Sleep quality, obstructive sleep apnea, and psychological distress in truck drivers: a cross-sectional study

Guglielmi, Ottavia; Magnavita, Nicola; Garbarino, Sergio

doi:10.1007/s00127-017-1474-x

Cited by 53 publications

(47 citation statements)

References 43 publications

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“…In a study about associations among obstructive sleep apnea syndrome, MetS, and mental health [40], early-stage obstructive sleep apnea was associated with worsening of psychological conditions. Depression and anxiety are also known to associate with inflammation and MetS in recent studies [12–17, 20, 29, 40, 41, 44, 47–50]. We didn’t observe any association between serum hs-CRP levels and stress, depressed mood, and improper sleep in adults with MetS.…”

Section: Discussioncontrasting

confidence: 60%

Associations among inflammation, mental health, and quality of life in adults with metabolic syndrome

Kim

Song

2018

Diabetol Metab Syndr

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BackgroundMetabolic syndrome (MetS), a pro-inflammatory state, has become increasingly common worldwide and is a major risk factor for type 2 diabetes mellitus and cardiovascular disease. Recently, studies on the relationships among inflammation, mental health, quality of life, and other diseases have been conducted.MethodsWe investigated the relationship between serum high-sensitivity C-reactive protein (hs-CRP) levels, as an indicator of inflammation, and the quality of life and psychiatric symptoms of Korean adults with MetS. The analysis used data from the Korean National Health and Nutrition Examination Survey, a cross-sectional survey of Korean civilians conducted from January to December 2015. Data from 1600 participants were analyzed in this study. Quality of life was assessed using the EuroQol 5-dimension (EQ-5D) instrument.ResultsSerum hs-CRP levels showed a significant inverse correlation with the EQ-5D index of the overall quality of life. High serum hs-CRP levels were positively associated with mobility problems and suicidal ideation in adults with MetS (multivariate-adjusted odds ratio [OR] 1.66, 95% confidence interval [CI] 1.03–2.66, p = 0.036; and multivariate-adjusted OR 2.48, 95% CI 1.23–4.99, p = 0.011).ConclusionsThese findings suggest that the elevated inflammatory status in MetS is associated with decreased quality of life and mental health problems. Further prospective studies are needed to confirm the impact of inflammation on the quality of life and mental health of adults with MetS.

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Section: Discussioncontrasting

confidence: 60%

Associations among inflammation, mental health, and quality of life in adults with metabolic syndrome

Kim

Song

2018

Diabetol Metab Syndr

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“…For example, LHTDs are highly sedentary and engage in very little physical activity or exercise; they typically have unhealthy diets and are likely to consume large quantities of caffeine, tobacco, and other psychostimulants to counteract work-induced fatigue (Birdsey et al, 2015;Garbarino et al, 2017;Korelitz et al, 1993;Krueger, Belzer, et al, 2007;Layne, Rogers, & Randolph, 2009;McCallum, Sandquist, Mitler, & Krueger, 2003;Sieber et al, 2014;Turner & Reed, 2011;Wawzonek, 2016;Wenger, 2008). Unfortunately, few health promotion initiatives have targeted upper-level forces uniquely endemic to the LHTD profession that induce and constrain health-related behaviors -such as scheduling configurations, including long work hours and frequent shift work; poor sleep health; high job stress, including a fast pace of work and excessive time pressures; and workplace built environments described as healthyliving deserts Apostolopoulos, Peachey, & Sönmez, 2011;Apostolopoulos, Sönmez, Shattell, Gonzales, & Fehrenbacher, 2013;Apostolopoulos, Sönmez, Shattell, Haldeman, et al, 2011;de Pinho et al, 2006;Ebrahimi, Sadeghi, Dehghani, & Niiat, 2015;Garbarino et al, 2017;Guglielmi, Magnavita, & Garbarino, 2018;Lemke, Meissen, & Apostolopoulos, 2016;Shattell et al, 2010). As the current study shows, these meso-and macrolevel forces influence critical health behaviors among LHTDs.…”

