Sleep disturbances among Swedish soldiers after military service abroad

Pettersson, Karolina; Saers, Johannes; Lindberg, Eva; Janson, Christer

doi:10.3109/03009734.2016.1144663

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…The military part of the questionnaire contained several questions about the participants’ assignments abroad, such as the number of missions abroad, the country of the assignment, whether the participant was deployed in a staff position or served more of the time in the field and whether the participant spent a considerable time in vehicles. [ 12 ]…”

Section: Methodsmentioning

confidence: 99%

Respiratory symptoms among Swedish soldiers after military service abroad: association with time spent in a desert environment

Saers

Ekerljung

Forsberg

et al. 2017

European Clinical Respiratory Journal

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Introduction: The aim of this paper was to study whether Swedish soldiers who have served abroad had a higher prevalence of respiratory symptoms than the general population and, if this was the case, also to study whether this was associated with time spent in a desert environment. Methods:The prevalence of respiratory symptoms among 1,080 veterans from Kosovo and Afghanistan was compared with that in almost 27,000 subjects from a general population sample, using propensity score matching and logistic regression. Results:The prevalence of wheeze (16.3 vs. 12.3%), wheeze without a cold (11.1 vs. 8.0%), nocturnal coughing (26.6 vs. 20.1%) and chronic bronchitis (12.3 vs. 6.8%) was significantly higher among soldiers than controls (p < 0.05). A dose-response-related association was found between time spent in a desert environment and wheeze, wheeze with breathlessness and wheeze when not having a cold. Having been exposed to desert storms was related to nocturnal cough and chronic bronchitis. Conclusion:Swedish soldiers who had served abroad had a higher prevalence of wheeze and cough than a control group from the general population. The association between being exposed to a desert environment and respiratory symptoms indicates that further protective measures should be introduced for military personnel serving in a desert environment.

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Section: Methodsmentioning

confidence: 99%

Respiratory symptoms among Swedish soldiers after military service abroad: association with time spent in a desert environment

Saers

Ekerljung

Forsberg

et al. 2017

European Clinical Respiratory Journal

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“…SDB patients were diagnosed using the Berlin Questionnaire (BQ) in two studies [34,43], the 9 th and 10 th edition of ICD in three studies PLOS ONE [44][45][46], the 2 nd or 3 rd edition of ICSD in two studies [47,48], the Apnea Hypopnea Index (AHI) in four studies [47][48][49][50], previously documented information in two studies [51,52], self-reported SDB in one study [53], and no diagnose tool in one study [54]. As for the definition of insomnia, two studies used the 9 th and 10 th edition of ICD [44,55], three used the 2 nd and 3 rd edition of ICSD [47,48,56], seven used the ISI [48,[57][58][59][60][61][62], one used the Brief Insomnia Questionnaire (BIQ) [63], four used a self-edited questionnaire [63][64][65][66], two used selfreported data [53,67], and one used documented information [52]. The total sample consisted of 21,923,699 in the military population and 28,223 in the general population.…”

Section: Study Characteristicsmentioning

confidence: 99%

The risk factors for insomnia and sleep-disordered breathing in military communities: A meta-analysis

Huang

Zheng

et al. 2021

PLoS ONE

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Background Many reviews and meta-analyses had been conducted to investigate risk factors for sleep disorders in the general population. However, no similar research has been performed in the military population though insomnia and sleep-disordered breathing are quite prevalent in that population. Objectives To investigate risk factors for insomnia and sleep-disordered breathing in military personnel. Methods A systematic literature search was performed from inception to March 2021 and 6496 records were produced. Two authors independently screened records for eligibility. Results were presented as odds ratios, and a random-effect model was used to pool results. Data analysis was performed respectively according to military personnel type (i.e., veteran, active-duty personnel). Risk factors were sorted into three categories: sociodemographic, army-specific, and comorbidity. This meta-analysis was registered in PROSPERO before data analysis (registration No: CRD42020221696). Results Twenty-seven articles were finally included in the quantitative analysis. For sleep-disordered breathing in active-duty personnel, four sociodemographic (i.e., overweight/obesity, higher body mass index, male gender, >35 years old) and one comorbidity (i.e., depression) risk factors were identified. For insomnia in active-duty personnel, four sociodemographic (i.e., aging, alcohol dependence, white race, and female gender), two army-specific (i.e., deployment experience, combat experience), and four comorbidity (i.e., depression, post-traumatic stress disorder, traumatic brain injury, and anxiety) risk factors were identified. For insomnia in veterans, one army-specific (i.e., combat experience) and one comorbidity (i.e., post-traumatic stress disorder) risk factor was identified. Conclusions Several risk factors were identified for insomnia and sleep-disordered breathing in the current meta-analysis. Risk factors for veterans and active-duty personnel were partially different. Research on sleep breathing disorders remains limited, and more convincing evidence would be obtained with more relevant studies in the future.

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“…Whether these physiological cardiac adaptations to repetitive vigorous training on future cardiovascular disease and mortality are beneficial or hazardous to armed forces remain unknown. In addition, several unhealthy behaviors and environments such as cigarette smoking, alcohol intake, stress, insomnia, and depressive mood are prevalent among arm forces, which may affect the physical performance by reducing cardiopulmonary function and increase the risk of hospitalization for acute illness [9,10] . However there were few studies using large military cohorts, particularly of Asian young adults, with detailed data of demographics, laboratory exams, and cardiopulmonary function evaluations at baseline, to follow up the incidence of cardiovascular disease and other severe illness events.…”

Section: Introductionmentioning

confidence: 99%

Rationale and design of the cardiorespiratory fitness and hospitalization events in armed forces study in Eastern Taiwan

Lin¹,

Li²,

Lee³

et al. 2016

WJC

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Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Mennonite Christian Hospital in Taiwan. Informed consent statement: Participants were not required to give informed consent to this retrospective study since the analysis of baseline characteristics used anonymous clinical data that were obtained after each patient agreed to share with the results by written informed consent.

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Sleep disturbances among Swedish soldiers after military service abroad

Cited by 5 publications

References 21 publications

Respiratory symptoms among Swedish soldiers after military service abroad: association with time spent in a desert environment

Respiratory symptoms among Swedish soldiers after military service abroad: association with time spent in a desert environment

The risk factors for insomnia and sleep-disordered breathing in military communities: A meta-analysis

Rationale and design of the cardiorespiratory fitness and hospitalization events in armed forces study in Eastern Taiwan

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