024;21(2):em571
The purpose of our study was to ascertain the frequency of excessive daytime sleepiness (EDS) amongst medical students as well as the contributing variables. In Kelantan, Malaysia, at the School of Medical Sciences of Universiti Sains Malaysia, a cross-sectional research study was carried out. The Epworth drowsiness scale was used to gauge the degree of daytime drowsiness, and the depression, anxiety, and stress scale was used to gauge the degree of depression, anxiety, and stress. The related factors of EDS were analyzed using ordinal logistic regression. 311 individuals, or 84.5% of the total, submitted the questionnaire out of 368. 42.7% of people had EDS (95% CI: 0.52, 0.70). The associated factors of EDS included year of study (adjusted odds ratio [AOR]=0.55 [95% confidence interval [CI]: 0.33, 0.91]), race (Chinese) (AOR=0.58 [95% CI: 0.32, 0.97]), anxiety level(mild)(AOR=2.68 [95% CI: 1.26, 5.68]), anxiety level (moderate) (AOR=3.70 [95% CI: 1.76, 7.75]), anxiety level (severe) (AOR=4.76 [95% CI: 1.06, 21.42]), stress level (mild) (AOR=3.37 [95% CI: 1.47, 7.30]) and stress level (moderate) (AOR=5.42 [95% CI: 2.05, 14.35]). As for conclusion, associated factors such as year of study, race, anxiety and stress level were significantly found to be associated with EDS among medical students.
Salwen-Deremer JK, Schreyer C, Hymowitz GF, Montanari A, Smith MT, Coughlin JW. Sleep disturbance and insomnia in individuals seeking bariatric surgery. Surg Obes Relat Dis. 2020;16(7):940-7. https://doi.org/10.1016/j.soar... PMid:32331997.
Rao MU, Siddharthan S, Sowmya R, et al. Study on excessive daytime sleepiness among undergraduate medical students: Cross sectional survey to study the risk factors. Res J Pharm Technol. 2021;14(3):1828-33. https://doi.org/10.5958/0974-3....
Twenge JM, Krizan Z, Hisler G. Decreases in self-reported sleep duration among US adolescents 2009-2015 and association with new media screen time. Sleep Med. 2017;39:47-53. https://doi.org/10.1016/j.slee... PMid:29157587.
Banasiak NC. Understanding the relationship between asthma and sleep in the pediatric population. J Pediatr Health Care. 2016;30(6):546-50. https://doi.org/10.1016/j.pedh... PMid:26774954.
Basu M, Saha SK, Majumder S, Chatterjee S, Misra R. A study on sleeping pattern among undergraduate medical students of a tertiary care teaching hospital of Kolkata. Int J Med Public Health. 2019;9(4):118. https://doi.org/10.5530/ijmedp....
Nesterenko I. Sleep physiology and dreams subjective meaning. Herald Kyiv Inst Bus Technol. 2019;39(1):44-8. https://doi.org/10.37203/kibit....
Lee E, Holt L, Daugherty J, Newsom C. Perioperative management of OSA in the obese patient population. Int Anesthesiol Clin. 2020;58(3):47-52. https://doi.org/10.1097/AIA.00... PMid:32282579.
Jahrami H, Alshomili H, Almannai N, et al. Predictors of excessive daytime sleepiness in medical students: A meta-regression. Clocks Sleep. 2019;1(2):209-19. https://doi.org/10.3390/clocks... PMid:33089164 PMCid:PMC7445829.
Chattu VK, Manzar MD, Kumary S, Burman D, Spence DW, Pandi-Perumal SR. The global problem of insufficient sleep and its serious public health implications. Healthcare (Basel). 2018;7(1):1. https://doi.org/10.3390/health... PMid:30577441 PMCid:PMC6473877.
Brüning F, Noya SB, Bange T, et al. Sleep-wake cycles drive daily dynamics of synaptic phosphorylation. Science. 2019;366(6462):eaav3617. https://doi.org/10.1126/scienc... PMid:31601740.
Fabbri M, Beracci A, Martoni M, Meneo D, Tonetti L, Natale V. Measuring subjective sleep quality: A review. Int JEnviron Res Public Health. 2021;18(3):1082. https://doi.org/10.3390/ijerph... PMid:33530453 PMCid:PMC7908437.
Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnea: A review. JAMA. 2020; 323(14):1389-400. https://doi.org/10.1001/jama.2... PMid:32286648.
Meers J, Stout-Aguilar J, Nowakowski S. Sex differences in sleep health. In: Grandner MA, editor. Sleep and health. Elsevier Academic Press; 2019. p. 21-9. https://doi.org/10.1016/B978-0....
Lastella M, Halson SL, Vitale JA, Memon AR, Vincent GE. To nap or not to nap? A systematic review evaluating napping behavior in athletes and the impact on various measures of athletic performance. Nat Sci Sleep. 2021;13:841-62. https://doi.org/10.2147/NSS.S3... PMid:34194254 PMCid:PMC8238550.
Rajendran D, Vinod PB, Karthika M, Prathibha MT. Excessive daytime sleepiness in medical students. J Evol Med Dent Sci. 2018;7(6):747-50. https://doi.org/10.14260/jemds....
Cassidy SA, Bradley L, Bowen E, Wigham S, Rodgers J. Measurement properties of tools used to assess depression in adults with and without autism spectrum conditions: A systematic review. Autism Res. 2018;11(5):738-54. https://doi.org/10.1002/aur.19... PMid:29360200 PMCid:PMC6001465.
Kendzerska TB, Smith PM, Brignardello-Petersen R, Leung RS, Tomlinson GA. Evaluation of the measurement properties of the Epworth sleepiness scale: A systematic review. Sleep Med Rev. 2014;18(4):321-31. https://doi.org/10.1016/j.smrv... PMid:24135493.
Frankham C, Richardson T, Maguire N. Psychological factors associated with financial hardship and mental health: A systematic review. Clin Psychol Rev. 2020;77:101832. https://doi.org/10.1016/j.cpr.... PMid:32088498.
Gupta L, Morgan K, Gilchrist S. Does elite sport degrade sleep quality? A systematic review. Sports Med. 2017; 47(7):1317-33. https://doi.org/10.1007/s40279... PMid:27900583 PMCid:PMC5488138.
Liu Y, Zhang J, Li SX, et al. Excessive daytime sleepiness among children and adolescents: Prevalence, correlates, and pubertal effects. Sleep Med. 2019;53:1-8. https://doi.org/10.1016/j.slee... PMid:30384136.
Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Med Rev. 2015;21:50-58. https://doi.org/10.1016/j.smrv... PMid:25193149 PMCid:PMC4437561.
Torres BG. Facultad de Medicina Humana [Faculty of Human Medicine] [Doctoral dissertation]. Universidad Católica de Santa María; 2015.
Pérez-Carbonell L, Mignot E, Leschziner G, Dauvilliers Y. Understanding and approaching excessive daytime sleepiness. Lancet. 2022;400(10357):1033-47. https://doi.org/10.1016/S0140-... PMid:36115367.
Joo S, Baik I, Yi H, Jung K, Kim J. Shin C. Prevalence of excessive daytime sleepiness and associated factors in the adult population of Korea. Sleep Med. 2009;10:182-8. https://doi.org/10.1016/j.slee... PMid:18684665.
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