Falling asleep while driving and automobile accidents among patients with obstructive sleep apnea–hypopnea syndrome

Shiomi, Toshiaki; Arita, Aki; Sasanabe, Ryujiro; Banno, Katsuhisa; Yamakawa, Hiroki; Hasegawa, Rumiko; Ozeki, Kaori; Okada, Maki; Ito, Asao

doi:10.1046/j.1440-1819.2002.01004.x

Cited by 71 publications

(59 citation statements)

References 5 publications

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“…We also found that excessive daytime sleepiness was associated with the prevalence of a 3% oxygen desaturation index of ≥ 15, which was consistent with the results from the Sleep Heart Health Study (25) and Wisconsin Sleep Cohort Study (26). Several clinical studies (1)(2)(3)(4) and an epidemiological study (18) have indicated that excessive sleepiness is associated with increased risk of traffic accidents in sleep-disordered breathing patients. Therefore, the detection and control of undiagnosed sleep-disordered breathing among truck drivers may have a significant impact on the prevention of cardiovascular disease and traffic accidents.…”

Section: Discussionsupporting

confidence: 87%

“…Several clinical studies have indicated that excessive sleepiness is associated with increased risk of traffic accidents among patients with obstructive sleep apnea-hypopnea syndrome (1)(2)(3)(4). Previous cross-sectional studies in Western countries have shown that sleep-disordered breathing is positively associated with the prevalence of hypertension (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

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Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

et al. 2006

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

et al. 2006

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“…For decades, there has been a consensus that the periodicity of meals can affect body weight, since the metabolic efficiency of foods differs according to the time of their ingestion. (20) According to a family budget study, 40.6% of Brazilian individuals over 20 years of age are overweight. (29) Although these data (29) show a high prevalence of overweight in the general population, the prevalence was even higher (47.8%) among the drivers evaluated in adjustment variable in the model (OR = 2.46; p = 0.079), which means that individuals with OSAS have poor quality sleep due to the symptoms characteristic of the syndrome, such as daytime sleepiness.…”

Section: Resultsmentioning

confidence: 99%

“…(17) The relevance of studies of OSAS in truck drivers is related to the inability of such individuals to maintain a satisfactory level of concentration and the necessary psychomotor coordination to drive, (1) which increases the risk of accidents. (11,(19)(20)(21) The decrease in the performance of drivers has been observed by various researchers. (19,21,22) In view of what has been presented above, the objective of the present study was to determine the prevalence of and identify factors associated with OSAS in a population of truck drivers.…”

