Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study
Although excessive daytime sleepiness (EDS) has a crucial impact on motor vehicle crashes (MVCs), the assessment of subjective sleepiness as a screening tool for MVC has limitations. Objective daytime sleepiness may be a better predictor of MVCs rather than subjective daytime sleepiness. Therefore,...
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| Veröffentlicht in: | Journal of clinical sleep medicine 2023-02, Vol.19 (2), p.319-325 |
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| container_title | Journal of clinical sleep medicine |
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| creator | Matsuo, Ryotaro Tanigawa, Takeshi Oshima, Akane Tomooka, Kiyohide Ikeda, Ai Wada, Hiroo Maruyama, Koutatsu Saito, Isao |
| description | Although excessive daytime sleepiness (EDS) has a crucial impact on motor vehicle crashes (MVCs), the assessment of subjective sleepiness as a screening tool for MVC has limitations. Objective daytime sleepiness may be a better predictor of MVCs rather than subjective daytime sleepiness. Therefore, we aimed to examine the association of psychomotor vigilance as a surrogate marker of objective sleepiness and subjective sleepiness with MVCs in a prospective cohort study of the general population.
The study participants were 903 community-dwelling Japanese followed up 5 years after baseline and ascertained history of MVC over the study period. Psychomotor vigilance was measured by the psychomotor vigilance test and categorized into quartiles by the reciprocal of the mean reaction time (mean1/RT). Subjective EDS was defined using the Japanese version of the Epworth Sleepiness Scale. Multivariable logistic regression analysis was used to examine the association between mean1/RT and MVC after stratification by subjective EDS.
The multivariable-adjusted odds ratio (95% confidence interval) for MVC among the highest quartile group of mean1/RT was 0.31 (0.17-0.57), compared with the lowest group (
for trend < .01). After stratification by subjective EDS, the significant association was found only among the nonsubjective EDS group (
for trend < .01) and not among the subjective EDS group (
for trend = .16).
Decreased psychomotor vigilance measured by the psychomotor vigilance test was associated with a higher risk of MVCs, and the association was more evident among the nonsubjective EDS group. The psychomotor vigilance test may be useful to prevent sleep-related MVCs in the general population, particularly for individuals without subjective EDS.
Matsuo R, Tanigawa T, Oshima A, et al. Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study.
. 2023;19(2):319-325. |
| doi_str_mv | 10.5664/jcsm.10328 |
| format | Article |
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The study participants were 903 community-dwelling Japanese followed up 5 years after baseline and ascertained history of MVC over the study period. Psychomotor vigilance was measured by the psychomotor vigilance test and categorized into quartiles by the reciprocal of the mean reaction time (mean1/RT). Subjective EDS was defined using the Japanese version of the Epworth Sleepiness Scale. Multivariable logistic regression analysis was used to examine the association between mean1/RT and MVC after stratification by subjective EDS.
The multivariable-adjusted odds ratio (95% confidence interval) for MVC among the highest quartile group of mean1/RT was 0.31 (0.17-0.57), compared with the lowest group (
for trend < .01). After stratification by subjective EDS, the significant association was found only among the nonsubjective EDS group (
for trend < .01) and not among the subjective EDS group (
for trend = .16).
Decreased psychomotor vigilance measured by the psychomotor vigilance test was associated with a higher risk of MVCs, and the association was more evident among the nonsubjective EDS group. The psychomotor vigilance test may be useful to prevent sleep-related MVCs in the general population, particularly for individuals without subjective EDS.
Matsuo R, Tanigawa T, Oshima A, et al. Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study.
