{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:27:32Z","timestamp":1789594052707,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T00:00:00Z","timestamp":1667779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Social jetlag is the discrepancy between socially determined sleep timing on workdays and biologically determined sleep timing on days free of social obligation. Poor circadian timing of sleep may worsen sleep quality and increase daytime sleepiness in obstructive sleep apnea (OSA). We analysed de\u2010identified data from 2,061 participants (75.2% male, mean [SD] age 48.6\u00a0[13.4]\u00a0years) who completed Sleep Apnea Global Interdisciplinary Consortium (SAGIC) research questionnaires and underwent polysomnography at 11 international sleep clinic sites. Social jetlag was calculated as the absolute difference in the midpoints of sleep between weekdays and weekends. Daytime sleepiness was assessed using the Epworth Sleepiness Scale (ESS). Linear regression analyses were performed to estimate the association between social jetlag and daytime sleepiness, with consideration of age, sex, body mass index, ethnicity, insomnia, alcohol consumption, and habitual sleep duration as confounders. Of the participants, 61.5% had &lt;1\u2009h of social jetlag, 27.5% had 1 to &lt;2\u2009h, and 11.1% had \u22652\u2009h. Compared to those with &lt;1\u2009h of social jetlag, those with \u22652\u2009h of social jetlag had 2.07 points higher ESS (95% confidence interval [CI] 0.77\u20133.38, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002), and those with 1 to &lt;2\u2009h of social jetlag had 0.80 points higher ESS (95% CI 0.04\u20131.55, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) after adjustment for potential confounding. Interaction with OSA severity was observed; social jetlag appeared to have the greatest effect on daytime sleepiness in mild OSA. As social jetlag exacerbates daytime sleepiness in OSA, improving sleep timing may be a simple but novel therapeutic target for reducing the impact of OSA.<\/jats:p>","DOI":"10.1111\/jsr.13772","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T05:04:59Z","timestamp":1667883899000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Influence of social jetlag on daytime sleepiness in obstructive sleep apnea"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2127-8306","authenticated-orcid":false,"given":"Charley Ximing","family":"Jin","sequence":"first","affiliation":[{"name":"Sleep Research Group, Charles Perkins Centre University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-7303","authenticated-orcid":false,"given":"Kate","family":"Sutherland","sequence":"additional","affiliation":[{"name":"Sleep Research Group, Charles Perkins Centre University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Respiratory and Sleep Medicine Royal North Shore Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6773-9876","authenticated-orcid":false,"given":"Thorarinn","family":"Gislason","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Sleep Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6561-3746","authenticated-orcid":false,"given":"Elin Helga","family":"Thorarinsdottir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Primary Health Care of the Capital Area  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7738-0927","authenticated-orcid":false,"given":"Lia","family":"Bittencourt","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Tufik","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8662-7928","authenticated-orcid":false,"given":"Bhajan","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Physiology and Sleep Medicine West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital  Nedlands Western Australia Australia"},{"name":"Faculty of Human Sciences University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3199-8569","authenticated-orcid":false,"given":"Nigel","family":"McArdle","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Physiology and Sleep Medicine West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital  Nedlands Western Australia Australia"},{"name":"Faculty of Human Sciences University of Western Australia  Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7920-4924","authenticated-orcid":false,"given":"Peter","family":"Cistulli","sequence":"additional","affiliation":[{"name":"Sleep Research Group, Charles Perkins Centre University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Respiratory and Sleep Medicine Royal North Shore Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4954-2658","authenticated-orcid":false,"given":"Yu Sun","family":"Bin","sequence":"additional","affiliation":[{"name":"Sleep Research Group, Charles Perkins Centre University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-008-0202-x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30198-5"},{"issue":"3","key":"e_1_2_11_4_1","first-page":"195","article-title":"A two process model of sleep regulation","volume":"1","author":"Borbely A. 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