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

Cui, Renzhe; Tanigawa, Takeshi; Sakurai, Susumu; Yamagishi, Kazumasa; Iso, Hiroyasu

doi:10.1291/hypres.29.605

Cited by 35 publications

(35 citation statements)

References 28 publications

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“…These strongly positive associations of BMI and BMI changes since the age of 20 with SDB were consistent with the results of previous studies, but this study provided further evidence that long-term changes in BMI are associated with SDB. 10,[12][13][14] In our study, 55% of the men with RDI X10 had BMI X25, which is similar to findings for the USA, where 58% of Americans with AHI X15 had BMI X25. 1 A 10% increase in weight over 4 years was associated with a six times higher risk of AHI X15 3 and a weight gain of X5 kg over 5 years with a three times higher risk of AHI X15 18 in follow-up studies of Americans.…”

Section: Discussionsupporting

confidence: 88%

“…11,12 We previously reported that SDB was positively associated with overweight and excessive daytime sleepiness among Japanese adults. 13,14 To date, however, no data have been available on the association of weight change with SDB and excessive daytime sleepiness for Asian populations. Our a priori hypothesis was that weight gain as well as overweight would be associated with higher prevalence of SDB and excessive daytime sleepiness.…”

Section: Introductionmentioning

confidence: 99%

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Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

et al. 2009

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Background: Limited evidence for association of weight gain with sleep-disordered breathing (SDB) has been produced for Asian populations whose body mass index (BMI) levels are lower than in western countries. Objective: The aim of this study was to examine weight change since 20 years of age and risk of SDB among Japanese. Design: Retrospective cohort study. Subjects: This study includes a large sample of 5320 male Japanese truck drivers aged 30-69 years. Measurements: The respiratory disturbance index (RDI) was selected as an indicator of SDB, and it was estimated with a onenight sleep test using an airflow monitor, and the Epworth Sleepiness Scale (ESS) was used to estimate excessive daytime sleepiness. Results: Respiratory disturbance and sleepiness were more prevalent among men with BMI of 25.0-29.9 and X30.0 kg/m 2 than among those with BMI of 18.5-24.9; multivariable odds ratios (ORs) were 1.8(1.5-2.0), Po0.001 and 4.4(3.5-5.5), Po0.001 for RDI X10, and 1.2(0.9-1.4), P ¼ 0.18 and 1.5(1.1-2.1), P ¼ 0.02 for ESS X11, respectively. Compared with men showing BMI changes within ± 1.0, the respective multivariable ORs for those with BMI changes of 3.0-4.9 and X5.0 were 1.4(1.2-1.6), Po0.001 and 2.4(2.0-2.9), Po0.001 for RDI X10, and 1.2(0.9-1.6), P ¼ 0.22 and 2.0(1.5-2.6), Po0.001 for ESS X11. The corresponding ORs for weight gain of X10.0 kg compared with weight change less than ± 5.0 kg were 2.0(1.7-2.4), Po0.001 for RDI X10 and 1.5(1.2-2.0), P ¼ 0.002 for ESS X11. Similar trends were observed for RDI X20. Conclusion: Our results suggest that an increase in BMI of X5 kg/m 2 or weight gain of X10 kg is a risk factor for SDB and excessive daytime sleepiness among Japanese truck drivers.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

et al. 2009

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“…Previous studies have indicated a wide range of values for the prevalence of SDB in females-9-19% in American women (2,12), 28% in Spanish women (4), 16% in Korean women (13), and 30% in Chinese women living in Hong Kong (14)but no data has been available for Japanese women. Several epidemiological studies using the 3% oxygen desaturation index (ODI) as an indicator of SDB reported that 3% ODI correlated with excessive daytime sleepiness (EDS) (15) and blood pressure levels in Japanese men (15)(16)(17). However, no data are available on the association of 3% ODI with EDS and blood pressure levels in Japanese women.…”

Section: Introductionmentioning

confidence: 99%

Associations of Sleep-Disordered Breathing with Excessive Daytime Sleepiness and Blood Pressure in Japanese Women

et al. 2008

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“…OSAS represents the highest risk factor for sleepiness and accidents among sleep disorders 21) 23) 26) 27) . The cognitive impairments brought upon by OSAS result in delayed response times, which are essential for immediate decision making while driving.…”

Section: Sleep Apnea and Drivingmentioning

confidence: 99%

Significance of Early Detection and Treatment of Sleep Apnea Syndrome

Filomeno

Ikeda

Tanigawa

2017

Juntendo Medical Journal

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Sleep disordered breathing (SDB) is an umbrella term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the; one SDB condition in particular, obstructive sleep apnea syndrome (OSAS), has been globally recognized as a growing public health issue. OSAS is a chronic disease involving repetitive pauses in breathing during sleep that can cause numerous health issues if left untreated such as increased risk for hypertension, coronary heart disease, type-2 diabetes, stroke and depression.Daytime sleepiness, which can occur secondary to OSAS, impacts oneʼs ability to operate a motor vehicle properly and is likened to driving under the influence of alcohol. Early screening has the potential to identify OSAS and initiate subsequent treatment, which can improve breathing during sleep and decrease daytime sleepiness. The significance of early detection cannot be overlooked, as the far-reaching effects of OSAS have large public health implications.

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

Cited by 35 publications

References 28 publications

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

Associations between weight change since 20 years of age and sleep-disordered breathing among male truck drivers

Associations of Sleep-Disordered Breathing with Excessive Daytime Sleepiness and Blood Pressure in Japanese Women

Significance of Early Detection and Treatment of Sleep Apnea Syndrome

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