Chronic breathlessness and sleep problems : A population-based survey
Currow, David C. ; Chang, Sungwon ; Ferreira, Diana ; Eckert, Danny J. ; Gonzalez-Chica, David ; Stocks, Nigel and Ekström, Magnus Per LU
(2021)
In BMJ Open
11(8).
- Abstract
Objectives This study aimed to explore the relationship (presence and severity) between chronic breathlessness and sleep problems, independently of diagnoses and health service contact by surveying a large, representative sample of the general population. Setting Analysis of the 2017 South Australian Health Omnibus Survey, an annual, cross-sectional, face-to-face, multistage, clustered area systematic sampling survey carried out in Spring 2017. Chronic breathlessness was self-reported using the ordinal modified Medical Research Council (mMRC; scores 0 (none) to 4 (housebound)) where breathlessness has been present for more than 3 of the previous 6 months. a € Sleep problems - ever' and a € sleep problem - current' were assessed... (More)
Objectives This study aimed to explore the relationship (presence and severity) between chronic breathlessness and sleep problems, independently of diagnoses and health service contact by surveying a large, representative sample of the general population. Setting Analysis of the 2017 South Australian Health Omnibus Survey, an annual, cross-sectional, face-to-face, multistage, clustered area systematic sampling survey carried out in Spring 2017. Chronic breathlessness was self-reported using the ordinal modified Medical Research Council (mMRC; scores 0 (none) to 4 (housebound)) where breathlessness has been present for more than 3 of the previous 6 months. a € Sleep problems - ever' and a € sleep problem - current' were assessed dichotomously. Regression models were adjusted for age; sex and body mass index (BMI). Results 2900 responses were available (mean age 48.2 years (SD=18.6); 51% were female; mean BMI 27. 1 (SD=5.9)). Prevalence was: 2.7% (n=78) sleep problems - past; 6.8% (n=198) sleep problems - current and breathlessness (mMRC 1-4) was 8.8% (n=254). Respondents with sleep problemspast were more likely to be breathless, older with a higher BMI and sleep problems - present also included a higher likelihood of being female. After adjusting for age, sex and BMI, respondents with chronic breathlessness had 1.9 (95% CI=1.0 to 3.5) times the odds of sleep problems - past and sleep problems - current (adjusted OR=2.3; 95% CI=1.6 to 3.3). Conclusions There is a strong association between the two prevalent conditions. Future work will seek to understand if there is a causal relationship using validated sleep assessment tools and whether better managing one condition improves the other.
(Less)
- author
- Currow, David C.
; Chang, Sungwon
; Ferreira, Diana
; Eckert, Danny J.
; Gonzalez-Chica, David
; Stocks, Nigel
and Ekström, Magnus Per
LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- clinical audit, education & training (see medical education & training), sleep medicine
- in
- BMJ Open
- volume
- 11
- issue
- 8
- article number
- e046425
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:34385238
- scopus:85113270342
- ISSN
- 2044-6055
- DOI
- 10.1136/bmjopen-2020-046425
- language
- English
- LU publication?
- yes
- id
- d0b0fa3f-50ad-4e94-9cbf-55147e08dd51
- date added to LUP
- 2021-09-07 13:42:14
- date last changed
- 2024-06-15 15:54:14
@article{d0b0fa3f-50ad-4e94-9cbf-55147e08dd51,
abstract = {{<p>Objectives This study aimed to explore the relationship (presence and severity) between chronic breathlessness and sleep problems, independently of diagnoses and health service contact by surveying a large, representative sample of the general population. Setting Analysis of the 2017 South Australian Health Omnibus Survey, an annual, cross-sectional, face-to-face, multistage, clustered area systematic sampling survey carried out in Spring 2017. Chronic breathlessness was self-reported using the ordinal modified Medical Research Council (mMRC; scores 0 (none) to 4 (housebound)) where breathlessness has been present for more than 3 of the previous 6 months. a € Sleep problems - ever' and a € sleep problem - current' were assessed dichotomously. Regression models were adjusted for age; sex and body mass index (BMI). Results 2900 responses were available (mean age 48.2 years (SD=18.6); 51% were female; mean BMI 27. 1 (SD=5.9)). Prevalence was: 2.7% (n=78) sleep problems - past; 6.8% (n=198) sleep problems - current and breathlessness (mMRC 1-4) was 8.8% (n=254). Respondents with sleep problemspast were more likely to be breathless, older with a higher BMI and sleep problems - present also included a higher likelihood of being female. After adjusting for age, sex and BMI, respondents with chronic breathlessness had 1.9 (95% CI=1.0 to 3.5) times the odds of sleep problems - past and sleep problems - current (adjusted OR=2.3; 95% CI=1.6 to 3.3). Conclusions There is a strong association between the two prevalent conditions. Future work will seek to understand if there is a causal relationship using validated sleep assessment tools and whether better managing one condition improves the other. </p>}},
author = {{Currow, David C. and Chang, Sungwon and Ferreira, Diana and Eckert, Danny J. and Gonzalez-Chica, David and Stocks, Nigel and Ekström, Magnus Per}},
issn = {{2044-6055}},
keywords = {{clinical audit; education & training (see medical education & training); sleep medicine}},
language = {{eng}},
number = {{8}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Open}},
title = {{Chronic breathlessness and sleep problems : A population-based survey}},
url = {{http://dx.doi.org/10.1136/bmjopen-2020-046425}},
doi = {{10.1136/bmjopen-2020-046425}},
volume = {{11}},
year = {{2021}},
}