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Prevalence of excessive daytime sleepiness (EDS) and associated factors among pregnant women in Japan

Akiyo Kaneko, MD1, Yuko Yagi, MA2, Takashi Ohida2, Kenshu Suzuki, MD2, Yoshitaka Kaneita, MD1, Tomofumi Sone3, Shinji Takemura3, Eise Yokoyama, MD4, Takeo Miyake2, Satoru Harano, MD4, Eiji Ibuka, MD2, and Makoto Uchiyama5. (1) public health, Nihon University, 30-1 Ooyaguchi Kamimachi, Itabashi, Tokyo, 173-8610, Japan, 03-3972-8111, akiyo@mua.biglobe.ne.jp, (2) Department of Public Health, School of Medicine, Nihon University, 30-1 Ohyaguchi, Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan, (3) Department of Public Health Policy, National Institute of Public Health, Japan, 2-3-6 Minami, Wako City, Saitama, 3510197, Japan, (4) public health, Nihon University school of medicine, 30-1 Ooyaguchi Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan, (5) Department of Psychophysiology, National Institute of Mental Health, Japan, 1-7-3 Kohnodai, Ichikawa, 272-0827, Japan

The prevalence of excessive daytime sleepiness (EDS) among pregnant women in Japan is unknown. The aim of this study was to clarify that prevalence, and to analyze the factors associated with EDS. A questionnaire survey was conducted on a sample of 16,528 pregnant women in Japan. The survey items were: attributes, pregnancy status, employment status, current smoking and drinking status. In addition it included a subjective evaluation of sleep, sleep duration, restless legs like symptoms (RLS), and excessive daytime sleepiness. The prevalence of EDS among pregnant women in this survey was 25.5%. Analyses of the relationships between EDS and the subjective evaluation of sleep and EDS and short sleep duration (SSD) were conducted, and the results showed that the frequency of occurrence of EDS in the "insufficient sleep" group (from the subjective sleep evaluation) and the "with SSD" group tended to be higher than in the other groups. As to the relationship between the stage of pregnancy and EDS, the percentage of women with EDS tended to decrease as the pregnancy advanced. Moreover, statistically significant relationships were recognized between EDS and each of the following: schooling completed, number of pregnancies, pregnancy semester, SSD, naps, RLS, drinking, and smoking. Our survey showed that the prevalence of EDS among pregnant women was 25.5%, which is higher than among the general female population, as revealed by a previous study. This indicates that EDS is an important public-health issue among pregnant women in Japan from the viewpoint of improvement of sleep hygiene.

Learning Objectives:

Keywords: Pregnancy Outcomes,

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Topics in Maternal and Child Health

The 132nd Annual Meeting (November 6-10, 2004) of APHA