Factors associated with obstructive sleep apnea among commercial motor vehicle drivers
Abstract
OBJECTIVE: Identify factors associated with obstructive sleep apnea (OSA) risk during commercial driver medical examinations. METHODS: A case-control study was conducted at an occupational health clinic by reviewing the commercial driver medical examinations medical records performed from January 2007 to December 2008. The magnitude of association with OSA was estimated with logistic regression. RESULTS: Among 1890 commercial motor vehicle drivers, 51 were confirmed positive for OSA by polysomnography after initial screening by Joint Task Force guidelines, yielding estimated positive predictive values of 78.5% for the screening criteria. Multivariable logistic regression showed that body mass index ≥ 30 (odds ratio: 26.86), hypertension (odds ratio: 2.57), and diabetes (odds ratio: 2.03) were independently associated with OSA. CONCLUSION: Medical examiners' use of objectively measurable risk factors, such as obesity, history of hypertension, and/or diabetes, rather than symptoms, may be more effective in identifying undiagnosed OSA in commercial drivers during the commercial driver medical examinations.
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Sleep apnea impairs commercial drivers' ability to drive safely.
“For example, sleep apnea occurs at high rates among commercial drivers184–186 and impairs their ability to drive safely.”
From Sleep, Health, and Society (2017) · cites this paper as [186]
Sleep apnea occurs at high rates among commercial drivers.
“For example, sleep apnea occurs at high rates among commercial drivers184–186 and impairs their ability to drive safely.”
From Sleep, Health, and Society (2017) · cites this paper as [186]
Cites
Risk Factors for Obstructive Sleep Apnea in Adults
Young, T. (2004) · JAMA · doi:10.1001/jama.291.16.2013 · Cited by 1,216 · see citing works
Punjabi, N. M. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh261 · Cited by 1,107 · see citing works
Peker, Y., Hedner, J. A., Norum, J., Kraiczi, H., & Carlson, J. T. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105124 · Cited by 788 · see citing works
Sleepiness, Sleep-disordered Breathing, and Accident Risk Factors in Commercial Vehicle Drivers
Howard, M. E., Desai, A. V., Grunstein, R. R., Hukins, C., Armstrong, J. G., Joffe, D., Swann, P., Campbell, D. A., & Pierce, R. J. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200312-1782oc · Cited by 467 · see citing works
fer, H. S. A., Pauleit, D. O., Sudhop, T., Gouni‐Berthold, I., Ewig, S., & Berthold, H. K. (2002) · CHEST Journal · doi:10.1378/chest.122.3.829 · Cited by 357 · see citing works
Obesity and obstructive sleep apnea
Gami, A. S., Caples, S. M., & Somers, V. K. (2003) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(03)00069-0 · Cited by 336 · see citing works
Consensus Statement: Fatigue and accidents in transport operations
Akerstedt, T. (2000) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2000.00228.x · Cited by 310 · see citing works
Impaired glucose-insulin metabolism in males with obstructive sleep apnoea syndrome
Meslier, N., Gagnadoux, F., Giraud, P., Person, C., Ouksel, H., Urban, T., & Racineux, J.-L. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00089902 · Cited by 301 · see citing works
Risk and severity of motor vehicle crashes in patients with obstructive sleep apnoea/hypopnoea
Mulgrew, A. T., Nasvadi, G. E., Butt, A., Cheema, R. U. R., Fox, N., Fleetham, J. A., Ryan, C. F., Cooper, P., & Ayas, N. (2008) · Thorax · doi:10.1136/thx.2007.085464 · Cited by 202 · see citing works
George, C. F. (2004) · Thorax · doi:10.1136/thx.2003.007187 · Cited by 164 · see citing works
Sleepiness of Occupational Drivers
Philip, P. (2005) · Industrial Health · doi:10.2486/indhealth.43.30 · Cited by 127 · see citing works
Sleep Apnea and Commercial Motor Vehicle Operators
Hartenbaum, N. P., Collop, N. A., Rosen, I. M., Phillips, B. A., George, C. F., Rowley, J. A., Freedman, N. S., Weaver, T. E., Gurubhagavatula, I., Strohl, K. P., et al. (2006) · CHEST Journal · doi:10.1378/chest.130.3.902 · Cited by 105 · see citing works
Talmage, J. B., Hudson, T. B., Hegmann, K. T., et al. (2008) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181617ab8 · Cited by 98 · see citing works
Self-citationScreening for Obstructive Sleep Apnea During Commercial Driver Medical Examinations
Parks, P. D., Durand, G., Tsismenakis, A. J., et al. (2009) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e31819eaaa4 · Cited by 90 · see citing works
Jin, C., Sun, Y. H., Islam, A., Qian, Y. R., & DUCATMAN, A. M. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e31820d1314 · Cited by 73 · see citing works
Work Productivity in Obstructive Sleep Apnea Patients
Nena, E., Steiropoulos, P., Constantinidis, T. C., et al. (2010) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181e12b05 · Cited by 53 · see citing works
Kingshott, R. N., Cowan, J. O., Jones, D. R., Flannery, E. M., Smith, A. D., Herbison, P., & Taylor, D. R. (2004) · Sleep And Breathing · doi:10.1007/s11325-004-0061-z · Cited by 48 · see citing works
Watkins, M. R., Talmage, J. B., Thiese, M. S., Hudson, T. B., & Hegmann, K. T. (2009) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e3181b68d52 · Cited by 28 · see citing works
Self-citationDurand, G., & Kales, S. N. (2009) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181b8c16b · Cited by 22 · see citing works
Kingshott, R. N., Cowan, J. O., Jones, D. R., et al. (2004) · Sleep And Breathing · doi:10.1055/s-2004-829636 · Cited by 12 · see citing works
Silverberg, D., Oksenberg, A., & Iaina, A. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.11.1272 · Cited by 7 · see citing works
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Grandner, M. A. (2017) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2016.10.012 · Cited by 720 · see citing works
Handelsman, Y., Bloomgarden, Z. T., Grunberger, G., Umpierrez, G., Zimmerman, R. S., Bailey, T. S., Blonde, L., Bray, G. A., Cohen, A. J., Dagogo-Jack, S., et al. (2015) · Endocrine Practice · doi:10.4158/ep15672.glsuppl · Cited by 559 · see citing works
- Authors
- Xie, W., Chakrabarty, S., Levine, R., Johnson, R., & Talmage, J. B.
- Affiliations
- Saratoga Hospital (US)
- Meharry Medical College (US)
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2011-02
- Volume
- 53
- Issue
- 2
- Pages
- 169-173
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W1977910216
- Cited by
- 67
- References
- 21
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 9 · 2015: 6 · 2014: 5 · 2013: 6 · 2012: 7
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Occupational Safety and Health (5t01oh009406-02)
- National Institute on Minority Health and Health Disparities (P20MD000516)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- obstructive sleep apnea, commercial drivers, OSA screening, obesity, body mass index, hypertension, diabetes mellitus, risk factors, polysomnography, undiagnosed sleep apnea
- MeSH terms
- Automobile Driving, Diabetes Mellitus, Female, Heart Diseases, Humans, Hypertension, Male, Obesity, Oxygen, Risk Factors, Body Mass Index, Prevalence, Case-Control Studies, Polysomnography, Motor Vehicles, Sleep Apnea, Obstructive
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