Section: Original Articlementioning

confidence: 97%

Síndrome da apneia obstrutiva do sono em motoristas de caminhão

Lemos

Marqueze

Sachi³

et al. 2009

J. bras. pneumol.

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Objective: To determine the prevalence of obstructive sleep apnea syndrome (OSAS), as well as to identify factors associated with a greater risk of developing OSAS, among truck drivers. Methods: The study population comprised 209 truck drivers (mean age, 38.8 years; 98.5% males) at two branches of a transportation company. The mean body mass index was 26.5 ± 4.4 kg/m 2 . The participants completed questionnaires regarding sociodemographic data, physical activity and OSAS. The prevalence of OSAS was estimated using the Berlin Questionnaire, associations between OSAS and the factors studied being assessed through univariate and multivariate regression analysis. Results: The prevalence of OSAS in the population was 11.5%. Of the 209 truck drivers, 72 (34.5%) reported having fallen asleep while driving and 81 (38.7%) reported snoring. The following variables were found to present statistically significant associations with OSAS: informal employment (OR = 0.27; p = 0.01); body mass index ≥ 25 kg/m 2 (OR = 13.64; p = 0.01); and poor sleep quality (OR = 3.00; p = 0.02). Conclusions: The prevalence of OSAS in this study was lower than that reported in other studies of truck drivers and yet higher that that observed for the general population. In addition, our results suggest that work characteristics, such as employment status, are associated with OSAS. These data show the relevance of considering work activity in studies of factors associated with OSAS.Keywords: Sleep apnea, obstructive; Sleep disorders; Questionnaires. ResumoObjetivo: Estimar a prevalência da síndrome da apneia obstrutiva do sono (SAOS) e verificar os fatores associados à chance de desenvolver SAOS em motoristas de caminhão. Métodos: A população desse estudo constituiu-se de motoristas de caminhão de duas filiais de uma empresa transportadora (n = 209), com idade média de 38,8 anos, sendo 98,5% do sexo masculino. O índice de massa corpórea médio foi de 26,5 ± 4,4 kg/m 2 . Os participantes responderam questionários sobre dados sociodemográficos, atividade física e SAOS. A prevalência de SAOS foi estimada por meio do Questionário de Berlim e sua associação com os fatores estudados foi verificada pela análise de regressão univariada e multivariada. Resultados: A prevalência de SAOS na população foi de 11,5%. Dos 209 motoristas, 72 (34,5%) referiram dormir ao volante enquanto dirigiam ao menos uma vez e 81 (38,7%) referiram roncar durante o sono. As variáveis estatisticamente significativas associadas à SAOS foram vínculo empregatício informal (OR = 0,27; p = 0,01), índice de massa corpórea ≥ 25 kg/m 2 (OR = 13,64; p = 0,01) e qualidade do sono ruim (OR = 3,00; p = 0,02). Conclusões: Apesar de a prevalência de SAOS ter sido inferior à observada em outros estudos com motoristas, essa prevalência é superior à da população em geral. Os resultados ainda sugerem que as características do trabalho, entre as quais o vínculo de trabalho, estão associadas à SAOS. Esses dados evidenciam a relevância de se levar em consideração a atividade de trabalho em est...

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“…The inadequacy of information about Asian populations regarding this important subject encourages us to investigate whether sleep duration and snoring are associated with falling asleep or feeling sleepiness while driving. Although factors associated with falling asleep and feeling Usually (n=71) 50.7% (36) sleepiness while driving have been studied among professional drivers (21) and patients with sleep apnea syndrome (11,22) …”

Section: Introductionmentioning

confidence: 99%

Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

Abe¹,

Komada

Inoue

2012

Intern. Med.

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Objective This study of drivers in Tokyo was conducted to clarify the factors related to falling asleep and sleepiness while driving, particularly addressing short sleep duration, loud snoring or apnea witnessed by others and/or subjective sleep insufficiency. Methods This study was conducted as a questionnaire-based cross-sectional survey. Responses from drivers who visited a driver licensing center in Tokyo were evaluated in relation to socio-demographic variables, sleep-related variables and experiences of falling asleep or feeling sleepiness while driving. The analyses included 4,097 experienced drivers. Results Among the 4,097 drivers, 11.4% had experienced at least one incident of falling asleep while driving during the prior year and 67.6% had some prior experience of feeling sleepiness while driving. Logistic regression analyses revealed that witnessed snoring or apnea, short sleep duration and subjective insufficiency of nocturnal sleep were each independently associated with falling asleep and feeling sleepiness while driving. Subjective sleepiness while driving was associated with a sleep duration of less than six hours. However, falling asleep while driving was associated with a sleep duration of less than seven hours. Conclusion Drivers with a sleep duration shorter than seven hours have a higher risk of falling asleep while driving without experiencing subjective sleepiness. Irrespective of perceived sleep insufficiency, drivers should sleep more than seven hours, and those suspected of having respiratory pauses during sleep should undergo sleep apnea syndrome screening.

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Falling asleep while driving and automobile accidents among patients with obstructive sleep apnea–hypopnea syndrome

Cited by 71 publications

References 5 publications

Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

Relationships between Sleep-Disordered Breathing and Blood Pressure and Excessive Daytime Sleepiness among Truck Drivers

Síndrome da apneia obstrutiva do sono em motoristas de caminhão

Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

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