Document Detail


Relationships between sleep-disordered breathing and blood pressure and excessive daytime sleepiness among truck drivers.
MedLine Citation:
PMID:  17137216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sleep-disordered breathing is a risk factor for hypertension, cardiovascular disease and accidents in the general population, but little is known about this correlation among professional truck drivers. To examine the relationships of sleep-disordered breathing with blood pressure levels and excessive daytime sleepiness among truck drivers, we conducted a population-based cross-sectional study of 1,313 subjects aged 20-69 years registered in the Japanese Trucking Association. The 3% oxygen desaturation index was selected as an indicator of sleep-disordered breathing, representing the number of desaturation events per hour of recording time in which blood oxygen fell by > or = 3% by overnight pulse oximetry. The Epworth Sleepiness Scale was used to estimate excessive daytime sleepiness. There were significant positive associations between the 3% oxygen desaturation index levels and both diastolic blood pressure levels and Epworth Sleepiness Scale scores. The multivariate odds ratio of hypertension was 2.0 (1.1-3.6) for a 3% oxygen desaturation index of > or = 15 in reference with a 3% oxygen desaturation index of <5. This association was more evident among those aged > or = 40 years and overweight subjects. Further, the multivariate odds ratio of an Epworth Sleepiness Scale of > or = 11 was 2.3 (1.1-4.9) for a 3% oxygen desaturation index of > or =15 in reference with a 3% oxygen desaturation index of <5. This association was more evident among those aged > or =40 years. The associations of sleep-disordered breathing severity with diastolic blood pressure levels and excessive daytime sleepiness suggest the need for sleep-disordered breathing screening among truck drivers for prevention of hypertension and potential traffic accidents.
Authors:
Renzhe Cui; Takeshi Tanigawa; Susumu Sakurai; Kazumasa Yamagishi; Hiroyasu Iso
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Hypertension research : official journal of the Japanese Society of Hypertension     Volume:  29     ISSN:  0916-9636     ISO Abbreviation:  Hypertens. Res.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-12-01     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9307690     Medline TA:  Hypertens Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  605-10     Citation Subset:  IM    
Affiliation:
Department of Public Health Medicine, Graduate School of Comprehensive Human Sciences, and Institute of Community Medicine, University of Tsukuba, Tsukuba, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure / physiology
Circadian Rhythm / physiology*
Cross-Sectional Studies
Female
Humans
Hypertension / epidemiology*
Japan / epidemiology
Male
Middle Aged
Motor Vehicles*
Occupations*
Sleep / physiology*
Sleep Apnea Syndromes / epidemiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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