cdc short sleep

7/31/2019 Cdc Short Sleep

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Morbidity and Mortality Weekly Report (MMWR)

Effect of Short Sleep Duration on DailyActivities --- United States, 2005--2008

MMWRMarch 4, 2011 / 60(08);239-242

Little is known about the extent to which insufficient sleep affects the ability of U.S.adults to carry out daily activities. The National Sleep Foundation suggests that adultsneed 7--9 hours of sleep per night; shorter and longer sleep durations have beenassociated with increased morbidity and mortality (1). To assess the prevalence of shortsleep duration (


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A short sleep duration of 9 hours (Figure1). Approximately one third of respondents reported one or more sleep-relateddifficulties. Among adults who reported


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hours of sleep per night; both shorter and longer sleep durations have been associatedwith increased morbidity and mortality (1). In this analysis, adults who reported usuallygetting


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pharmacologic management, use of continuous positive airway pressure devices, use ofdental devices, or upper airway surgery.

References1. National Sleep Foundation. How much sleep do we really need? Washington, DC:

National Sleep Foundation; 2010. Available athttp://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-need . Accessed February 22, 2011.

2. CDC. Unhealthy sleep-related behaviors---12 states, 2009. MMWR 2011;60:233--8.

3. Weaver TE, Laizner AM, Evans LK, et al. An instrument to measure functionalstatus outcomes for disorders of excessive sleepiness. Sleep 1997;20:835--43.

4. Herrmann US, Hess CW, Guggisberg AG, Roth C, Gugger M, Mathis J. Sleepinessis not always perceived before falling asleep in healthy, sleep-deprived subjects.Sleep Med 2010;11:747--51.

5. Institute of Medicine. Sleep disorders and sleep deprivation: an unmet public

health problem. Washington, DC: National Academies Press; 2006. Available athttp://www.iom.edu/cms/3740/23160/33668.aspx . Accessed February 22,2011.

6. Ram S, Seirawan H, Kumar SKS, Clark GT. Prevalence and impact of sleepdisorders and sleep habits in the United States. Sleep Breath 2010;14:63--70.

7. National Highway Traffic Safety Administration. Drowsy driving. Ann EmergMed 2005;45:433--4.

8. Gillin JC, Drummond SPA, Clark CP, Moore P. Medication and substance abuse[Chapter 115]. In: Kryger MH, Roth T, Dement WC, eds. Principles and practiceof sleep medicine. 4th ed. Philadelphia, PA: Elsevier; 2005.

* Data and additional information are available athttp://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htm .

The questions pertaining to the sleep-related difficulties were "Do you have difficultyconcentrating on the things you do because you feel sleepy or tired?" "Do you generallyhave difficulty remembering things because you are sleepy or tired?" "Do you havedifficulty working on a hobby, for example, sewing, collecting, gardening, because youare sleepy or tired?" "Do you have difficulty getting things done because you are toosleepy or tired to drive or take public transportation?" "Do you have difficulty takingcare of financial affairs and doing paperwork (for example, paying bills or keepingfinancial records) because you are sleepy or tired?" and "Do you have difficulty

performing employed or volunteer work because you are sleepy or tired?" Affirmativeresponses to these questions included a "yes" to any level of difficulty. Negativeresponses were "don't do this activity for other reasons," "no difficulty," or "don't know."

What is already known on this topic?

The National Sleep Foundation suggests that adults need 7--9 hours of sleep per night;shorter and longer sleep durations have been associated with increased morbidity andmortality.

What is added by this report?
http://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-needhttp://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-needhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a2.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a2.htmhttp://www.iom.edu/cms/3740/23160/33668.aspxhttp://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htmhttp://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-needhttp://www.sleepfoundation.org/article/how-sleep-works/how-much-sleep-do-we-really-needhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a2.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a2.htmhttp://www.iom.edu/cms/3740/23160/33668.aspxhttp://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htm


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Perceived difficulty in carrying out each of several daily activities because of being toosleepy or tired was as much as 50% greater among adults who usually slept


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duration --- National Health and Nutrition Examination Survey, UnitedStates, 2005--2008

* 95% confidence interval.

Alternate Text: The figure above shows the age-adjusted prevalence of adults aged20 years reporting sleep-related difficulty carrying out selected activities, by usualsleep duration in the United States from 2005-2008, according to the National Healthand Nutrition Examination Survey. Among adults who reported


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41.0) 21.5) 16.2) 11.3) 11.3)

Women 5,605 35.3(32.7--37.8)

26.1(24.4--27.8)

21.4(19.7--23.0)

15.9(14.7--17.0)

13.1 (12.0--14.3) 11.0(9.8--12.2)

9.5 (8.5--10.5)

Age group (yrs)

20--39 3,830 37.0

(34.3--

39.7) 25.1

(23.1--

27.1) 18.4

(16.9--

19.9) 13.3

(12.0--

14.5) 12.6 (11.3--13.9) 10.7

(8.8--

12.6) 10.3 (8.8--11.9)

40--59 3,350 40.3(37.7--42.9)

24.5(22.5--26.5)

20.3(18.6--22.1)

15.7(14.2--17.2)

12.7 (11.1--14.3) 13.2(12.0--14.5)

10.0 (8.7--11.3)

60 3,716 32.0(30.0--34.1)

18.0(16.3--19.7)

14.7(13.0--16.3)

9.4(8.1--10.6)

6.9 (5.9--7.9) 5.7(4.9--6.5)

3.5 (2.7--4.3)

Race/Ethnicity

White, non-Hispanic

5,246 34.5(31.9--37.2)

23.9(22.3--25.6)

17.8(16.4--19.2)

13.9(12.9--14.8)

10.8 (9.7--11.8) 10.7(9.4--11.9)

9.1 (8.1--10.0)

Black, non-Hispanic

2,346 53.0(51.0--54.9)

21.9(19.8--24.1)

20.0(17.9--22.1)

14.1(12.0--16.2)

14.8 (12.8--16.8) 11.2(9.6--12.9)

8.7 (7.4--10.0)

Mexican-

American2,034 35.2

(32.9--

37.5)18.7 (16.1--21.2) 16.7

(14.8--

18.7)8.7

(7.3--

10.1)9.2 (7.7--10.8) 7.5

(5.8--

9.2)4.9 (4.1--5.7)

Other 1,270 41.7(38.4--45.0)

25.2(22.5--28.0)

21.8(19.0--24.5)

12.5(9.9--15.1)

12.5 (10.7--14.3) 11.3(8.8--13.9)

9.3 (7.3--11.4)

Education

Less than highschool diploma

3,247 39.1(36.2--42.1)

21.2(18.6--23.8)

20.8(18.5--23.2)

11.1(9.3--12.9)

12.0 (9.9--14.1) 8.7(7.1--10.3)

6.7 (5.1--8.3)

High schooldiploma

2,641 40.9(37.4--44.5)

23.1 (21.1--25.1) 18.9(17.0--20.8)

13.6(12.2--15.1)

11.6 (10.3--12.9) 9.9(8.7--11.2)

7.7 (6.3--9.0)

At least somecollege

4,994 34.5(32.5--36.5)

23.8(22.3--25.4)

17.0(15.7--18.2)

13.7(12.5--14.9)

10.9 (10.0--11.8) 11.4(10.0--12.8)

9.8 (8.7--10.9)

* Estimates are age adjusted using the projected 2000 U.S. population as the standard population and using three agegroups: 20--39 years, 40--59 years, and 60 years.

Confidence interval.

Includes other Hispanics, other race/ethnicities, multiracial, and missing race/ethnicity.

Results for persons with unreported education status (n = 14) are not shown because of small sample size.

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