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Prevalence and impact of sleep disorders and sleep habits in the United States

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Abstract

Purpose

Epidemiologic studies on sleep disorders in the USA have mostly focused on specific disorders in specific groups of individuals. Most studies on sleep habits and sleep-related difficulties have focused on children and adolescents. The authors describe the prevalence of the three common physician-diagnosed sleep disorders (insomnia, sleep apnea, and restless legs syndrome (RLS)) by age, gender, and race in the US population. In addition, the authors describe the sleep habits and sleep-related difficulties in carrying routine daily activities. The authors also investigate the impact of the sleep disorders on performing routine daily activities.

Methods

Data from the 2005–2006 National Health and Nutrition Examination Survey for 6,139 individuals over the age of 16 was analyzed for sleep-related parameters.

Results

The prevalence was highest for sleep apnea (4.2%), followed by insomnia (1.2%) and RLS (0.4%). Hispanics and Whites reported longer sleep duration than Blacks by 24 to 30 min. The predominant sleep habits were snoring while sleeping (48%), feeling unrested during the day (26.5%), and not getting enough sleep (26%). Difficulty concentrating (25%) or remembering (18%) were the main sleep-related difficulties in our sample. Insomnia, sleep apnea, and RLS had the highest impact on concentration and memory.

Conclusions

Our findings suggest that the prevalence of sleep disorders in the USA is much lower than previously reported in the literature suggesting under diagnosis of sleep disorders by primary care physicians.

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References

  1. Partinen M, Hublin C (2005) Epidemiology of sleep disorders. Elsevier, Saunders, Philadelphia

    Google Scholar 

  2. Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6:97–111

    Article  PubMed  Google Scholar 

  3. 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 328:1230–1235

    Article  CAS  PubMed  Google Scholar 

  4. Bixler EO, Vgontzas AN, Lin HM, Ten Have T, Rein J, Vela-Bueno A, Kales A (2001) Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med 163:608–613

    CAS  PubMed  Google Scholar 

  5. 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 157:144–148

    CAS  PubMed  Google Scholar 

  6. Nunes J, Jean-Louis G, Zizi F, Casimir GJ, von Gizycki H, Brown CD, McFarlane SI (2008) Sleep duration among black and white Americans: results of the national health interview survey. J Natl Med Assoc 100:317–322

    PubMed  Google Scholar 

  7. Lauderdale DS, Knutson KL, Yan LL, Rathouz PJ, Hulley SB, Sidney S, Liu K (2006) Objectively measured sleep characteristics among early-middle-aged adults: the CARDIA study. Am J Epidemiol 164:5–16

    Article  PubMed  Google Scholar 

  8. Hale L, Do DP (2007) Racial differences in self-reports of sleep duration in a population-based study. Sleep 30:1096–1103

    PubMed  Google Scholar 

  9. Wolter KM (1985) Introduction to variance estimation. Springer-Verlag, New York

    Google Scholar 

  10. Lauderdale DS, Knutson KL, Yan LL, Liu K, Rathouz PJ (2008) Self-reported and measured sleep duration: how similar are they? Epidemiology 19:838–845

    Article  PubMed  Google Scholar 

  11. Silva GE, Goodwin JL, Sherrill DL, Arnold JL, Bootzin RR, Smith T, Walsleben JA, Baldwin CM, Quan SF (2007) Relationship between reported and measured sleep times: the sleep heart health study (SHHS). J Clin Sleep Med 3:622–630

    PubMed  Google Scholar 

  12. NSF (2005) 2005 National Sleep Foundation Sleep in America poll. National Sleep Foundation, Washington DC

    Google Scholar 

  13. Ancoli-Israel S, Roth T (1999) Characteristics of insomnia in the United States: results of the 1991 national sleep foundation survey. I. Sleep 22:347S–353S

    Google Scholar 

  14. Hajak G (2001) Epidemiology of severe insomnia and its consequences in Germany. Eur Arch Psychiatry Clin Neurosci 251:49–56

    Article  CAS  PubMed  Google Scholar 

  15. Chevalier H, Los F, Boichut D, Bianchi M, Nutt DJ, Hajak G, Hetta J, Hoffmann G, Crowe C (1999) Evaluation of severe insomnia in the general population: results of a European multinational survey. J Psychopharmacol 13:21S–24S

    Google Scholar 

  16. Wittchen HU, Krause P, Hofler M, Pittrow D, Winter S, Spiegel B, Hajak G, Riemann D, Steiger A, Pfister H (2001) NISAS-2000: the “Nationwide Insomnia Screening and Awareness Study”. Prevalence and interventions in primary care. Fortschr Med Orig 119:9–19

    CAS  PubMed  Google Scholar 

  17. Shochat T, Umphress J, Israel AG, Ancoli-Israel S (1999) Insomnia in primary care patients. Sleep 22:359S–365S

    Google Scholar 

  18. Drake CL, Roehrs T, Roth T (2003) Insomnia causes, consequences, and therapeutics: an overview. Depress Anxiety 18:163–176

    Article  PubMed  Google Scholar 

  19. Ohayon MM, Smirne S (2002) Prevalence and consequences of insomnia disorders in the general population of Italy. Sleep Med 3:115–120

