Sleep Architecture in Night Shift Workers Police Officers with Obstructive Sleep Apnea-hypopnea Syndrome

Verde-Tinoco, Selene; Santana-Miranda, Rafael; Gutiérrez-Escobar, Romel; Haro, Reyes; Miranda-Ortiz, Joana; Berruga-Fernandez, Talia; Jiménez‐Correa, Ulises; Poblano, Adrián

doi:10.5935/1984-0063.20170024

Cited by 8 publications

(9 citation statements)

References 26 publications

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“…Härmä et al, 1998; M. I. Härmä et al, 1994), and sleep disorders, such as insomnia (Chatterjee & Ambekar, 2017) and greater severity of apnea symptoms (Verde-Tinoco et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Workplace-Based Employee Health Interventions and Their Impact on Sleep Duration Among Shift Workers

Robbins

Underwood

Jackson

et al. 2021

Workplace Health Saf

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Background: Shift work is associated with long-term health risks. Workplace-based health interventions hold promise for improving or maintaining the health of shift workers; yet, the impact of workplace-based interventions on shift worker sleep duration has not been assessed. We conducted a systematic review of workplace interventions on shift worker sleep. Methods: We conducted searches in PubMed, Web of Knowledge, EMBASE, Scopus, and PsycINFO ( n = 6,868 records) of all studies published through May 15, 2019. Eligibility criteria included the following: (a) individuals aged ≥18 years; (b) a workplace-based employee intervention; (c) an employee population comprised predominantly of shift workers (>50%); and (d) sleep duration as a study outcome. Findings: Twenty workplace interventions met eligibility criteria. Mean intervention duration was 125 ( SD = 187) days and mean sample size was 116 employees ( SD = 256) with a mean age of 36.4 years ( SD = 6.5). Interventions most commonly focused on light exposure (25%) or shift timing (25%), followed by sleep hygiene (20%). Most interventions were conducted in the health care and social assistance sector (60%). Study quality on average was 64% ( SD = 7%). A majority of the studies found that a workplace-based health intervention was associated with a desirable increase in 24-hour total sleep duration (55%). The overall average increase in daily employee sleep duration achieved by interventions ranged for RCT studies from 0.34 to 0.99 hours and for non-RCT studies from 0.02 to 1.15 hours. Conclusions/Applications to Practice: More than half of the employee health interventions, especially yoga or mindfulness interventions, resulted in a desirable increase in sleep duration. Workplaces hold promise as an avenue? for delivering programs and policies that aim to improve sleep duration among shift workers.

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“…Härmä et al, 1998; M. I. Härmä et al, 1994), and sleep disorders, such as insomnia (Chatterjee & Ambekar, 2017) and greater severity of apnea symptoms (Verde-Tinoco et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Workplace-Based Employee Health Interventions and Their Impact on Sleep Duration Among Shift Workers

Robbins

Underwood

Jackson

et al. 2021

Workplace Health Saf

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“…Also, an association was observed between the presence of sleep disorders and clinical outcomes such as depression, burnout, diabetes and cardiovascular disease. (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)26) In the other study, the clinical and polysomnography data of 761 military officers were evaluated retrospectively, showing a high prevalence of OSAS (27.2%), insomnia (24.7%) and insufficient sleep time (41.8%). (14,27) The main predictors of OSAS were obesity, male gender and age.…”

Section: Discussionmentioning

confidence: 99%

“…Police officers who slept less than 5 h were more likely to suffer from abdominal obesity than those who slept 7-7.9 h. (16) OSAS, the sleep disorder most frequently diagnosed in police officers, has been involved as an independent risk factor for cardiovascular disease, diabetes, cardiac arrhythmias, plurimetabolic syndrome, traffic accidents and death. (17,18,25) OSAS has also been associated with significant cognitive decline and difficulty to maintain vigilance and attention during work. (18) In a study involving 316 military police officers from Feira de Santana, Bahia, the prevalence and factors associated with high cardiovascular risk (HCR) were estimated, based on abdominal obesity.…”

Section: Discussionmentioning

confidence: 99%

“…(17,18,25) OSAS has also been associated with significant cognitive decline and difficulty to maintain vigilance and attention during work. (18) In a study involving 316 military police officers from Feira de Santana, Bahia, the prevalence and factors associated with high cardiovascular risk (HCR) were estimated, based on abdominal obesity. In that study, it is concluded that the prevalence of HCR among the military police officers of Feira de Santana was high, especially among men, individuals with longer time on the job and those physically inactive.…”

Section: Discussionmentioning

confidence: 99%

“…(2) In international studies that investigated the prevalence of sleep disorders among police officers, OSAS prevalence rates ranging from 24% to 38% were found. (14,18,19,29) Shift work may result in deregulation of the circadian rhythm, insufficient sleep and disruption of family and social life, which can lead to an increase in the allostatic load (defined as the sum of the stresses prolonged stress causes in the body), altered homeostasis, immunological deficiency and endocrine dysfunction. (10,21) Shift work has become increasingly part of a wide range of occupations, especially among police officers, firefighters and emergency services, where there is an obvious need for a 24-hour service.…”

