{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:11:40Z","timestamp":1785539500850,"version":"3.56.0"},"reference-count":20,"publisher":"Aerospace Medical Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Abnormal excessive daytime sleepiness (EDS) has been reported worldwide, but too little is known about EDS and its determinants in Search and Rescue (SAR) populations. We aimed to determine the prevalence of abnormal EDS and contributing factors among Royal Norwegian\n Air Force (RNoAF) SAR helicopter personnel.<jats:bold>METHODS:<\/jats:bold> In this cross-sectional study, a total of <jats:italic>N<\/jats:italic> = 175 RNoAF SAR personnel completed an electronic survey including socio-demographic and lifestyle questions. The Epworth Sleepiness Scale (ESS) was used as both a continuous and\n categorical outcome variable to measure EDS.<jats:bold>RESULTS:<\/jats:bold> Abnormal EDS defined by ESS was found in 41% of the participants in this study. We observed no associations between socio-demographic and lifestyle factors and abnormal EDS in this study. <jats:bold>DISCUSSION:<\/jats:bold> There is a high\n prevalence of abnormal EDS in the current RNoAF SAR population. Despite this elevated level of fatigue, we did not find that the socio-demographic and lifestyle factors assessed in this study were associated with abnormal EDS in RNoAF SAR helicopter personnel. Also unusually, the study cohort\n did not demonstrate higher scores in factors found to change ESS scores in similar study populations (e.g., caffeine use, tobacco use, exercise level). Further research is required to investigate other factors (organizational, operational) that may be associated with abnormal EDS in this and\n other SAR populations.<jats:bold>Akter R, Larose TL, Sandvik J, Fonne V, Meland A, Wagstaff AS. <jats:italic>Excessive daytime sleepiness and associated factors in military search and rescue personnel<\/jats:italic>. Aerosp Med Hum Perform. 2021; 92(12):975\u2013979.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.5946.2021","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T15:15:46Z","timestamp":1641482146000},"page":"975-979","source":"Crossref","is-referenced-by-count":3,"title":["Excessive Daytime Sleepiness and Associated Factors in Military Search and Rescue Personnel"],"prefix":"10.3357","volume":"92","author":[{"given":"Rokshana","family":"Akter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tricia L.","family":"Larose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jannicke","family":"Sandvik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne","family":"Fonne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Meland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony S.","family":"Wagstaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1911","reference":[{"issue":"2","key":"B1","doi-asserted-by":"crossref","first-page":"e13069","DOI":"10.1111\/jsr.13069","article-title":"Risk factors of excessive daytime sleepiness in a prospective populationbased cohort","volume":"30","author":"Berger","year":"2021","journal-title":"J Sleep Res."},{"issue":"2","key":"B2","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s11325-016-1417-x","article-title":"The use of an online Epworth Sleepiness Scale to assess excessive daytime sleepiness","volume":"21","author":"Boyes","year":"2017","journal-title":"Sleep Breath."},{"issue":"8","key":"B3","doi-asserted-by":"crossref","first-page":"641","DOI":"10.3357\/AMHP.5588.2020","article-title":"Caffeine, energy beverage consumption, fitness, and sleep in U.S. Army aviation personnel","volume":"91","author":"Bukhari","year":"2020","journal-title":"Aerosp Med Hum Perform."},{"key":"B4","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.neubiorev.2018.10.024","article-title":"Fatigue and its management in the workplace","volume":"96","author":"Caldwell","year":"2019","journal-title":"Neurosci Biobehav Rev."},{"issue":"3","key":"B5","doi-asserted-by":"crossref","first-page":"505","DOI":"10.3233\/WOR-141877","article-title":"Irregular working hours and fatigue of cabin crew","volume":"51","author":"Castro","year":"2015","journal-title":"Work."},{"issue":"8","key":"B6","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1007\/s00420-019-01449-w","article-title":"Sleepiness among personnel in the Norwegian Air Ambulance Service","volume":"92","author":"Flaa","year":"2019","journal-title":"Int Arch Occup Environ Health."