Evidence map›Paper›PMID 39776162›Full record

ArticleJournal of sleep research2025

What are the important risk factors for excessive daytime sleepiness in a population-based cohort?

Jenny Theorell-Haglöw, Martin Ulander, John Brandberg, Martin Claesson, Karl A Franklin, Jan Hedner, Magnus Hultin, Fredrik Iredahl, Eva Lindberg, Mirjam Ljunggren and 10 more

Abstract read
In one paragraph

Article in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Jenny Theorell-HaglöwDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2819-2799
Martin UlanderDepartment of Biomedicine and Clinical Sciences, Division of Neurobiology, Faculty of Medicine, Linköping University, Linköping, Sweden.
John BrandbergDepartment of Radiology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
Martin ClaessonDepartment of Diagnostics and Intervention Surgery, Umeå University, Umeå, Sweden.
Karl A FranklinDepartment of Diagnostics and Intervention Surgery, Umeå University, Umeå, Sweden.
Jan HednerCentre for Sleep and Vigilance Disorders, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-7190-394X
Magnus HultinDepartment of Diagnostics and Intervention, Anesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden.ORCID 0000-0003-2935-7161
Fredrik IredahlDepartment of Health, Medicine and Caring Sciences, Division of General Practice, Linköping University, Linköping, Sweden.ORCID 0000-0002-4245-7565
Eva LindbergDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Mirjam LjunggrenDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-8486-6746
Andrei MalinovschiDepartment of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden.
Maria MannilaDepartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Ida PesonenRespiratory Medicine Unit, Department of Medicine, Karolinska Institute, Stockholm, Sweden.
Anthony PrakashDepartment of Medicine, Skåne University Hospital, Lund University, Lund, Sweden.
Carin SahlinDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Magnus SköldDepartment of Respiratory Medicine and Allergy, Karolinska University Hospital, Stockholm, Sweden.
Jonas SpaakDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Hanan TanashDepartment of Medicine, Skåne University Hospital, Lund University, Lund, Sweden.
Ding ZouCentre for Sleep and Vigilance Disorders, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Ludger GroteCentre for Sleep and Vigilance Disorders, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-7405-1682

Funding

EU Horizon 2020 "Sleep Revolution" 965417Hjärt-Lungfonden 20200485Hjärt-Lungfonden 20210529Hjärt-Lungfonden 20230298The West Sweden ALF agreement ALFGBG 966283
6 · The paper itself

Abstract

Excessive daytime sleepiness (EDS) is a common complaint in the general population and is associated with cardiovascular disease and increased mortality. We aimed to investigate whether sleep duration is related to excessive daytime sleepiness in the general population, both in itself and in combination with other factors. We performed a cross-sectional analysis in the population-based Swedish CArdioPulmonary bioImage Study (SCAPIS) cohort (n = 27,976; 14,436 females; aged 50-64 years) to assess how sleep-related factors along with anthropometric, lifestyle, socioeconomic factors as well as somatic disease and psychological distress, were related with EDS assessed by the Epworth sleepiness scale (ESS). Analyses were performed using logistic regression modelling with EDS defined by an ESS score of ≥11 as the main outcome. Both short and long sleep duration were related to EDS with increasing ORs for decreasing sleep duration (7 h vs. reference (8 h): OR 1.2, 95% CI 1.02-1.3 to ≤4 h: 1.9; 1.4-2.5). In addition to sleep-related factors such as insomnia (1.3; 1.2-1.4), poor sleep quality (1.2; 1.04-1.4), snoring (1.5; 1.4-1.6), and nocturnal gastro-oesophageal reflux (1.5; 1.21-1.8), psychological distress showed a strong association with EDS. This included sadness/depression (1.2; 1.1-1.3), stress (some stress: 1.4; 1.1-1.7 to constant stress over 5 years: 1.7; 1.3-2.2), and self-rated "control in life" (lowest quartile: 1.7; 1.6-2.0). Daytime sleepiness is multifactorial and associated with both sleep duration and sleep quality. Strong associations were also established with factors related to psychological distress. Further research may investigate interventions targeting both sleep and psychological health to reduce daytime sleepiness at the societal level.

Indexed as

Disorders of Excessive SomnolenceCohort StudiesCross-Sectional StudiesFemaleHumansLife StyleMaleMiddle AgedRisk FactorsSleepSleep QualitySwedenadultsepidemiologyEpworthSCAPISsleepiness

Identifiers

PMID39776162
PMCPMC12215290

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.