National Sleep Foundation

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National Sleep Foundation
Founded1990  OOjs UI icon edit-ltr-progressive.svg
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Revenue3,564,345 United States dollar (2017, 2018)  OOjs UI icon edit-ltr-progressive.svg

The National Sleep Foundation (NSF) is an American non-profit, charitable organization. Founded in 1990, its stated goal is to provide expert information on health-related issues concerning sleep. [1] It is largely funded by pharmaceutical and medical device companies. [2]

Contents

Research

NSF Sleep Duration Recommendations

NSF Sleep Duration Recommendations Chart developed based on NSF's research paper National Sleep Foundation Sleep Duration Recommendations.jpg
NSF Sleep Duration Recommendations Chart developed based on NSF's research paper

In 2015 NSF released the results of a research study on sleep duration recommendations. [4] The paper titled "National Sleep Foundation's sleep time duration recommendations: methodology and results summary" was published in the peer-reviewed Sleep Health Journal. [5] NSF convened an expert panel of 18 leading scientists and researchers tasked with updating the official sleep duration recommendations. The panelists included sleep specialists and representatives from leading organizations including the American Academy of Pediatrics, American Association of Anatomy, American College of Chest Physicians, American Congress of Obstetricians and Gynecologists, American Geriatrics Society, American Neurological Association, American Physiological Society, American Psychiatric Association, American Thoracic Society, Gerontological Society of America, Human Anatomy and Physiology Society, and Society for Research in Human Development. The panelists participated in a rigorous scientific process that included reviewing over 300 current scientific publications and voting on how much sleep is appropriate throughout the lifespan.

Sleep Health Index

NSF developed Sleep Health Index to measure sleep health at a global group or at an individual level. It was created with the help of sleep experts and public opinion research experts. It is composed of three sub-component scales: sleep duration, sleep quality, and sleep disorders. The Index is fielded quarterly and results are publicly available.

Sleep in America Poll

NSF has conducted a national poll called Sleep in America Poll to catalog the state of sleep in America since 1991.  This poll provides valuable information to the public, sleep community and the media on specific topics of interest. Past Sleep In America poll data and results are available on the NSF's website. [6]

The NSF Sleep in America poll began providing evidence of the size and scope of the American sleep problem in 1991. The 2002 Sleep in America poll (1,010 people surveyed) first suggested that as many as 47 million Americans were risking injury and health problems because they were not sleeping enough. [7] Media coverage of 2002 Sleep in America poll suggested a sleep "crisis" and an "epidemic," and included headlines suacha as "Epidemic of daytime sleepiness linked to increased feelings of anger, stress and pessimism." [7] Again, in NSF's 2005 Sleep in America poll, it reported that half of adults report frequent sleep problems and 77 percent reported a partner with a sleep problem, with snoring being the most common complaint. [8]

The Centers for Disease Control (CDC) declared insufficient sleep a "public health epidemic" in 2014. [9]

Sleep Health Journal

Sleep Health is NSF's official, peer-reviewed academic journal. [10] It was launched in 2015. The Journal's aims are to explore sleep's role in population health and bring the social science perspective on sleep and health. Its scope extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology.

The Journal was 2016 winner of the Association of American Publishers' PROSE Award for Best New Journal in Science, Technology and Medicine. [11] The PROSE Awards annually recognize the very best in professional and scholarly publishing by bringing attention to distinguished books, journals, and electronic content.

The 2021 Journal Citation Reports published a 2020 Impact Factor of 4.450 for Sleep Health. [12]

Sleep Monitoring Standards

In 2014 NSF encouraged the Consumer Technology Association (CTA) and the American National Standards Institute (ANSI) to develop standards for sleep technology. As a result, the R6.4 WG1 Sleep Monitors Group was established, composed of sleep experts and technology manufacturers. In September 2017, CEA and NSF announced a new standard for measuring sleep cycles with wearables and other applications. [13] The new standard expands on 2016's work that defined terms and functionality required for sleep measuring devices. [14]

Education

Public education

NSF educates the public about sleep health in content that appears through online, print and broadcast media. NSF's official website is thensf.org which is the primary sleep health website for sleep education content. NSF operates three public education websites: thensf.org, drowsydriving.org (supporting NSF's annual Drowsy Driving Prevention Week campaign), and sleephealthjournal.org (supporting NSF's peer-reviewed research journal Sleep Health). NSF also licenses its educational content at times for distribution by other entities. NSF-branded sleep health content appears on sleepfoundation.org, which was acquired by OneCare Media in 2019. [15] OneCare is a marketing business based on digital content, with a portfolio of consumer-oriented websites, primarily focused on health topics, and derives revenues from commissions on products sold by its affiliate partners. [16] The website continues to be titled "Sleep Foundation" and uses the .org domain. [15]

Physician education

The National Sleep Foundation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. [17] In March 2017, NSF was awarded Accreditation with Commendation by the ACCME. [17] Accreditation with Commendation is ACCME's mechanism for celebrating organizations that excel. [18] Many of NSF's physician education courses are found in the Sleep Learning Zone, an online learning platform. [19]

Public awareness

Sleep Awareness Week

Sleep Awareness Week is NSF's annual public awareness event celebrating sleep health. It usually occurs during the week leading up to the beginning of daylight-saving time in the spring. During this week, NSF releases the results from its annual Sleep in America Poll or from the Sleep Health Index. [20] NSF provides valuable information about the benefits of optimal sleep and how sleep affects health, well-being, and safety. The week-long campaign provides the public and the media with shareable messages including an infographic, sleep health messaging, and social media posts.