Section: Discussionmentioning

confidence: 99%

“…Nagelkerke R 2 = .14 also been known to influence adaptive behaviors-including dietary habits, with "comfort food" acting as a coping mechanism for LHTDs-and has been associated with poorer mental health outcomes, including anxiety, depression, and the development of mental disorders (Apostolopoulos, Peachey, et al, 2011;Apostolopoulos, Sönmez, Shattell, & Belzer, 2011;Apostolopoulos, Sönmez, Shattell, Haldeman, et al, 2011;Guglielmi et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Work Organization, Job Stress, and Sleep on the Health Behaviors and Outcomes of U.S. Long-Haul Truck Drivers

et al. 2019

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Background. Compared with other occupations, long-haul truck drivers (LHTD) engage in excessively unhealthy behaviors and experience disproportionately poor health outcomes. Health promotion efforts targeting LHTDs focus on improving individual-level behaviors; however, this occupation is replete with adverse work organization characteristics, high job stress, and compromised sleep health, which are hypothesized to cause poor health behaviors and outcomes among LHTDs. Therefore, the purpose of this study was to explore the connections between work characteristics, job stress, and sleep outcomes, and health behaviors and physical and mental health outcomes among LHTDs. Method. This was a cross-sectional study, using interviewer-administered surveys with LHTDs ( n = 260). Bivariate correlation analysis was used to explore the associations among work organization, job stress, sleep health, and health behaviors and outcomes. Logistic regression analyses were used to determine whether these work organization, job stress, and sleep factors predicted health behaviors and outcomes. Results. Long work hours of more than 11 hours daily (odds ratio [OR] = 2.34) resulted in increased odds of high caffeine consumption. High job stress (OR = 0.48) and poor sleep quality (OR = 0.42) led to decreased odds for spending at least 1 hour daily for cooking/eating. Low sleep duration, less than 7 hours daily (OR = 2.55), led to increased odds of a physical health diagnosis. Both high job stress (OR = 3.58) and poor sleep quality (OR = 2.22) resulted in increased odds of a mental health diagnosis. Conclusion. Health promotion efforts targeting LHTDs need to be coupled with upstream policy, environmental, and systems-level change, especially at the governmental and trucking industry levels.

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“…An updated search in the scientific literature found only eight papers published to date (April 2018) that addressed both sleep habits and mental health at the same time. Three reported on Italian, two on North American, two on Brazilian, and one on Australian truckers, for a total sample size of 87,261 male and 3887 female drivers [ 8 , 51 , 52 , 53 , 54 , 55 , 56 , 57 ]. Some comparison across studies is nevertheless possible with a descriptive review.…”

Section: Review Of the Impact Of Sleep-mental Health Interplay On mentioning

confidence: 99%

Sleep and Mental Health in Truck Drivers: Descriptive Review of the Current Evidence and Proposal of Strategies for Primary Prevention

Garbarino

Guglielmi

Sannita

et al. 2018

IJERPH

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Background: Professional truck drivers (TDs) are exposed to stressful working (and living) conditions and are vulnerable. They report physical and mental health problems and psychological distress more frequently than the general population and their problems can affect safety on the roads. Actions to improve TDs’ health and reduce the risks of (co-)morbidity or unsafe driving are imperative. Methods: The published studies dealing with the TDs’ sleep habits and mental health were reviewed to define the scenario and organize the preventive strategies proposed thus far. Results: Awareness among TDs of the high risk for health and safety due to (often co-existing) untreated sleep and mental health problems is critical. Alcohol and prescribed or illicit drugs are often misused to compensate for depression, anxiety, job strain, fatigue, and social isolation. Polypharmacy and dependence increase the chance of unsafe behaviors on the road. The TDs’ access to healthcare services is scant, and participation in industry-sponsored wellness programs is limited. Conclusions: Primary prevention is a first unavoidable step to deal with sleep and mental health problems. Educational programs, online support and tele-health assessment/monitoring would help improve the well-being, safety and health of professional TDs and increase safety on the road.

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Sleep quality, obstructive sleep apnea, and psychological distress in truck drivers: a cross-sectional study

Cited by 53 publications

References 43 publications

Associations among inflammation, mental health, and quality of life in adults with metabolic syndrome

Associations among inflammation, mental health, and quality of life in adults with metabolic syndrome

The Impact of Work Organization, Job Stress, and Sleep on the Health Behaviors and Outcomes of U.S. Long-Haul Truck Drivers

Sleep and Mental Health in Truck Drivers: Descriptive Review of the Current Evidence and Proposal of Strategies for Primary Prevention

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