# Edward O. Bixler, PhD: from the Apollo project and chimpanzees to sleep epidemiology

## TL;DR

This paper honors Dr. Edward O. Bixler's pioneering work in sleep science, from early studies on chimpanzees to epidemiological research on sleep disorders.

## Contribution

Dr. Bixler pioneered sleep epidemiology and established long-term cohorts to study sleep disorders in adults and children.

## Key findings

- Dr. Bixler's 1979 study was the first rigorous epidemiological study on sleep disturbances.
- He established the Penn State Adult and Child Cohorts to study sleep-disordered breathing and other sleep disorders.
- His work translated scientific evidence into clinical care and influenced the field of sleep epidemiology.

## Abstract

What an honor to write about Dr. Edward O. Bixler’s contributions to the sleep field. In 1967, Dr. Bixler published a case report on a chimpanzee with implanted brain electrodes while working at an Air Force base in New Mexico. A few years later, in 1971, he published on the sleep effects of flurazepam in individuals with insomnia together with Dr. Anthony Kales, data that he had collected when the Sleep Research & Treatment Center (SRTC) was housed at the University of California Los Angeles. Dr. Bixler, a meticulous scientist, learned from Dr. Kales, a devoted clinician, to study “the whole patient, and all aspects of sleep,” a legacy that continued when the SRTC moved to Penn State in Hershey. Indeed, Dr. Bixler’s tenure at Penn State from 1971 until 2019 kept the science of the SRTC focused on that premise and helped translate scientific evidence into clinical care. He not only contributed early to the pharmacology of sleep and the effects of hypnotics, but he was also a pioneer in “sleep epidemiology.” His “Prevalence of sleep disorders in the Los Angeles metropolitan area” study of 1979 was the first rigorous epidemiological study on sleep disturbances. Starting in 1990, he established the Penn State Adult Cohort to estimate the prevalence and natural history of sleep-disordered breathing and other sleep disorders in adults. Inspired by life-course epidemiology, he established in 2001 the Penn State Child Cohort to estimate the same phenomena in children. This Living Legend paper captures and highlights Dr. Bixler’s enduring legacy to sleep science.