Drowsy Driving Prevention Week

NSF conducts an annual Drowsy Driving Prevention Week during the week leading up to the end of daylight-saving time in the fall. [21] The campaign goal is to reduce the number of drivers who choose to drive while sleep deprived. Drowsy driving is responsible for more than 6,400 U.S. deaths annually. These fall-asleep crashes are often caused by voluntarily not getting the sleep one needs. Millions of Americans also experience excessive sleepiness as a result of sleep disorders, such as obstructive sleep apnea and narcolepsy. The campaign encompasses dissemination of educational messages via social media.

Awards

Since 2001 NSF has been recognizing and celebrating the achievements of individuals who have contributed to advancing the sleep field. The following individuals received an award from the National Sleep Foundation:

SleepTech

As part of addressing one of NSF's goals – that sleep science is rapidly incorporated into products and services – NSF launched the SleepTech program to advance innovations in sleep technology. [22] Each year the National Sleep Foundation recognizes innovative sleep products by giving out the SleepTech Awards, the world's first innovation awards targeted specifically at sleep technology. [23] Recent winners are:

Finances

NSF is a 501(c)(3) charitable organization, and contributions are tax-deductible. [24] The foundation's programs are funded by corporate and individual contributions, and through its partnerships with corporations and government entities. Its recent revenues are in the $3.5 million range. [24] According to then-CEO Richard Gelula, "The largest single source of National Sleep Foundation funding is pharmaceutical and medical device companies." [2] In particular, nearly $1 million (≈28%) of its $3.6 million budget at the time came from manufacturers of sleeping medications. [25]

Controversies

The National Sleep Foundation is sometimes criticised on the grounds that its work is unduly influenced by funding from sleeping pill manufacturers. The NSF has been criticized by the American Institute of Philanthropy, [2] Dr. Sidney M. Wolfe of Public Citizen's Health Research Group, [8] Jerry Avorn (head of the Division of Pharmacoepidemiology and Pharmacoeconomics at Harvard Medical School), [25] and other consumer and medical ethics groups for its reliance on industry funding, and the possible influence of such funding on its work. [2]

In 2005, for instance, they released a survey purporting to find extremely high rates of insomnia, declared insomnia to be a "crisis" and an "epidemic," [8] announced an "Insomnia Awareness Day" and a "National Sleep Awareness Week," but the poll, the declaration of a dedicated day and week, and the widely distributed press kits were paid for by manufacturers of sleeping medications, and the public relations firm assigned to contact medical reporters about the poll took the opportunity to mention the shortly-approaching release of Lunesta (eszopiclone), the first sleeping medication approved in the United States for extended use. [2] Simultaneously, the drug's manufacturer assigned 1,250 pharmaceutical sales representatives to educate physicians about Lunesta, as part of a $60 million advertising push. [25] A Sacramento Bee report on these connections also noted that 10 of NSF's 23-member Board of Directors had current or past financial ties to manufacturers of sleeping medications. [2]

These reports led to criticism from Public Citizen's Wolfe, who theorized that "Although they're not saying you should be on a sleeping pill, they're saying go to the doctor and that doctor will sell you a sleeping pill in a large proportion of instances." [8] Wolfe also criticized American doctors for "selling" sleeping pills, "even if it's not what (the patient) really need(s)." [8] A previous 2002 "Sleep in America" poll from NSF, which similarly characterized the results as revealing an "epidemic" of daytime sleepiness in its press release, was similarly characterized in a report by The Seattle Times as industry "astroturfing" due to sponsorship from the makers of the sleeping medications Unisom, Sonata, and Ambien. [7]

A 2016 NSF public education program highlighting "personal stories about sleep for four individuals" [26] received grant support from Merck. [27] A report in the Huffington Post described this effort as part of a multi-pronged "unbranded" marketing effort for Belsomra (suvorexant), Merck's then-forthcoming new sleeping drug. [27]

Some merchants and products have claimed to be "endorsed by the National Sleep Foundation" or have implied such endorsement in their literature. My Pillow made such claims in its television ads. [28] At the time, the NSF was selling MyPillow on its own website. [28] When asked by the Truth in Advertising consumer rights organization, an NSF spokesman declined to say whether MyPillow had made payments to the organization for its claimed “official pillow” status, but said in an email that the organization receives approaches “from many different manufacturers” and “works to select products that are a good fit for our organization.” [28] In 2016, My Pillow agreed to stop claiming an NSF endorsement and paid a fine. [28]

Related Research Articles

<span class="mw-page-title-main">Sleep</span> Naturally recurring resting state of mind and body

Sleep is a state of reduced mental and physical activity in which consciousness is altered and sensory activity is inhibited to a certain extent. During sleep, there is a decrease in muscle activity, and interactions with the surrounding environment. While sleep differs from wakefulness in terms of the ability to react to stimuli, it still involves active brain patterns, making it more reactive than a coma or disorders of consciousness.

