{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T12:43:02Z","timestamp":1792845782848,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    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\u2010sectional analysis in the population\u2010based Swedish CArdioPulmonary bioImage Study (SCAPIS) cohort (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200927,976; 14,436 females; aged 50\u201364\u2009years) to assess how sleep\u2010related 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 \u226511 as the main outcome. Both short and long sleep duration were related to EDS with increasing ORs for decreasing sleep duration (7\u2009h vs. reference (8\u2009h): OR 1.2, 95% CI 1.02\u20131.3 to \u22644\u2009h: 1.9; 1.4\u20132.5). In addition to sleep\u2010related factors such as insomnia (1.3; 1.2\u20131.4), poor sleep quality (1.2; 1.04\u20131.4), snoring (1.5; 1.4\u20131.6), and nocturnal gastro\u2010oesophageal reflux (1.5; 1.21\u20131.8), psychological distress showed a strong association with EDS. This included sadness\/depression (1.2; 1.1\u20131.3), stress (some stress: 1.4; 1.1\u20131.7 to constant stress over 5\u2009years: 1.7; 1.3\u20132.2), and self\u2010rated \"control in life\" (lowest quartile: 1.7; 1.6\u20132.0). 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.\n                  <\/jats:p>","DOI":"10.1111\/jsr.14449","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T03:38:49Z","timestamp":1736307529000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["What are the important risk factors for excessive daytime sleepiness in a population\u2010based cohort?"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2819-2799","authenticated-orcid":false,"given":"Jenny","family":"Theorell\u2010Hagl\u00f6w","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, Respiratory, Allergy and Sleep Research Uppsala University  Uppsala 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Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl A.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Intervention Surgery Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7190-394X","authenticated-orcid":false,"given":"Jan","family":"Hedner","sequence":"additional","affiliation":[{"name":"Centre for Sleep and Vigilance Disorders, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Sleep Disorders Centre, Pulmonary Medicine Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2935-7161","authenticated-orcid":false,"given":"Magnus","family":"Hultin","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Intervention, Anesthesiology and Intensive Care Medicine Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4245-7565","authenticated-orcid":false,"given":"Fredrik","family":"Iredahl","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Division of General Practice Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Lindberg","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Respiratory, Allergy and Sleep Research Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8486-6746","authenticated-orcid":false,"given":"Mirjam","family":"Ljunggren","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Respiratory, Allergy and Sleep Research Uppsala University  Uppsala 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