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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Affective Disorder | Research

Excessive daytime sleepiness and its predictors among medical and health science students of University of Gondar, Northwest Ethiopia: institution-based cross-sectional study

Authors: Baye Dagnew, Zewudu Andualem, Henok Dagne

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Background

Excessive daytime sleepiness (EDS) is a condition of sleepiness when a person would not be expected to sleep. University students are prone to EDS due to the competitive learning environment and fragmented night sleep. No study was conducted in Ethiopia on EDS. Therefore, this study aimed to determine EDS and its predictors among University of Gondar (UoG) Medical and Health Science students.

Methods

Institution-based cross-sectional study was carried out on 383 Medical and Health Science students of UoG who were recruited using a computer-generated simple random sampling technique. We used a validated Epworth daytime sleepiness tool to collect data. Epi-Info™ 7 and Stata 14 were used for data entry and analysis, respectively. Bivariable and multivariable binary logistic regression analyses were performed to find out predictors. Odds ratio with 95% uncertainty interval were computed. In the final model, a variable with a p < 0.05 was declared as a predictor of EDS.

Results

Three hundred and eighty-three students completed the questionnaire. Males were 69.97% and the mean age of participants was 20.79 (±1.83) years. In the current study, the prevalence of EDS was 31.07% (95% UI: 26.62–35.91). The odds of getting EDS was 1.83 (AOR = 1.83, 95% UI: 1.14–2.96) and 1.84 (AOR = 1.84, 95% UI: 1.13–3.00) higher among students who reported night sleep behaviour disorders and depression, respectively.

