Association between obstructive sleep apnea and multiple involuntary job loss history among recently unemployed adults

Silva, Graciela E.; Quan, Stuart F.; McMorrow, Taryn; Bautista, Rueben; Bell, Melanie L.; Haynes, Patricia L.

doi:10.1016/j.sleh.2020.08.002

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…Unemployment can result from involuntary job loss, a stressful and disruptive life event. Moreover, joblessness is associated with insomnia symptoms (7), and we have demonstrated an association between recent job loss and OSA (8). Both insomnia and OSA are associated with differences in nutritional intake in comparison to non-affected persons.…”

Section: Introductionmentioning

confidence: 56%

Associations Between Insomnia and Obstructive Sleep Apnea with Nutritional Intake After Involuntary Job Loss

Batool-Anwar¹,

Haynes²,

Panchal³

et al. 2023

Southwest J Pulm Crit Care Sleep

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Objectives: Involuntary job loss is a stressful life event that can result in changes in nutritional intake. Both insomnia and obstructive sleep apnea (OSA) also are associated with alterations in dietary intake, but the extent to which this occurs in those who have experienced involuntary job loss is unclear. This study assessed nutritional intake in recently unemployed persons with insomnia and obstructive sleep apnea in comparison to those without a sleep disorder. Methods: Participants from the Assessing Daily Activity Patterns through Occupational Transitions (ADAPT) study were screened for sleep disorders using the Duke Structured Interview for Sleep Disorders. They were classified as having OSA, acute or chronic insomnia or no sleep disorder. Dietary data was collected using United States Department of Agriculture Multipass Dietary recall methodology. Results: A total of 113 participants had evaluable data and were included in this study. The cohort was comprised mainly of women (62%) and 24% were non-Hispanic white. Participants with OSA had a higher BMI compared with no sleep disorder (30.6 ± 9.1 vs 27.4 ± 7.1 kg/m2, p≤0.001). Those with acute insomnia had significantly decreased consumption of total protein (61.5 ± 4.7 vs. 77.9 ± 4.9 g, p≤0.05) and total fat (60.0 ± 4.4 vs. 80.5 ± 4.6 g, p≤0.05). Among the participants with chronic insomnia, there was little overall difference in nutrient consumption compared to the no sleep disorder group although there were several gender specific differences. There were no overall differences between participants with OSA in comparison to no sleep disorder, but women consumed less total fat (89.0 ± 6.7 vs. 57.5 ± 8.0 g, p≤0.01). The Healthy Eating Index of all groups was below the average value of Americans. Conclusion: Unemployed persons compared to those with sleep disorders differ in their consumption of major nutrients; the dietary composition of those with acute insomnia exhibited the greatest divergence. Additionally, the overall nutritional intake of recently unemployed persons is poor.

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Section: Introductionmentioning

confidence: 56%

Associations Between Insomnia and Obstructive Sleep Apnea with Nutritional Intake After Involuntary Job Loss

Batool-Anwar¹,

Haynes²,

Panchal³

et al. 2023

Southwest J Pulm Crit Care Sleep

View full text Add to dashboard Cite

show abstract

“…Currently, few studies investigated the prevalence of OSA for employees in different occupational fields. Professional drivers are in a high-risk group for OSA (Schwartz et al, 2017; Silva et al, 2021), the prevalence of OSA among drivers ranges from 26% to 41% (Schwartz et al, 2017). Another OSA screening for healthy employees in the workplace found a prevalence of 37% (Eijsvogel et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Undiagnosed Obstructive Sleep Apnea in Overweight and Obese High-Tech Employees: A Multisite Cross-Sectional Study

Lin

Chen

Hsiao

et al. 2022

Biological Research For Nursing

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Background: Being overweight or obese is regarded as crucial risk factors for obstructive sleep apnea (OSA). Objectives: This study aimed to determine the influencing factors of overweight and obese employees with OSA in high-tech workplaces. Methods: A cross-sectional study design was employed. A total of 491 overweight and obese participants were recruited from a large-scale electronics industry. The Chinese version of Pittsburgh Sleep Quality Index, the Epworth Sleep Scale, and a portable sleep monitoring device were used for data collection. Logistic regression analysis was conducted to identify the factors affecting overweight and obese employees with OSA. This study was conducted from August 2019 to July 2020. Results: 60.5% of the overweight and obese participants were found to have OSA, of which 58.9% had mild and 18.5% had severe OSA, respectively. The results showed that age, neck circumference, snoring, and habitual drinking were the crucial factors affecting OSA. Remarkably, age and snoring times showed a significant correlation in predicting OSA of different severities. Neck circumference was an independent risk factor for moderate and severe OSA. Conclusion: More than 60% of the overweight and obese high-tech workplace employees were found to have OSA. We found that the older the age, the larger the neck circumference, a higher number of snoring instances, and drinking were important risk factors for predicting OSA in overweight high-tech employees. The healthcare providers should actively educate OSA-related information for employees in the workplace, and promote high-risk OSA groups to adopt screening based on at-home sleep apparatus.

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“…Furthermore, results of the study have high generalizability to the population of individuals who experienced job loss in the US Southwest region; approximately one‐third of the sample identified as Hispanic, consistent with the local census. A significant number of individuals in this study were excluded for undetected sleep apnea [40], limiting the generalizability of these findings to individuals without this sleep disorder.…”

Section: Discussionmentioning

confidence: 99%

The impact of social rhythm and sleep disruptions on waist circumference after job loss: A prospective 18‐month study

Haynes

Howe

Silva

et al. 2022

Obesity

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Objective This study prospectively examined change in waist circumference (WC) as a function of daily social rhythms and sleep in the aftermath of involuntary job loss. It was hypothesized that disrupted social rhythms and fragmented/short sleep after job loss would independently predict gains in WC over 18 months and that resiliency to WC gain would be conferred by the converse. Methods Eligible participants (n = 191) completed six visits that included standardized measurements of WC. At the baseline visit, participants completed the social rhythm metric and daily sleep diary and wore an actigraph on their nondominant wrist each day for a period of 2 weeks. Results When controlling for obesity and other covariates, WC trajectories decreased for individuals with more consistent social rhythms, more activities in their sdiocial rhythms, and higher sleep quality after job loss. WC trajectories did not change for individuals with lower scores on these indicators. Conclusions The frequency and consistency of social rhythms after job loss play a key role in WC loss. These findings support the implementation of social rhythm interventions after job loss, a potentially sensitive time for the establishment of new daily routines that have an impact on metabolic health.

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Association between obstructive sleep apnea and multiple involuntary job loss history among recently unemployed adults

Cited by 5 publications

References 34 publications

Associations Between Insomnia and Obstructive Sleep Apnea with Nutritional Intake After Involuntary Job Loss

Associations Between Insomnia and Obstructive Sleep Apnea with Nutritional Intake After Involuntary Job Loss

Factors Associated With Undiagnosed Obstructive Sleep Apnea in Overweight and Obese High-Tech Employees: A Multisite Cross-Sectional Study

The impact of social rhythm and sleep disruptions on waist circumference after job loss: A prospective 18‐month study

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