Obesity linked to dangerous sleep apnea in truck drivers
March 11, 2009
New study supports mandatory screenings and prohibition of 'doctor shopping' to reduce significant public safety risk
Somerville, MA/Providence, RI -- Truck crashes are a significant public health hazard causing thousands of deaths and injuries each year, with driver fatigue and sleepiness being major causes. A new study has confirmed previous findings that obesity-driven testing strategies identify commercial truck drivers with a high likelihood of obstructive sleep apnea (OSA) and suggests that mandating OSA screenings could reduce the risk of truck crashes.
OSA is a syndrome characterized by sleep-disordered breathing, resulting in excessive daytime sleepiness, sleep attacks, psychomotor deficits, and disrupted nighttime sleep. It increases the risk of motor vehicle accidents, and is common among truck drivers. Approximately 2.4 to 3.9 million licensed commercial drivers in the U.S. are expected to have OSA. In addition to being unrecognized or unreported by drivers, OSA often remains undiagnosed by many primary care clinicians despite the fact that OSA increases the risks of hypertension, diabetes mellitus, and heart disease.
Philip Parks, MD, MPH, medical director of Lifespan's employee health and occupational services, is the study's lead author. He worked with researchers at the Cambridge Health Alliance on the study published in the March 2009 edition of the Journal of Occupational and Environmental Medicine. Parks says, "It is well-known that obesity, a leading risk factor for obstructive sleep apnea, is on the rise in the United States. Truck drivers with sleep apnea have up to a 7-fold increased risk of being involved in a motor vehicle crash."
Over the 15-month study period, 456 commercial drivers were examined from over 50 different employers. Seventy-eight (17%) met the screening criteria for suspect OSA. These drivers were older and more obese, and had a higher average blood pressure. Of the 53 drivers who were referred for sleep studies, 33 did not comply with the referral and were lost to follow-up. The remaining 20 were all confirmed to have OSA, but after diagnosis, only one of these 20 drivers with confirmed OSA complied with treatment recommendations.
Parks also notes, "Although it is not surprising, it is concerning that we found that drivers with sleep apnea frequently minimize or underreport symptoms such as snoring and daytime sleepiness. In our study, the majority of truck drivers did not follow through on physician recommendations for sleep studies and sleep apnea treatment." He continues, "As a result, it is possible that many of the 14 million truck drivers on American road have undiagnosed or untreated sleep apnea."
Stefanos N. Kales, MD, MPH, Medical Director of Employee and Industrial Medicine at Cambridge Health Alliance, is the study's senior author. Kales says, "It is very likely that most of the drivers who did not comply with sleep studies or sleep apnea treatment sought medical certification from examiners who do not screen for sleep apnea and are driving with untreated or inadequately treated sleep apnea."
The study, published today by the Journal of Occupational and Environmental Medicine, has significant policy ramifications, as the Federal Motor Carrier Safety Administration is currently deliberating recommendations to require sleep apnea screening for all obese drivers based on body mass index or "BMI" (BMI is calculated based on height and weight). The Administration requires medical certification of licensed commercial drivers at least every two years. These occupational medicine exams present a unique opportunity for detecting OSA as part of determining a driver's safety behind the wheel.
"OSA screenings of truck drivers will be ineffective unless they are federally mandated or required by employers," said Kales. The study's authors also support the prohibition of "doctor shopping." Dr. Kales added, "Such action would prohibit drivers diagnosed with a serious disorder that might limit driving or require treatment to seek out more lenient or less rigorous medical examiners."