Section: Discussionmentioning

confidence: 99%

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Avaliação do Sono em um Grupo de Policiais Militares de Elite

et al. 2018

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Objective: Study sleep disorders in a Group of Elite Military Police Offi cers. Method: Cross-sectional study in which 22 elite military police offi cers from the Brigada Militar were assessed, corresponding to the total operational headcount of the group studied. Results: There were four main fi ndings in this study. First, a high prevalence of sleep disorders was observed (100% presented some sleeprelated disorder or complaint) and bad sleep quality (63.6%) among these offi cers. Second, a high prevalence (27.3%) of obstructive sleep apnea syndrome was observed among the police offi cers studied, who presented greater daytime sleepiness. Third, among the police offi cers who presented some occupational accident, a higher prevalence of daytime sleepiness, bad sleep quality and obstructive sleep apnea syndrome was found. Fourth, offi cers with a bad quality of sleep presented worse quality of life scores. Conclusion: Considering the high prevalence of sleep disorders among military police offi cers and the different consequences resulting from a bad quality of sleep, sleep-related questions, questionnaires to screen for sleep disorders and, depending on the case, polysomnography should be included in the routine health evaluation of Elite Military Police Offi cers. ResumoObjetivo: Estudar os distúrbios do sono em um Grupo de Policiais Militares de Elite. Método: Estudo transversal, que avaliou 22 policiais militares de elite da Brigada Militar, o que corresponde a totalidade do efetivo operacional do grupo estudado. Resultados: Os principais achados deste estudo foram quatro. Primeiro, observou-se uma elevada prevalência de distúrbios do sono (100% apresentaram algum distúrbio ou queixa relacionada ao sono) e de má qualidade de sono (63,6%) entre esses policiais. Segundo, observou-se uma elevada prevalência (27,3%) de síndrome da apneia obstrutiva do sono entre os policiais estudados sendo que estes apresentaram maior sonolência diurna. Terceiro, dentre os policiais que apresentaram algum acidente de trabalho constatou-se uma maior prevalência de sonolência diurna, de má qualidade do sono e de síndrome da apneia obstrutiva do sono. Quarto, policiais com má qualidade de sono apresentaram piores escores de qualidade de vida. Conclusão: Considerando-se a elevada prevalência de distúrbios do sono entre os policiais militares e as diversas consequências advindas de um sono de má qualidade, sugere-se a inclusão de questões relacionadas ao sono, de questionários de triagem para distúrbios do sono e dependendo do caso, do exame de polissonografi a, dentro da inspeção bienal de saúde dos Policiais Militares de Elite. ResumenObjetivo: Estudiar los disturbios del sueño en un Grupo de Policías Militares de Élite. Método: Estudio transversal evaluando a 22 policías militares de élite de la Brigada Militar, que constituyen la totalidad de efectivos operativos del grupo estudiado. Resultados: El estudio arrojó cuatro hallazgos principales. Primero, se observó elevada prevalencia de disturbios del sueño (100% presentó a...

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Prevalence of sleep-disordered breathing among women working in the aged care services in Japan

Suzuki

Ikeda

Wada

et al. 2018

Int Arch Occup Environ Health

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The aim of this study was to examine the prevalence of sleep-disordered breathing (SDB) in women working in the field of aged care in Japan. MethodsA cross-sectional study was conducted for female employees aged 18-60 years in aged care facilities in Japan. The analyzed set consisted of 712 participants with complete data. SDB was determined by respiratory disturbance index (RDI), measured using an ambulatory airflow monitor with a polyvinylidene fluoride film sensor to detect nasal and oral airflow overnight at home. Based on the findings of previous studies, RDI 10 was considered equivalent to apnea-hypopnea index (AHI) 15. ResultsThe prevalence of moderate to severe SDB (RDI ≥ 10) was 22.8%. The mean age was 38.1 years, and mean sleeping time of participants was 6.1 hours. The median body mass index (BMI) was 22.0. Women with moderate to severe SDB (RDI ≥ 10) had a higher age, neck circumference, neck-height ratio, BMI, systolic blood pressure, and increased prevalence of hypertension, short sleepers (amount of sleep on the SDB testing day < 6 hours), and habitual snorers, compared to women with no or mild SDB (RDI < 10). ConclusionsOur study found that women working in the aged care services in Japan were heavily burdened by SDB even though they were relatively young and slim. To prevent CVD from developing in the future, programs through which workplaces can help their employees improve their lifestyle, and early diagnosis and treatment of SDB are highly recommended. (246 words)

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Sleep Architecture in Night Shift Workers Police Officers with Obstructive Sleep Apnea-hypopnea Syndrome

Cited by 8 publications

References 26 publications

A Systematic Review of Workplace-Based Employee Health Interventions and Their Impact on Sleep Duration Among Shift Workers

A Systematic Review of Workplace-Based Employee Health Interventions and Their Impact on Sleep Duration Among Shift Workers

Avaliação do Sono em um Grupo de Policiais Militares de Elite

Prevalence of sleep-disordered breathing among women working in the aged care services in Japan

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