. 2023;19(2):319-325.</description><identifier>ISSN: 1550-9389</identifier><identifier>ISSN: 1550-9397</identifier><identifier>EISSN: 1550-9397</identifier><identifier>DOI: 10.5664/jcsm.10328</identifier><identifier>PMID: 36271594</identifier><language>eng</language><publisher>United States: American Academy of Sleep Medicine</publisher><subject>Accidents, Traffic ; Disorders of Excessive Somnolence - diagnosis ; Humans ; Motor Vehicles ; Prospective Studies ; Risk Factors ; Scientific Investigations ; Sleepiness</subject><ispartof>Journal of clinical sleep medicine, 2023-02, Vol.19 (2), p.319-325</ispartof><rights>2023 American Academy of Sleep Medicine.</rights><rights>2023 American Academy of Sleep Medicine 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c367t-f517447361163140606726a6ebecdb17833a21d2579a3a474966b5f7f10c413a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892751/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892751/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36271594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuo, Ryotaro</creatorcontrib><creatorcontrib>Tanigawa, Takeshi</creatorcontrib><creatorcontrib>Oshima, Akane</creatorcontrib><creatorcontrib>Tomooka, Kiyohide</creatorcontrib><creatorcontrib>Ikeda, Ai</creatorcontrib><creatorcontrib>Wada, Hiroo</creatorcontrib><creatorcontrib>Maruyama, Koutatsu</creatorcontrib><creatorcontrib>Saito, Isao</creatorcontrib><title>Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study</title><title>Journal of clinical sleep medicine</title><addtitle>J Clin Sleep Med</addtitle><description>Although excessive daytime sleepiness (EDS) has a crucial impact on motor vehicle crashes (MVCs), the assessment of subjective sleepiness as a screening tool for MVC has limitations. Objective daytime sleepiness may be a better predictor of MVCs rather than subjective daytime sleepiness. Therefore, we aimed to examine the association of psychomotor vigilance as a surrogate marker of objective sleepiness and subjective sleepiness with MVCs in a prospective cohort study of the general population.
The study participants were 903 community-dwelling Japanese followed up 5 years after baseline and ascertained history of MVC over the study period. Psychomotor vigilance was measured by the psychomotor vigilance test and categorized into quartiles by the reciprocal of the mean reaction time (mean1/RT). Subjective EDS was defined using the Japanese version of the Epworth Sleepiness Scale. Multivariable logistic regression analysis was used to examine the association between mean1/RT and MVC after stratification by subjective EDS.
The multivariable-adjusted odds ratio (95% confidence interval) for MVC among the highest quartile group of mean1/RT was 0.31 (0.17-0.57), compared with the lowest group (
for trend < .01). After stratification by subjective EDS, the significant association was found only among the nonsubjective EDS group (
for trend < .01) and not among the subjective EDS group (
for trend = .16).
Decreased psychomotor vigilance measured by the psychomotor vigilance test was associated with a higher risk of MVCs, and the association was more evident among the nonsubjective EDS group. The psychomotor vigilance test may be useful to prevent sleep-related MVCs in the general population, particularly for individuals without subjective EDS.
Matsuo R, Tanigawa T, Oshima A, et al. Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study.
. 2023;19(2):319-325.</description><subject>Accidents, Traffic</subject><subject>Disorders of Excessive Somnolence - diagnosis</subject><subject>Humans</subject><subject>Motor Vehicles</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Scientific Investigations</subject><subject>Sleepiness</subject><issn>1550-9389</issn><issn>1550-9397</issn><issn>1550-9397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdtu1DAQhi0EoqXlhgdAvkRIW3z2hgukqhyKVImLlmvLcSaNlyQOHmelfYq-Mlm6rOiFNR7Np38OPyFvOLvQxqgPm4DDBWdSrJ-RU641W1Wyss-P_3V1Ql4hbhhTQlv9kpxIIyzXlTolD58hZPAIDZ1wF7o0pJIy3cb72PsxAI1IPc0Rf9HWh32pXd4Bgi6GHmjIHjtAGnMGnCCUuAWaWopzvTlkjd-VOADFHmCKIyB-pKUDepfSSK_B96Wjt2VudufkRet7hNeHeEZ-fv1yd3W9uvnx7fvV5c0qSGPLqtXcKmWl4dxIrphhxgrjDdQQmprbtZRe8GZZt_LSK6sqY2rd2pazoLj08ox8etSd5nqAJsBYsu_dlOPg884lH93Tyhg7d5-2rlpXwmq-CLw7COT0ewYsbogYoF-uBmlGJ6ywRikhzYK-f0RDTogZ2mMbztzeQbd30P11cIHf_j_YEf1nmfwDVgCang</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Matsuo, Ryotaro</creator><creator>Tanigawa, Takeshi</creator><creator>Oshima, Akane</creator><creator>Tomooka, Kiyohide</creator><creator>Ikeda, Ai</creator><creator>Wada, Hiroo</creator><creator>Maruyama, Koutatsu</creator><creator>Saito, Isao</creator><general>American