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Vol. 155 No. 7, 10 APRIL 1995
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Original Investigations
Cigarette Smoking and Sleep Disturbance
Barbara A. Phillips, MD, MSPH; Frederick J. Danner, PhD
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Barbara A. Phillips, MD, MSPH; Frederick J. Danner, PhD
Arch Intern Med. 1995;155(7):734-737.
Abstract
Background
Individuals with sleep complaints often exhibit unhealthy lifestyles, including obesity, excessive alcohol use,
lack of physical exercise, and cigarette smoking. We sought to explore the relationship between cigarette
smoking, poor sleep habits, and sleep complaints. Several lines of evidence suggest a relationship between
cigarette smoking and sleep disturbance, including the effects of nicotine and nicotine withdrawal on sleep, a
tendency for nonsmokers to be more alert in the morning, an association between cigarette smoking and
snoring, and a tendency for individuals who engage in one unhealthy behavior also to engage in others.
Method
A total of 484 individuals aged 14 to 84 years completed a comprehensive sleep and health questionnaire.
A total of 484 individuals aged 14 to 84 years completed a comprehensive sleep and health questionnaire.
There were 99 high school students from gra