<span class="mw-page-title-main">Insomnia</span> Inability to fall or stay asleep

Insomnia, also known as sleeplessness, is a sleep disorder where people have trouble sleeping. They may have difficulty falling asleep, or staying asleep for as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, irritability, and a depressed mood. It may result in an increased risk of motor vehicle collisions, as well as problems focusing and learning. Insomnia can be short term, lasting for days or weeks, or long term, lasting more than a month. The concept of the word insomnia has two possibilities: insomnia disorder and insomnia symptoms, and many abstracts of randomized controlled trials and systematic reviews often underreport on which of these two possibilities the word insomnia refers to.

<span class="mw-page-title-main">Stanley B. Prusiner</span> American neurologist and biochemist

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<span class="mw-page-title-main">Rita R. Colwell</span> American microbiologist

Rita Rossi Colwell is an American environmental microbiologist and scientific administrator. Colwell holds degrees in bacteriology, genetics, and oceanography and studies infectious diseases. Colwell is the founder and Chair of CosmosID, a bioinformatics company. From 1998 to 2004, she was the 11th Director and 1st female Director of the National Science Foundation. She has served on the board of directors of EcoHealth Alliance since 2012.

<span class="mw-page-title-main">Mario Capecchi</span> Molecular geneticist and Nobel laureate

Mario Ramberg Capecchi is an Italian-born molecular geneticist and a co-awardee of the 2007 Nobel Prize in Physiology or Medicine for discovering a method to create mice in which a specific gene is turned off, known as knockout mice. He shared the prize with Martin Evans and Oliver Smithies. He is currently Distinguished Professor of Human Genetics and Biology at the University of Utah School of Medicine.

<span class="mw-page-title-main">Paul Farmer</span> American medical anthropologist and physician (1959–2022)

Paul Edward Farmer was an American medical anthropologist and physician. Farmer held an MD and PhD from Harvard University, where he was a University Professor and the chair of the Department of Global Health and Social Medicine at Harvard Medical School. He was the co-founder and chief strategist of Partners In Health (PIH), an international non-profit organization that since 1987 has provided direct health care services and undertaken research and advocacy activities on behalf of those who are sick and living in poverty. He was professor of medicine and chief of the Division of Global Health Equity at Brigham and Women’s Hospital.

<span class="mw-page-title-main">Emil Frei</span> American physician and oncologist

Emil "Tom" Frei III was an American physician and oncologist. He was the former director and former physician-in-chief of the Dana–Farber Cancer Institute in Boston, Massachusetts. He was also the Richard and Susan Smith Distinguished Professor of Medicine at Harvard Medical School.

Allan Rechtschaffen was a noted pioneer in the field of sleep research whose work includes some of the first laboratory studies of insomnia, narcolepsy, sleep apnea, and napping. He received his PhD from Northwestern University in 1956.

<span class="mw-page-title-main">Philippa Marrack</span> English biologist and immunologist based in the US

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<span class="mw-page-title-main">Cato T. Laurencin</span> American surgeon

Cato T. Laurencin FREng SLMH is an American engineer, physician, scientist, innovator and a University Professor of the University of Connecticut.

<span class="mw-page-title-main">Sleep deprivation</span> Condition of not having enough sleep

Sleep deprivation, also known as sleep insufficiency or sleeplessness, is the condition of not having adequate duration and/or quality of sleep to support decent alertness, performance, and health. It can be either chronic or acute and may vary widely in severity.

Graham Andrew Colditz MD, DrPH is an Australian chronic disease epidemiologist. He is the inaugural Niess-Gain Professor at Washington University School of Medicine, where he is associate director for Prevention and Control at the Alvin J. Siteman Cancer Center. He directs the Master of Population Health Science at Washington University School of Medicine. During medical training he was excited by the potential for prevention of chronic diseases. With encouragement from mentors he pursued training in the US as it was routine for academics in Australia to obtain overseas training at that time. He is internationally recognized for leadership in cancer prevention, and is often interviewed by media for input on this topic. With members of Cancer Prevention and Control at Siteman, he blogs on issues relating to cancer prevention and screening. According to Google Scholar statistics, Colditz has a h-index of more than 300.

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Sleep state misperception (SSM) is a term in the International Classification of Sleep Disorders (ICSD) most commonly used for people who mistakenly perceive their sleep as wakefulness, though it has been proposed that it be applied to those who severely overestimate their sleep time as well. While most sleepers with this condition will report not having slept in the previous night at all or having slept very little, clinical recordings generally show normal sleep patterns. Though the sleep patterns found in those with SSM have long been considered indistinguishable from those without, some preliminary research suggest there may be subtle differences.

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