},{"issue":"8","key":"B7","doi-asserted-by":"crossref","first-page":"800","DOI":"10.3357\/ASEM.3238.2012","article-title":"Fatigue reporting among aircrew: incidence rate and primary causes","volume":"83","author":"Houston","year":"2012","journal-title":"Aviat Space Environ Med."},{"issue":"11\u201312","key":"B8","doi-asserted-by":"crossref","first-page":"e701","DOI":"10.1093\/milmed\/usz066","article-title":"The Epworth Sleepiness Scale in service members with sleep disorders","volume":"184","author":"Hurlston","year":"2019","journal-title":"Mil Med."},{"issue":"suppl_1","key":"B9","doi-asserted-by":"crossref","first-page":"A137","DOI":"10.1093\/sleep\/zsy061.356","article-title":"The utility of the Epworth Sleepiness Scale in U.S. military personnel with sleep disturbances","volume":"41","author":"Hurlston","year":"2018","journal-title":"Sleep (Basel)."},{"issue":"1","key":"B10","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1038\/s41598-017-01547-0","article-title":"Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study","volume":"7","author":"Jaussent","year":"2017","journal-title":"Sci Rep."},{"issue":"6","key":"B11","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","article-title":"A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale","volume":"14","author":"Johns","year":"1991","journal-title":"Sleep."},{"issue":"3","key":"B12","first-page":"1107","article-title":"Excessive daytime sleepiness revealing idiopathic hypersomnia in a young air traffic controller","volume":"6","author":"Monin","year":"2020","journal-title":"J Sleep Med Disord."},{"issue":"1","key":"B13","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.sleep.2010.09.002","article-title":"The association between active smoking, smokeless tobacco, second-hand smoke exposure, and insufficient sleep","volume":"12","author":"Sabanayagam","year":"2011","journal-title":"Sleep Med."},{"issue":"7","key":"B14","doi-asserted-by":"crossref","first-page":"655","DOI":"10.7205\/MILMED-D-15-00279","article-title":"Prevalence of musculoskeletal symptoms, excessive daytime sleepinesss, and fatigue in the crewmembers of a U.S. Navy ship","volume":"181","author":"Shattuck","year":"2016","journal-title":"Mil Med."},{"issue":"6","key":"B15","first-page":"608","article-title":"Excessive daytime sleepiness in sleep disorders","volume":"4","author":"Slater","year":"2012","journal-title":"J Thorac Dis."},{"issue":"4","key":"B16","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1097\/01.psy.0000222367.88642.de","article-title":"Predictors of fatigue in rescue workers and residents in the aftermath of an aviation disaster: a longitudinal study","volume":"68","author":"Spinhoven","year":"2006","journal-title":"Psychosom Med."},{"key":"B17","year":"2021"},{"issue":"6","key":"B18","doi-asserted-by":"crossref","first-page":"e12852","DOI":"10.1111\/jsr.12852","article-title":"Definition of excessive daytime sleepiness in the general population: Feeling sleepy relates better to sleeprelated symptoms and quality of life than the Epworth Sleepiness Scale score. Results from an epidemiological study","volume":"28","author":"Thorarinsdottir","year":"2019","journal-title":"J Sleep Res."},{"issue":"1","key":"B19","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s00420-016-1170-2","article-title":"Risk factors for fatigue among airline pilots","volume":"90","author":"Van Drongelen","year":"2017","journal-title":"Int Arch Occup Environ Health."},{"issue":"1","key":"B20","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.amj.2018.11.002","article-title":"Causes and management of sleepiness among pilots in a Norwegian and an Austrian air ambulance service\u2014a comparative study","volume":"38","author":"Zakariassen","year":"2019","journal-title":"Air Med J."}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/92\/12\/article-p975.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/92\/12\/article-p975.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/92\/12\/article-p975.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:21:17Z","timestamp":1728303677000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/92\/12\/article-p975.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,1]]},"references-count":20,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.3357\/amhp.5946.2021","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"value":"2375-6314","type":"print"},{"value":"2375-6322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,1]]}}}