DALLAS SLEEP SURVEY. Sleep Habits & Challenges of Dallas-Area Residents

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1 2018 DALLAS SLEEP SURVEY Sleep Habits & Challenges of Dallas-Area Residents

2 EXECUTIVE SUMMARY It is well-researched and widely accepted that sleep is a major contributing factor to overall health and wellness. Yet, when compared to other factors like diet and exercise, it is an often overlooked or compromised priority that takes a backseat in the cadence of our daily lives. According to the Center for Disease Control and Prevention (CDC), more than one-third of American adults are not getting enough sleep on a regular basis. In Dallas, the 2017 American Fitness Index report showed that only 67% of Dallas area residents were getting the recommended minimum of seven or more hours of sleep per day one of several factors contributing to Dallas ranking 38th of 50 on the index, which measures health and community fitness at the metropolitan level in the United States. Furthermore, the CDC regards insufficient sleep as a public health problem. Studies have shown a number of serious impacts of not getting enough quality sleep, some of which include: Increased risk of death or injury due to drowsy driving Increased risk of workplace accidents, resulting in death or injury Increased risk of developing a host of comorbidities, such as depression, heart disease, stroke, and diabetes In an attempt to bring awareness to the issue, sleep expert and founder of Sleep Dallas, Dr. Kent Smith, D-ABDSM, ASBA and President of the American Sleep and Breathing Academy developed his 30-Day Sleep Challenge, inviting Dallas area residents with sleep challenges to prioritize sleep by implementing strategies to improve sleep hygiene, sleep quality and sleep efficiency. As part of the challenge, all participants completed a preassessment sleep survey to measure the current state of their sleep quality and efficiency, as well as their personal sleep habits. Key findings from the pre-assessment study reveal some interesting data about the state of sleep in Dallas, which have been detailed here within. Most notably, the pre-challenge survey discovered that nearly two-thirds of the study respondents do not meet the recommended minimum of seven hours of sleep on weeknights. Additionally, the study showed that participants continuously engage in electronic device usage one hour prior to bedtime a known factor impeding sleep quality DALLAS SLEEP SURVEY

3 OTHER KEY FINDINGS Chronic Comorbidities 41% of respondents have been diagnosed with high blood pressure 16% of respondents have been diagnosed with depression Dietary Habits 7 of respondents drink multiple caffeinated beverages per day with 4 of respondents reporting drinking at least one caffeinated beverage during the afternoon hours Trouble Staying Asleep 5 of respondents report not being able to fall back asleep after waking up too early at least a few nights per week 73% of respondents report falling back to sleep after waking during the night as somewhat difficult or very difficult Waking Early and Tiredness 68% of Sleep Challenge respondents reported earlier wake times than the national average of 7:08am 1 69% of respondents report waking up feeling unrefreshed at least a few nights per week 70% of respondents said they rarely or never get a good night s sleep on weeknights The good news is that most people can meet their sleep needs by practicing good sleep hygiene and by making modifications to their sleep environment and specific lifestyle habits that are contributing to a lack of sleep or poor sleep quality. Of the Sleep Challenge participants that successfully completed the 30-day commitment to better sleep, people getting the recommended minimum seven hours of sleep increased from 36% to 61%. METHODOLOGY The 2018 Dallas Sleep Survey, conducted by Sleep Dallas, was completed by 44 Dallasarea residents ahead of their participation in a 30-Day Sleep Challenge that focused on employing strategies to improve their sleep quality. The challenge was guided by Dr. Kent Smith of Sleep Dallas. The survey questionnaires were sent out in January Fitbit: (2017, June 29). How Much Sleep Do Fitbit Users Really Get? A New Study Finds Out. Retrieved from DALLAS SLEEP SURVEY

4 DEMOGRAPHICS The following is a demographic breakdown of the pre-challenge study respondents: GENDER 66% FEMALE 34% MALE AGE % % % 75+ 7% 0% 10% 20% 30% 40% 50% DALLAS SLEEP SURVEY

5 HEALTH OF RESPONDENTS The Center for Disease Control and Prevention states that 29% of Americans or nearly 1 in every 3 adults have high blood pressure, and the 2016 National Survey on Drug Use & Health showed that 6.7% of American adults had at least one major depressive episode in the previous year. In contrast, of Dallas-area respondents with concerns about sleep, almost 41% reported having been medically diagnosed with high blood pressure and 15.9% with depression. HAVE YOU EVER BEEN TOLD BY A DOCTOR THAT YOU HAVE THE FOLLOWING MEDICAL CONDITIONS? (SELECT ALL THAT APPLY.) Heart Disease High Blood Pressure 41% Lung Disease 0% Anxiety Disorder (Such as Panic Disorder or PTSD) Depression 16% Heart Burn or GERD 14% Diabetes 0% Arthristis 18% None of the Above 39% 0% 10% 20% 30% 40% 50% DALLAS SLEEP SURVEY

