Author(s): Mahadeva Rao US, S. Siddharthan, Sowmya. R, Naresh Bhaskar Raj, O. Syazana, R.N. Ain, Y.S. Pong, K.T. Krshanti, Z.M. Luqman


DOI: 10.5958/0974-360X.2021.00324.3   

Address: Mahadeva Rao US1, S. Siddharthan2, Sowmya. R3*, Naresh Bhaskar Raj4, O. Syazana5, R.N. Ain5, Y.S. Pong5, K.T. Krshanti5, Z.M. Luqman5
1Professor, School of Basic Medical Sciences, Universiti Sultan Zainal Abidin (UniSZA), Kuala Terengganu, Malaysia.
2Doctoral Scholar, Faculty of Medicine, UniSZA, Kuala Terengganu, Malaysia.
3Lecturer, Faculty of Medicine, MAHSA University, Selangor, Malaysia.
4Lecturer, Faculty of Health Sciences, UniSZA, 21300 Kuala Nerus, Terengganu Darul Iman, Malaysia.
5Year 3 Medical Students, MAHSA University, Selangor, Malaysia.
*Corresponding Author

Published In:   Volume - 14,      Issue - 3,     Year - 2021

Sleep is a condition of the body and mind which typically occurs for several hours every night, in which the nervous system is inactive, the eyes are closed, the postural muscles are relaxed, and consciousness are practically suspended. Daytime sleepiness, or difficulty in maintaining a desired level of wakefulness, is frequently viewed by the general population as a common experience and predictable consequence of insufficient sleep. The aim of this study is to determine the prevalence of excessive day time sleepiness and factors associated among medical students of MAHSA University. A cross sectional study was conducted among year 1 to year 5 medical students at Saujana Putra Campus and Jalan University Campus of MAHSA University employing Systematic random sampling method. A self-administered questionnaire was used to collect data from the respondents. The data was analysed by using Statistical Package of Social Sciences (SPSS) version 19.0. A minimum sample size of 400 was obtained. The prevalence of Excessive day time sleepiness (EDS) among medical students of MAHSA University was expressed by percentage – 44% (176 of 400). Association between EDS and other independent variables was seen by Chi-square test with p value < 0.05 as significant association. Of the various factors determined, statistically significant association was found between internet usage and EDS. This study provides an insight into medical students on prevalence of EDS which is high. As the students are now aware of their ESS score they can better manage their sleep cycle and prevent themselves from the consequences of EDS.

Cite this article:
Mahadeva Rao US, S. Siddharthan, Sowmya. R, Naresh Bhaskar Raj, O. Syazana, R.N. Ain, Y.S. Pong, K.T. Krshanti, Z.M. Luqman. Study on Excessive Daytime Sleepiness among Undergraduate Medical Students: Cross Sectional Survey to Study the Risk Factors. Research J. Pharm. and Tech 2021; 14(3):1828-1833. doi: 10.5958/0974-360X.2021.00324.3

1.    Stoppler MC. Sleep Disorders (How to Get a Good Night’s Sleep) n.d. Available from:
2.    Young TB. Epidmiology of daytime sleepiness: definitions, symptomatology, and prevalence. 2004.
3.    Singh DB, Gupta DR, Garg DR. Study of Medical Students and Internet Usage. Internonsational Journal of Scientific and Research Publicat. 2013;3(5):1-5.
4.    Calamaro CJ, Mason TBA, Ratcliffe SJ. Adolescents Living the 24/7 Lifestyle: Effects of Caffeine and Technology on Sleep Duration and Daytime Functioning. Pediatrics. 2009;123(6):e1005-e10.
5.    Rodrigues, R.N. D., Viegas, C. A. A., Abreu E Silva, A. A. A., & Tavares, P. (2002) daytime sleepiness and academic performance in medical students. Arquivos de neuro-psiquiatria, 60, 6-11
6.    Zailinawati, A.H., Teng, C.L., Chung, Y.C., Teow, T.L., Lee, P.N. and Jagmohni, K.S., 2009. Daytime sleepiness and sleep quality among Malaysian medical students. The Medical journal of Malaysia, 64(2), pp.108-110
7.    Daugherty, S.R. and Baldwin Jr, D.C., 1996. Sleep deprivation in senior medical students and first-year residents. Academic Medicine, 71(1), pp.S93-5.
8.    Epstein, L.J. and Dorlac, G.R., 1998. Cost-effectiveness analysis of nocturnal oximetry as a method of screening for sleep apnea-hypopnea syndrome. Chest, 113(1), pp.97-103.
9.    Fatani A, Al-Rouqi K, Al Towairky J, Ahmed AE, Al-Jahdali S, Ali Y, et al. Effect of age and gender in the prevalence of excessive daytime sleepiness among a sample of the Saudi population. Journal of epidemiology and global health. 2015;5(4 Suppl 1):S59-66.
10.    Drakatos P, Ghiassi R, Jarrold I, Harris J, Abidi A, Douiri A, et al. The use of an online pictorial Epworth Sleepiness Scale in the assessment of age and gender specific differences in excessive daytime sleepiness. Journal of thoracic disease. 2015;7(5):897-902
11.    Slater G, Pengo MF, Kosky C, Steier J. Obesity as an independent predictor of subjective excessive daytime sleepiness. Respiratory medicine. 2013;107(2):305-9.
12.    Slater G, Steier J. Excessive daytime sleepiness in sleep disorders. Journal of thoracic disease. 2012;4(6):608-16.
13.    Costa M, Esteves M. Cigarette Smoking and Sleep Disturbance. Addictive Disorders & Their Treatment. 2017:1.
14.    van der Spuy I, Karunanayake CP, Dosman JA, McMullin K, Zhao G, Abonyi S, et al. Determinants of excessive daytime sleepiness in two First Nation communities. BMC pulmonary medicine. 2017;17(1):192.
15.    Roehrs T, Roth T. Caffeine: sleep and daytime sleepiness. Sleep medicine reviews. 2008;12(2):153-62.
16.    Robinson D, Gelaye B, Tadesse MG, Williams MA, Lemma S, Berhane Y. Daytime Sleepiness, Circadian Preference, Caffeine Consumption and Khat Use among College Students in Ethiopia. Journal of sleep disorders-- treatment & care. 2013;3(1).
17.    Choi K, Son H, Park M, Han J, Kim K, Lee B, et al. Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry and clinical neurosciences. 2009;63(4):455-62.
18.    Ganasegeran K, Abdulrahman SA, Al-Dubai SAR, Rashid A, Perumal M, Renganathan P. Identifying factors associated with sleep disturbances among health workers using WhatsApp in Malaysia. Journal of Hospital Management and Health Policy. 2017:2-.
19.    Munezawa T, Kaneita Y, Osaki Y, Kanda H, Minowa M, Suzuki K, et al. The association between use of mobile phones after lights out and sleep disturbances among Japanese adolescents: a nationwide cross-sectional survey. Sleep. 2011;34(8):1013-20.
20.    Fossum IN, Nordnes LT, Storemark SS, Bjorvatn B, Pallesen S. The association between use of electronic media in bed before going to sleep and insomnia symptoms, daytime sleepiness, morningness, and chronotype. Behavioral sleep medicine. 2014;12(5):343-57.
21.    Bulck JVd. Television Viewing, Computer Game Playing, and Internet Use and Self-Reported Time to Bed and Time out of Bed in Secondary-School Children. Sleep. 2004;27:101-4.
22.    Hershner, S.D. and Chervin, R.D., 2014. Causes and consequences of sleepiness among college students. Nature and Science of Sleep, 6, p.73.

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