Conclusion

This study revealed that EDS is high and predicted by depression and night sleep behaviour disorders. These findings suggest the need to set preventive strategies such as counselling of students to reduce depression and night sleep behaviour disorders. Further studies particularly qualitative studies are required to find out more factors affecting EDS.
Literature
1.
Carskadon MA, Dement WC. Normal human sleep: an overview. Principles Pract Sleep Med. 2005;4:13–23.
2.
Elliot DW, Charles AC, Janet CZ, Joseph MR. Timing of REM and stages 3+ 4 sleep during temporal isolation in man. Sleep. 1980;2(4):391–407.
3.
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s updated sleep duration recommendations. Sleep health. 2015;1(4):233–43.PubMed
4.
Dhand R, Sohal H. Good sleep, bad sleep! The role of daytime naps in healthy adults. Curr Opin Pulm Med. 2006;12(6):379–82.PubMed
5.
Arand D, Bonnet M, Hurwitz T, Mitler M, Rosa R, Sangal RB. The clinical use of the MSLT and MWT. Sleep. 2005;28(1):123–44.PubMed
6.
7.
Seneviratne U, Puvanendran K. Excessive daytime sleepiness in obstructive sleep apnea: prevalence, severity, and predictors. Sleep Med. 2004;5(4):339–43.PubMed
8.
Hanly PJ, Gabor JY, Chan C, Pierratos A. Daytime sleepiness in patients with CRF: impact of nocturnal hemodialysis. Am J Kidney Dis. 2003;41(2):403–10.PubMed
9.
Janson C, Gislason T, De Backer W, Plaschke P, Björnsson E, Hetta J, et al. Daytime sleepiness, snoring and gastro-oesophageal reflux amongst young adults in three European countries. J Intern Med. 1995;237(3):277–85.PubMed
10.
Young TB. Epidemiology of daytime sleepiness: definitions, symptomatology, and prevalence. J Clin Psychiatry. 2004;65:12–6.PubMed
11.
Liu X, Uchiyama M, Kim K, Okawa M, Shibui K, Kudo Y, et al. Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry Res. 2000;93(1):1–11.PubMed
12.
13.
Joo S, Shin C, Kim J, Yi H, Ahn Y, Park M, et al. Prevalence and correlates of excessive daytime sleepiness in high school students in Korea. Psychiatry Clin Neurosci. 2005;59(4):433–40.PubMed
14.
Zailinawati A, Teng C, Chung Y, Teow T, Lee P, Jagmohni K. Daytime sleepiness and sleep quality among Malaysian medical students. Med J Malaysia. 2009;64(2):108–10.PubMed
15.
Kaur G, Singh A. Excessive daytime sleepiness and its pattern among Indian college students. Sleep Med. 2017;29:23–8.PubMed
16.
Seblewengel L, Sheila VP, Yared AT, Mahlet GT, Yemane B, Bizu G, Michelle AW. "The Epidemiology of Sleep Quality, Sleep Patterns, Consumption of Caffeinated Beverages, and Khat Use among Ethiopian College Students", Sleep Disorders. 2012;2012(583510):11. https://​doi.​org/​10.​1155/​2012/​583510.
17.
18.
Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015;11(01):69–74.PubMedPubMedCentral
19.
Kao C-C, Huang C-J, Wang M-Y, Tsai P-S. Insomnia: prevalence and its impact on excessive daytime sleepiness and psychological well-being in the adult Taiwanese population. Qual Life Res. 2008;17(8):1073–80.PubMed
20.
Boccabella A, Malouf J. How do sleep-related health problems affect functional status according to sex? J Clin Sleep Med. 2017;13(5):685–92.PubMedPubMedCentral
21.
Kaneita Y, Ohida T, Uchiyama M, Takemura S, Kawahara K, Yokoyama E, et al. Excessive daytime sleepiness among the Japanese general population. J Epidemiol. 2005;15(1):1–8.PubMed
22.
Fatani A, Al-Rouqi K, Al Towairky J, Ahmed AE, Al-Jahdali S, Ali Y, et al. Effect of age and gender in the prevalence of excessive daytime sleepiness among a sample of the Saudi population. J Epidemiol Glob Health. 2015;5(4 Suppl 1):S59–66.PubMedPubMedCentral
23.
Panossian LA, Veasey SC. Daytime sleepiness in obesity: mechanisms beyond obstructive sleep apnea—a review. Sleep. 2012;35(5):605–15.PubMedPubMedCentral
24.
Martikainen K, Hasan J, Urponen H, Vuori I, Partinen M. Daytime sleepiness: a risk factor in community life. Acta Neurol Scand. 1992;86(4):337–41.PubMed
25.
Galetta F, Franzoni F, Fallahi P, Tocchini L, Graci F, Gaddeo C, et al. Changes in autonomic regulation and ventricular repolarization induced by subclinical hyperthyroidism. Biomed Pharmacother. 2010;64(8):546–9.PubMed
26.
Breslau N, Roth T, Rosenthal L, Andreski P. Daytime sleepiness: an epidemiological study of young adults. Am J Public Health. 1997;87(10):1649–53.PubMedPubMedCentral
27.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.PubMed
28.
Manzar MD, Salahuddin M, Alamri M, Albougami A, Khan MYA, Nureye D, et al. Psychometric properties of the Epworth sleepiness scale in Ethiopian university students. Health Qual Life Outcomes. 2019;17(1):30.PubMedPubMedCentral
29.
Stiasny-Kolster K, Mayer G, Schäfer S, Möller JC, Heinzel-Gutenbrunner M, Oertel WH. The REM sleep behavior disorder screening questionnaire—a new diagnostic instrument. Mov Disord. 2007;22(16):2386–93.PubMed
30.
Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio. 1996;78(2):490–8.
31.
Cohen S, Kamarck T, Mermelstein R. Perceived stress scale. Measuring stress: A guide for health and social scientists. 1994;10:235–83.
32.