Related Sleep Apnea Current Events and Sleep Apnea News ArticlesIn obese prostate cancer patients, robotic surgery reduces risk of blood loss
In obese prostate cancer patients, robotic-assisted surgery to remove the prostate reduces the risk of blood loss and prolonged hospital stays, a Loyola Medicine study has found.Sleep disorders underreported, commonly untreated among cerebral palsy patients
When people think of sleep disorders such as obstructive sleep apnea (OSA), images of middle aged adults likely come to mind. Clinical trial underway for treatment of sleep apnea in adolescents with Down syndrome
An FDA-approved clinical trial is underway at Massachusetts Eye and Ear and Massachusetts General Hospital for Children to evaluate the use of a hypoglossal nerve stimulator -- a technology currently available to adults with severe obstructive sleep apnea (OSA) that stimulates the upper airway to facilitate breathing during sleep -- in a select group of adolescent patients with Down syndrome and OSA.Truckers with sleep apnea who do not follow treatment have greater crash risk
Truck drivers who have obstructive sleep apnea and who do not attempt to adhere to a mandated treatment program have a fivefold increase in the risk of a severe crash, according to a new study co-authored by Virginia Tech Transportation Institute researchers and featured in the March 21, 2016 online edition of the journal Sleep. Crash risk soars among truck drivers who fail to adhere to sleep apnea treatment
Truck drivers who fail to adhere to treatment for obstructive sleep apnea are a public safety threat on U.S. roadways, according to results from the largest study of sleep apnea and crash risk among commercial motor vehicle drivers.Snoring in children can affect their health
Children commonly snore from time to time and that is often harmless. But children with frequent snoring and breathing problems during sleep have an increased risk of having trouble concentrating and learning difficulties.Patients with PTSD together with sleep apnea may have reduced quality of life
New research finds patients suffering from posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA) experienced lower quality of life, more sleepiness, and less adherence and response to positive airway pressure (PAP) therapy.Emerging vascular risk factors in women: Any differences from men?
The incidence and severity of both traditional and emerging cardiovascular disease (CVD) risk factors as well as the response to treatment may differ between genders.Sleep apnea linked with an increased risk of chronic kidney disease
New research published in Respirology suggests that sleep apnea may increase the risk of developing chronic kidney disease to a similar extent as hypertension.Sleep-disordered breathing patients at greater risk for atrial fibrillation
Sleep-disordered breathing often predicts the development of atrial fibrillation (AF) in older men, according to U.S. researchers.
More Sleep Apnea Current Events and Sleep Apnea News Articles
Sleep Apnea: Hacking Sleep Apnea - 19 Strategies to Sleep & Breathe Easy Again: From CPAP to Oral Appliance Therapy, and the Truth Behind What Actually Works...|
by Brady Nelson RRT (Author), Sunny Gill RRT (Foreword)
Audiobook Now Available on Audible! ★ 100% of Profit Goes to an Animal Shelter ★
Sleep Apnea is widely prevalent, affecting 1 in 15 people. As well, it is VERY often either left poorly treated, or not at all. When either is present, a cascade of other conditions frequently exists. These diseases, (High Blood Pressure, Diabetes, Strokes, and so many more) are often treated symptomatically without treating the actual cause. Sleep apnea can be the reason for so many of these diseases.
The amount of treatment options is extensive, with only a select few that lead the way. Some suggest CPAP, some suggest oral appliances, and some will try everything available with little success.
You’ve heard it all before, we need to get a quality night sleep of 6-8...
Sleep Apnea Book: Secrets of Sleep Apnea Treatment, Cure, Exercises, Machine and Pillow Advice (Sleep Apnea, Sleep Apnea Books, Sleep Apnea Cure, Sleep ... Sleep Apnea Machine, Sleep Secre)|
Discover the Secrets of How To Be Sleep Apnea Free Today!
Get this Amazon e-Book for just $0.99. Read on your PC, Mac, smart phone, tablet or Kindle device.
Learn how to sleep well again without the snoring, tiredness and frustration caused by Sleep Apnea.
Discover how you can beat Sleep Apnea today! This book will explain and guide you through how you can be free from Sleep Apnea, even if you never thought it was possible. The knowledge found here will help you learn and understand what is causing the sleep apnea, how to stop it, naturally and or with medicines and machines, and prevent the frustrating, irritating results of a sleepless night for you and your bed partner.
If you want to be free from the sleepiness, irritableness, sleep depriving and...
NO CPAP NEEDED: CPAP Alternative Sleep Apnea Cure|
by MGP & Co. Publishing
Are you still wearing a CPAP mask?
Do you dislike the feeling of relying on a CPAP machine?
Do you feel like your Sleep Apnea is not getting any better?
Hello My Name Is Micheal Schwartz,
I have worked as Registered Polysomnographic Technologist (RPSGT)
as well as a Registered Respiratory Therapist (RRT) so I have been
around many patients suffering with sleep loss due to sleep apnea.
I have suffered from Obstructive Sleep Apnea (OSA) for many years as well.
I originally found out I had this problem after looking into how to
stop snoring and finding out that the loud snoring wasn't really a
problem in itself, the snoring was actually just sleep apnea symptoms.
After using a CPAP machine every...
