Chronic breathlessness and sleep problems: a population-based survey

Currow, DC; Chang, S; Ferreira, D; Eckert, DJ; Gonzalez-Chica, D; Stocks, N; Ekström, MP

Chronic breathlessness and sleep problems: a population-based survey

Currow, DC Chang, S

Ferreira, D Eckert, DJ Gonzalez-Chica, D Stocks, N Ekström, MP

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Publisher:: BMJ Journals
Publication Type:: Journal Article
Citation:: BMJ Open, 2021, 11, (8)
Issue Date:: 2021-08-12

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Field	Value	Language
dc.contributor.author	Currow, DC
dc.contributor.author	Chang, S https://orcid.org/0000-0003-0723-3192
dc.contributor.author	Ferreira, D
dc.contributor.author	Eckert, DJ
dc.contributor.author	Gonzalez-Chica, D
dc.contributor.author	Stocks, N
dc.contributor.author	Ekström, MP
dc.date.accessioned	2021-09-13T03:22:02Z
dc.date.available	2021-09-13T03:22:02Z
dc.date.issued	2021-08-12
dc.identifier.citation	BMJ Open, 2021, 11, (8)
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/150508
dc.description.abstract	<h4>Objectives</h4>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.<h4>Setting</h4>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. 'Sleep problems-ever' and 'sleep problem-current' were assessed dichotomously. Regression models were adjusted for age; sex and body mass index (BMI).<h4>Results</h4>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).<h4>Conclusions</h4>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.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ Journals
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2020-046425
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.mesh	Humans
dc.subject.mesh	Dyspnea
dc.subject.mesh	Health Surveys
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Sleep
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Australia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Dyspnea
dc.subject.mesh	Female
dc.subject.mesh	Health Surveys
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Sleep
dc.title	Chronic breathlessness and sleep problems: a population-based survey
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-09-13T03:22:01Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	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. 'Sleep problems-ever' and '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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150508