Most people have, from time to time, unintentionally dozed off on the couch watching television or reading a book or even stopped in traffic while driving. But persistent drowsiness during the day usually signals a chronic sleep deficit, and bigger problems. The new study found that people who suffered from "significant dozing" — those who almost always fell asleep involuntarily during the day — were 4.5 times more likely to have a stroke than people in the "no dozing" group. The association between sleepiness and stroke was: the sleepier the person, the higher the risk of stroke.