Grothe KB, Dutton GR, Jones GN, Bodenlos J, Ancona M, Brantley PJ. Validation of the Beck depression inventory-II in a low-income African American sample of medical outpatients. Psychol Assess. 2005;17(1):110.PubMed
33.
Manzar MD, Salahuddin M, Peter S, Alghadir A, Anwer S, Bahammam AS, et al. Psychometric properties of the perceived stress scale in Ethiopian university students. BMC Public Health. 2019;19(1):41.PubMedPubMedCentral
34.
35.
36.
Duko B, Erdado M, Ebrahim J. Prevalence and factors associated with depression among hospital admitted patients in South Ethiopia: cross sectional study. BMC research notes. 2019;12(1):73.PubMedPubMedCentral
37.
Cohen S, Kamarck T, Mermelstein R. Perceived stress scale. Measuring stress: A guide for health and social scientists. 1994;10:1–2.
38.
Mallery P, George D. SPSS for windows step by step: a simple guide and reference. Bacon, Boston: Allyn; 2003.
39.
Gaultney JF. The prevalence of sleep disorders in college students: impact on academic performance. J Am Coll Heal. 2010;59(2):91–7.
40.
Whittier A, Sanchez S, Castañeda B, Sanchez E, Gelaye B, Yanez D, et al. Eveningness chronotype, daytime sleepiness, caffeine consumption, and use of other stimulants among Peruvian university students. J Caffeine Res. 2014;4(1):21–7.PubMedPubMedCentral
41.
James BO, Omoaregba JO, Igberase OO. Prevalence and correlates of poor sleep quality among medical students at a Nigerian university. Ann Nigerian Med. 2011;5(1):1.
42.
Huang C-F, Yang L-Y, Wu L-M, Liu Y, Chen H-M. Determinants of daytime sleepiness in first-year nursing students: a questionnaire survey. Nurse Educ Today. 2014;34(6):1048–53.PubMed
43.
Shen Y, Meng F, Tan SN, Zhang Y, Anderiescu EC, Abeysekera RE, et al. Excessive daytime sleepiness in medical students of Hunan province: prevalence, correlates, and its relationship with suicidal behaviors. J Affect Disord. 2019;255:90–5.PubMed
44.
Rodrigues RND, Viegas CAA, Abreu e Silva AAA, Tavares P. Daytime sleepiness and academic performance in medical students. Arq Neuropsiquiatr. 2002;60:6–11.PubMed
45.
Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: relationship with stress and academic performance. Saudi Med J. 2016;37(2):173.PubMedPubMedCentral
46.
BaHammam AS, Alaseem AM, Alzakri AA, Almeneessier AS, Sharif MM. The relationship between sleep and wake habits and academic performance in medical students: a cross-sectional study. BMC Med Educ. 2012;12(1):61.PubMedPubMedCentral
47.
van der Spuy I, Karunanayake CP, Dosman JA, McMullin K, Zhao G, Abonyi S, et al. Determinants of excessive daytime sleepiness in two first nation communities. BMC Pulmonary Med. 2017;17(1):192.
48.
Mahowald MW. What is causing excessive daytime sleepiness? Evaluation to distinguish sleep deprivation from sleep disorders. Postgrad Med. 2000;107(3):108–23.PubMed
49.
Moore M, Meltzer LJ. The sleepy adolescent: causes and consequences of sleepiness in teens. Paediatr Respir Rev. 2008;9(2):114–21.PubMed
50.
Sack RL, Auckley D, Auger RR, Carskadon MA, Wright KP Jr, Vitiello MV, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. Sleep. 2007;30(11):1460–83.PubMedPubMedCentral
51.
Waqas A, Khan S, Sharif W, Khalid U, Ali A. Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: a cross sectional survey. PeerJ. 2015;3:e840.PubMedPubMedCentral
52.
Deb S, Banu PR, Thomas S, Vardhan RV, Rao PT, Khawaja N. Depression among Indian university students and its association with perceived university academic environment, living arrangements and personal issues. Asian J Psychiatr. 2016;23:108–17.PubMed
53.
Dagnew B, Dagne H. Year of study as predictor of loneliness among students of University of Gondar. BMC Res Notes. 2019;12(1):240.PubMedPubMedCentral
54.
Rose D, Gelaye B, Sanchez S, Castañeda B, Sanchez E, Yanez ND, et al. Morningness/eveningness chronotype, poor sleep quality, and daytime sleepiness in relation to common mental disorders among Peruvian college students. Psychol Health Med. 2015;20(3):345–52.PubMed
55.
Bush B, Hudson T. The role of cortisol in sleep. Nat Med J. 2010;2(6):2010–06.
56.
Mühlen K, Ockenfels H. Morphological alterations in the diencephalon and telencephalon following disturbances to the feedback mechanism adenohypophysis-adrenal cortex. 3. Studies on the guinea pig after administration of cortisone and hydrocortisone. Z Zellforsch Mikrosk Anat. 1969;93(1):126.
57.
Feng G, Chen J, Yang X. Study on the status and quality of sleep-related influencing factors in medical college students. Zhonghua Liu Xing Bing Xue Za Zhi. 2005;26(5):328–31.PubMed
58.
Mume CO, Olawale KO, Osundina AF. Excessive daytime sleepiness, nocturnal sleep duration and psychopathology among Nigerian university students. S Afr J Psychiatry. 2011;17(4):108–11.
Metadata
Title
Excessive daytime sleepiness and its predictors among medical and health science students of University of Gondar, Northwest Ethiopia: institution-based cross-sectional study
Authors
Baye Dagnew
Zewudu Andualem
Henok Dagne
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01553-3

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