Respiratory Failure Clinic and Sleep Laboratory, General Hospital of Thessaloniki “G. Papanikolaou”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Serafeim-Chrysovalantis Kotoulas
Adult ICU, General Hospital of Thessaloniki “Ippokrateio”, 54642 Thessaloniki, Greece
Konstantinos Porpodis
Pulmonary Department, General Hospital of Thessaloniki “G. Papanikolaou”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Dionysios Spyratos
Pulmonary Department, General Hospital of Thessaloniki “G. Papanikolaou”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Ioanna Papagiouvanni
4th Internal Medicine Department, General Hospital of Thessaloniki “Ippokrateio”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Alexandros Tsantos
Pulmonary Department, General Hospital of Thessaloniki “Ippokrateio”, 54642 Thessaloniki, Greece
Anastasia Michailidou
2nd Propaedeutic Internal Medicine Department, General Hospital of Thessaloniki “Ippokrateio”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Constantinos Mourelatos
Genetics Laboratory, Aristotle’s University of Thessaloniki, 54124 Thessaloniki, Greece
Christina Mouratidou
Adult ICU, General Hospital of Thessaloniki “Ippokrateio”, 54642 Thessaloniki, Greece
Ioannis Alevroudis
Adult ICU, General Hospital of Thessaloniki “Ippokrateio”, 54642 Thessaloniki, Greece
Alexandra Marneri
Adult ICU, General Hospital of Thessaloniki “Ippokrateio”, 54642 Thessaloniki, Greece
Athanasia Pataka
Respiratory Failure Clinic and Sleep Laboratory, General Hospital of Thessaloniki “G. Papanikolaou”, Aristotle’s University of Thessaloniki, 54642 Thessaloniki, Greece
Smoking a cigarette before bed or first thing in the morning is a common habit. In this review, the relationship between smoking and sleep is investigated based on the existing literature. Out of 6504 unique items that were identified via a PubMed search related to smoking and sleep, 151 were included in this review. Tobacco smoking disrupts sleep architecture by reducing slow wave and rapid eye movement (REM) sleep and undermining sleep quality. Furthermore, smoking affects sleep-related co-morbidities, such as obstructive sleep apnea–hypopnea syndrome (OSAHS), insomnia, parasomnias, arousals, bruxism, and restless legs, as well as non-sleep-related conditions such as cardiovascular, metabolic, respiratory, neurologic, psychiatric, inflammatory, gynecologic and pediatric issues, while poor sleep quality also seems to worsen the chances of successful smoking cessation. In conclusion, the existing literature suggests that there is a wicked relation between smoking and sleep.
