PMID: 12752839May 20, 2003Paper

Functional outcomes of excessive daytime sleepiness in older adults

Journal of the American Geriatrics Society
Nalaka S GooneratneAllan I Pack

Abstract

To describe the effect of self-reported excessive daytime sleepiness (EDS) on functional outcomes. Case-control study designed to examine differences in functional status between cases (with daytime sleepiness) and controls (no daytime sleepiness) with regard to demographic factors, general health, sleep history, and medications. Retirement communities in southeastern Pennsylvania, Delaware, and New Jersey. Seventy-six nondepressed, nondemented adults, aged 65 and older, were cases (had daytime sleepiness) and 38 were controls (had no daytime sleepiness). Standardized questionnaires to assess disease-specific functional status (Functional Outcomes of Sleepiness Questionnaire (FOSQ) and Epworth Sleepiness Scale (ESS)), depression (Geriatric Depression Scale-Short Form and the Center for Epidemiologic Studies-Depression Scale), dementia (Short Blessed Test), demographic factors, current medical history, and sleep complaints. There was a significant difference in functional status between sleepy cases and nonsleepy controls. Sleepiness had a moderate to large negative effect (effect size range from 0.59 to 0.83, P <.005) on the following functional domains of the FOSQ: social outcome, general productivity, vigilance, activity leve...Continue Reading

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