6 CAFFEINE INTAKE Caffeine is the most commonly consumed stimulant in the United States, with 8 of the population consuming at least one caffeinated beverage per day. 2 Caffeine s full stimulating effect is generally felt minutes after consumption. It then takes 4-6 hours to eliminate half of the caffeine consumed, with the remaining amount staying in the body for much longer. This means that, for someone who metabolizes caffeine normally and has normal sensitivity to it, caffeine consumed in the mid to late afternoon hours continues to have a stimulating effect in the evening hours, likely impacting one s ability to fall asleep. Almost 73% of respondents reported consuming at least two caffeinated beverages per day, with 11% consuming three to four caffeinated beverages per day. HOW MANY CUPS OR CANS OF CAFFEINATED BEVERAGES, SUCH AS SOFT DRINKS, COFFEE AND TEA, DO YOU TYPICALLY DRINK EACH DAY? 11% 3-4 Drinks 7% 0 Drinks 61% 2-3 Drinks 21% 1 Drink 2 Mitchell DC, Knight CA, Hockenberry J, Teplansky R, Hartman TJ.. Beverage caffeine intakes in the US. Food and Chemical Toxicology. 2014; 63: DALLAS SLEEP SURVEY

7 36% of respondents reported consuming their last caffeinated beverage in the afternoon hours between noon and 3 pm. AT WHAT TIME DO YOU TYPICALLY CONSUME YOUR LAST CAFFEINATED BEVERAGE? No Later Than 9AM 9% No Later Than 12PM 39% No Later Than 3PM 36% No Later Than 6PM 7% No Later Than 9PM After 9PM 0% I Don t Drink Caffeinated Bevereages 7% 0% 10% 20% 30% 40% 50% DALLAS SLEEP SURVEY

8 SLEEP TIME & SOCIAL JETLAG The National Sleep Foundation recommends at least seven hours of sleep each night for adults older than 18 years of age. Of the Dallas-area respondents with concerns about sleep, only 36% reported getting the recommended seven hours or more of sleep during a typical weeknight or night before a workday. ON WORKDAYS OR WEEKDAYS, HOW MANY HOURS DO YOU TYPICALLY SLEEP DURING THE NIGHT (DO NOT INCLUDE NAPS)? Hours Hours 11% Hours 50% Hours Hours 0% 10% 20% 30% 40% 50% Social Jet Lag Social jet lag is a phenomenon in which a person s sleep habits, especially their sleep and wake times, and/or total number of hours asleep, vary between weeknights / nights before a workday and weekends. Oftentimes, we attempt to catch up on sleep during the weekend to make up for a sleep deficit that has accrued during the week/work days. The phenomenon is concerning because studies have shown that social jet lag contributes to a lower standard of health (with a specific link to an increased risk of heart disease), worse mood, and an increase in fatigue and sleepiness. The discrepancy between the number of hours Dallas-area respondents reported on weeknights and that which they reported on non-work days / weekends indicates that many experience social jet lag. While only 36% of respondents reported getting sufficient sleep during the week, 61% reported getting at least the recommended seven hours of sleep on non-work days or weekends DALLAS SLEEP SURVEY

9 ON NON-WORK DAYS OR WEEKENDS, HOW MANY HOURS DO YOU TYPICALLY SLEEP DURING THE NIGHT (DO NOT INCLUDE NAPS)? Hours 11% Hours 27% Hours 34% Hours 20% Hours Hours 0% 10% 20% 30% 40% During the week, 68% of respondents report waking earlier than 7am, and by contrast, on nonwork days or the weekend, nearly 66% of respondents report waking up later than 7am. This data indicates that a significant portion of the challenge participants experience social jet lag. AT WHAT TIME DO YOU TYPICALLY GET UP ON DAYS YOU WORK OR WEEKDAYS? 4-5AM 11% 5-6AM 27% 6-7AM 30% 7-8AM 16% 8-9AM 9% 9-10AM 5-6PM 0% 10% 20% 30% DALLAS SLEEP SURVEY

10 AT WHAT TIME DO YOU TYPICALLY GET UP ON NON- WORK DAYS OR ON WEEKENDS DAYS? 4-5AM 5-6AM 9% 6-7AM 23% 7-8AM 2 8-9AM AM 14% 10-11AM 0% 10% 20% 30% FATIGUE 70% of respondents report that they rarely or never have a good night s sleep on worknights or weeknights. ON HOW MANY WORKNIGHTS OR WEEKNIGHTS WOULD YOU SAY I HAD A GOOD NIGHT S SLEEP? Every Night 0% Almost Every Night 30% Rarely 68% Never 0% 10% 20% 30% 40% 50% 60% 70% DALLAS SLEEP SURVEY