    Article  PubMed  Google Scholar 

  20. Leger D, Poursain B (2005) An international survey of insomnia: under-recognition and under-treatment of a polysymptomatic condition. Curr Med Res Opin 21:1785–1792

    Article  CAS  PubMed  Google Scholar 

  21. Bixler EO, Vgontzas AN, Lin HM, Vela-Bueno A, Kales A (2002) Insomnia in central Pennsylvania. J Psychosom Res 53:589–592

    Article  CAS  PubMed  Google Scholar 

  22. Estivill E, Bove A, Garcia-Borreguero D, Gibert J, Paniagua J, Pin G, Puertas FJ, Cilveti R (2003) Consensus on drug treatment, definition and diagnosis for insomnia. Clin Drug Investig 23:351–385

    Article  CAS  PubMed  Google Scholar 

  23. Foley DJ, Monjan AA, Brown SL, Simonsick EM, Wallace RB, Blazer DG (1995) Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep 18:425–432

    CAS  PubMed  Google Scholar 

  24. Mellinger GD, Balter MB, Uhlenhuth EH (1985) Insomnia and its treatment. Prevalence and correlates. Arch Gen Psychiatry 42:225–232

    CAS  PubMed  Google Scholar 

  25. 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 2:63–78

    Article  PubMed  Google Scholar 

  26. Deshpande AD, Harris-Hayes M, Schootman M (2008) Epidemiology of diabetes and diabetes-related complications. Phys Ther 88(11):1254–1264

    PubMed  Google Scholar 

  27. Golbin JM, Somers VK, Caples SM (2008) Obstructive sleep apnea, cardiovascular disease, and pulmonary hypertension. Proc Am Thorac Soc 5:200–206

    Article  PubMed  Google Scholar 

  28. Hajjar I, Kotchen JM, Kotchen TA (2006) Hypertension: trends in prevalence, incidence, and control. Annu Rev Public Health 27:465–490

    Article  PubMed  Google Scholar 

  29. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM (2006) Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 295:1549–1555

    Article  CAS  PubMed  Google Scholar 

  30. Wang Y, Beydoun MA, Liang L, Caballero B, Kumanyika SK (2008) Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity 16:2323–2330

    Article  PubMed  Google Scholar 

  31. Young T, Shahar E, Nieto FJ, Redline S, Newman AB, Gottlieb DJ, Walsleben JA, Finn L, Enright P, Samet JM (2002) Predictors of sleep-disordered breathing in community-dwelling adults: the sleep heart health study. Arch Intern Med 162:893–900

    Article  PubMed  Google Scholar 

  32. Redline S, Tishler PV, Hans MG, Tosteson TD, Strohl KP, Spry K (1997) Racial differences in sleep-disordered breathing in African-Americans and Caucasians. Am J Respir Crit Care Med 155:186–192

    CAS  PubMed  Google Scholar 

  33. Scharf SM, Seiden L, DeMore J, Carter-Pokras O (2004) Racial differences in clinical presentation of patients with sleep-disordered breathing. Sleep Breath 8:173–183

    Article  PubMed  Google Scholar 

  34. Stepnowsky CJ Jr, Moore PJ, Dimsdale JE (2003) Effect of ethnicity on sleep: complexities for epidemiologic research. Sleep 26:329–332

    PubMed  Google Scholar 

  35. Merlino G, Valente M, Serafini A, Gigli GL (2007) Restless legs syndrome: diagnosis, epidemiology, classification and consequences. Neurol Sci 28:37S–46S

    Article  Google Scholar 

  36. Thomas K, Watson CB (2008) Restless legs syndrome in women: a review. J Womens Health (Larchmt) 17:859–868

    Article  Google Scholar 

  37. Buboltz WC Jr, Brown F, Soper B (2001) Sleep habits and patterns of college students: a preliminary study. J Am Coll Health 50:131–135

    Article  PubMed  Google Scholar 

  38. Goodlin-Jones BL, Sitnick SL, Tang K, Liu J, Anders TF (2008) The Children’s sleep habits questionnaire in toddlers and preschool children. J Dev Behav Pediatr 29:82–88

    Article  PubMed  Google Scholar 

  39. Liu X, Liu L, Owens JA, Kaplan DL (2005) Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics 115:241S–249S

    Article  Google Scholar 

  40. Lyznicki JM, Doege TC, Davis RM, Williams MA (1998) Sleepiness, driving, and motor vehicle crashes. Council on Scientific Affairs, American Medical Association. JAMA 279:1908–1913

    Article  CAS  PubMed  Google Scholar 

  41. McConnell CF, Bretz KM, Dwyer WO (2003) Falling asleep at the wheel: a close look at 1,269 fatal and serious injury-producing crashes. Behav Sleep Med 1:171–183

    Article  PubMed  Google Scholar 

  42. Ohayon MM (2008) Nocturnal awakenings and comorbid disorders in the American general population. J Psychiatr Res 43:48–54

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

None of the authors have a conflict of interest to declare in relation to this work.

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Correspondence to Saravanan Ram.

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Ram, S., Seirawan, H., Kumar, S.K.S. et al. Prevalence and impact of sleep disorders and sleep habits in the United States. Sleep Breath 14, 63–70 (2010). https://doi.org/10.1007/s11325-009-0281-3

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  • DOI: https://doi.org/10.1007/s11325-009-0281-3

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