Academy of Sleep Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230201</creationdate><title>Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study</title><author>Matsuo, Ryotaro ; Tanigawa, Takeshi ; Oshima, Akane ; Tomooka, Kiyohide ; Ikeda, Ai ; Wada, Hiroo ; Maruyama, Koutatsu ; Saito, Isao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-f517447361163140606726a6ebecdb17833a21d2579a3a474966b5f7f10c413a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accidents, Traffic</topic><topic>Disorders of Excessive Somnolence - diagnosis</topic><topic>Humans</topic><topic>Motor Vehicles</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Scientific Investigations</topic><topic>Sleepiness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuo, Ryotaro</creatorcontrib><creatorcontrib>Tanigawa, Takeshi</creatorcontrib><creatorcontrib>Oshima, Akane</creatorcontrib><creatorcontrib>Tomooka, Kiyohide</creatorcontrib><creatorcontrib>Ikeda, Ai</creatorcontrib><creatorcontrib>Wada, Hiroo</creatorcontrib><creatorcontrib>Maruyama, Koutatsu</creatorcontrib><creatorcontrib>Saito, Isao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuo, Ryotaro</au><au>Tanigawa, Takeshi</au><au>Oshima, Akane</au><au>Tomooka, Kiyohide</au><au>Ikeda, Ai</au><au>Wada, Hiroo</au><au>Maruyama, Koutatsu</au><au>Saito, Isao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study</atitle><jtitle>Journal of clinical sleep medicine</jtitle><addtitle>J Clin Sleep Med</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>19</volume><issue>2</issue><spage>319</spage><epage>325</epage><pages>319-325</pages><issn>1550-9389</issn><issn>1550-9397</issn><eissn>1550-9397</eissn><abstract>Although excessive daytime sleepiness (EDS) has a crucial impact on motor vehicle crashes (MVCs), the assessment of subjective sleepiness as a screening tool for MVC has limitations. Objective daytime sleepiness may be a better predictor of MVCs rather than subjective daytime sleepiness. Therefore, we aimed to examine the association of psychomotor vigilance as a surrogate marker of objective sleepiness and subjective sleepiness with MVCs in a prospective cohort study of the general population.
The study participants were 903 community-dwelling Japanese followed up 5 years after baseline and ascertained history of MVC over the study period. Psychomotor vigilance was measured by the psychomotor vigilance test and categorized into quartiles by the reciprocal of the mean reaction time (mean1/RT). Subjective EDS was defined using the Japanese version of the Epworth Sleepiness Scale. Multivariable logistic regression analysis was used to examine the association between mean1/RT and MVC after stratification by subjective EDS.
The multivariable-adjusted odds ratio (95% confidence interval) for MVC among the highest quartile group of mean1/RT was 0.31 (0.17-0.57), compared with the lowest group (
for trend < .01). After stratification by subjective EDS, the significant association was found only among the nonsubjective EDS group (
for trend < .01) and not among the subjective EDS group (
for trend = .16).
Decreased psychomotor vigilance measured by the psychomotor vigilance test was associated with a higher risk of MVCs, and the association was more evident among the nonsubjective EDS group. The psychomotor vigilance test may be useful to prevent sleep-related MVCs in the general population, particularly for individuals without subjective EDS.
Matsuo R, Tanigawa T, Oshima A, et al. Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study.
. 2023;19(2):319-325.</abstract><cop>United States</cop><pub>American Academy of Sleep Medicine</pub><pmid>36271594</pmid><doi>10.5664/jcsm.10328</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Accidents, Traffic Disorders of Excessive Somnolence - diagnosis Humans Motor Vehicles Prospective Studies Risk Factors Scientific Investigations Sleepiness |
| title | Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study |
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