11 Despite many respondents having increased sleep time during the weekend / non-work days, almost 5 report that they rarely or never have a good night s sleep on weekend or non-work nights. ON HOW MANY NIGHTS THAT YOU DO NOT WORK OR ON WEEKEND NIGHTS WOULD YOU SAY I HAD A GOOD NIGHT S SLEEP? Every Night Almost Every Night 43% Rarely 5 Never 0% 10% 20% 30% 40% 50% 60% 70% Overall, regardless of the day of the week, 5 of respondents report feeling tired, fatigued, or not up to par at least three to four days per week during their wake time. DURING YOUR WAKE TIME, HOW OFTEN DO YOU FEEL TIRED, FATIGUED OR NOT UP TO PAR? Every Day or Almost Every Day 27% 3-4 Days a Week 27% 1-2 Days a Week 30% 1-2 Days a Month 16% Never 0% 0% 10% 1 20% 2 30% DALLAS SLEEP SURVEY

12 WAKING DURING THE NIGHT Of the Dallas-area respondents with sleep concerns, over 97% report waking during the night, with a significant number (61.36%) often unable to attribute their waking to a stimulus. Of the stimuli noted, the need to go to the bathroom, noise, thinking about work or something else, and stress were the most reported. WHAT, IF ANYTHING, AWAKENS YOU DURING THE NIGHT? (SELECT ALL THAT APPLY.) Noise 39% Light 2 Stress 3 Thinking About Work or Something Else 41% Someone Else 30% Pain Discomfort 27% Nightmares 14% World Events 9% The Need to Go to the Bathroom 66% Wake Up for No Apparent Reason 61% Nothing Awakens Me at Night Other 0% 10% 20% 30% 40% 50% 60% 70% DALLAS SLEEP SURVEY

13 When respondents were awakened during the night, 73% found it somewhat difficult or very difficult to fall back asleep. IF YOU AWAKEN DURING THE NIGHT, HOW DIFFICULT IS IT FOR YOU TO FALL BACK ASLEEP? Not at All Difficult 9% Not Very Difficult 18% Somewhat Difficult 5 Very Difficult 18% 0% 10% 20% 30% 40% 50% 60% SNORING Often an indicator of an underlying sleep-related condition, snoring is common among people who report having unrestful sleep. Of the Dallas-area survey respondents, 57% said they snore, and 44% report snoring at least three to four nights per week. ACCORDING TO YOUR OWN EXPERIENCES OR WHAT OTHERS TELL YOU, DO YOU SNORE? 43% NO 57% YES DALLAS SLEEP SURVEY

14 HOW OFTEN WOULD YOU SAY YOU SNORE? Every Night or Almost Every Night 24% 3-4 Nights Per Week 20% 1-2 Nights Per Week 16% 1-2 Nights Per Month 4% I m Not Sure 36% 0% 10% 20% 30% 40% BEDTIME HABITS Studies have shown that the light emitted from electronic devices such as TVs, computers, tablets, phones and other electronic devices suppresses melatonin, a hormone created in the brain that regulates the sleep-wake cycle. Of the Dallas-area respondents with concerns about sleep, 68% report regularly watching TV in the hour before bed and nearly 49% report spending time on their computer, tablet, or other handheld electronic device DALLAS SLEEP SURVEY

15 THINKING ABOUT YOUR SLEEP AND SLEEP HABITS WITHIN THE PAST MONTH, HOW OFTEN HAVE YOU DONE THE FOLLOWING ACTIVITIES IN THE HOUR BEFORE YOU WENT TO BED? Every or Almost Every Night Few Nights Per Week Few Nights Per Month Rarely Never Watched TV 68% 18% 7% Spent Time on a Computer, Tablet, Phone or other Electronic Device 49% 16% 19% 16% Read 41% 18% 11% 16% 14% Spent Time with Family or Friends 2 11% 23% 27% 14% Drank an Alcoholic Beverage 11% 11% 18% 2 34% Took a Hot Bath or Shower 9% 23% 11% 2 3 Did Work Relating to Your Job 7% 9% 30% 49% Exercised 7% 7% 2 57% Listened to Radio or Music 9% 16% 20% 5 Had Sex 9% 30% 2 36% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% DALLAS SLEEP SURVEY

16 7589 Preston Rd. #400 Frisco, TX SleepDallas.com For more information about this survey, contact

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