Sleep, Interrupted: A physician reveals the #1 reason why so many of us are sick and tired|
by Steven Y. Park MD (Author)
Maybe you're stressed out and tired, and have put on a little weight. Or you have persistent pain you and your doctor can't explain. Man or woman, you may be fighting fluctuating hormone levels. Or maybe you snore like a freight train. Anything that narrows the throat and interrupts sleep, particularly breathing problems brought on by sleep position, illness, life changes, or your anatomy, may be key to understanding a host of common health issues. In this groundbreaking book, Dr. Steven Park outlines a simple, rational explanation for what s making you sick, and provides guidance for treatment options that address specific health problems.
Sleep Apnea: The Most Effective Sleep Apnea Cure: Discover a Sleep Apnea Treatment in 7 Days or Less! (Sleep apnea, anxiety management, insomnia, diabetes, snoring, sleep disorders, respironics)|
Discover A Sleep Apnea Cure Today!
Today only, get this Amazon bestseller for just $2.99. Regularly priced
at $4.99. Read on your PC, Mac, smart phone, tablet or Kindle device.
You’re about to discover how to finally overcome Sleep Apnea and break free from this terrible sleep disorder! Dealing with Sleep Apnea can be one of the most difficult sleeping problems to overcome and can really negatively impact a persons life if not handled properly. With that being said, within this short book you will learn proven Sleep Apnea Treatments and Sleep Apnea Exercises that have helped others just like you to get past their Sleep Apnea Disorder and create a fulfilling life of peace and happiness.
The truth is, many people fail to ever rid their Sleep Apnea because...
What You Should Know about Sleep Apnea: An Easy to Understand Guide|
by Dr. Nicholas DiFilippo (Author)
This little book is intended to be a helpful, practical and useful guide to sleep apnea. Sleep apnea should be as familiar and as well known by the general public as common diseases, such as emphysema, Alzheimer's disease, and heart attack. Sleep apnea is much more common than you may think. Its manifestations are widespread. It affects routine everyday activity in many ways. Awareness is essential. This is because the disease is often insidious and may be present for many years before its existance is even suspected. If one does not know about the disease or about what effects it may have on human life, it will never be discovered or even thought of during its early stages. As you will see throught this book, sleep apnea can easily affect your life without you even knowing it. One of the...
The Complete Starter's Book to CPAP Success :: Over 1000 sleep apnea patients helped!!|
by W.A. Stephens MHA (Author)
I wrote this (e-book/paperback edition) to help all of the people out there with a CPAP machine, or in the process of getting a CPAP machine. I have been working for over 20 years with CPAP patients and their families. I have been fortunate to setup over 1000 patients in their home, my office, and on occasion in the hospital. In my opinion there are numerous patients that are not getting the correct initial therapy, or maintenance therapy they deserve during their treatment of their sleep apnea.
Breathless: How a Broken Jaw Saved My Life|
by Steve Volk (Author)
A new dad in his early 40s, Steve Volk was on the verge of a personal and professional crisis. He was depressed, overweight, and struggling to handle his responsibilities as a husband and father. After undergoing a sleep study, Volk was diagnosed with sleep apnea, a medical condition that afflicts tens of millions, though roughly 80 percent go undiagnosed. For people with sleep apnea — a sleep disorder in which breathing is interrupted during sleep, depriving the brain and body of oxygen — the effects are serious, even deadly.
Volk’s doctor explained the grave danger he was in — so oxygen deprived that he could die any night. Unable to secure a life insurance policy because of his condition, and facing a full-fledged break down, Volk determined to do something about...
Dental Sleep Medicine Basics: The Clinical Guide to Treating Obstructive Sleep Apnea|
by Dds Mark Collins (Author)
Advance your dental practice by tapping into the booming field of oral appliances for the treatment of sleep apnea.
Dental Sleep Medicine Basics is the first and only book teaching the step by step clinical aspects of Dental Sleep Medicine. This book highlights the background of sleep apnea and the role of a dentist in treating it.
It is organized in the step by step fashion that facilitates efficiency and thoroughness allowing a dentist to not only help patients with sleep apnea, but also get paid for it. The use of illustrations and descriptions will help to understand each step.
Mark Collins DDS, DABDSM a seasoned dentist in dental sleep medicine presents the clinical guide to treat obstructive sleep apnea, including:
Background on sleep apnea and current...
Sleep Apnea Cure - 7 natural Sleep Apnea EXERCICES That Work To Overcome Sleep Apnea For Life: Sleep Apena Treatment & Sleep Apnea Relief (Sleep disorders, Sleep problems, insomnia Book 2)|
Discover 7 Exercises To Overcome Sleep Apnea Fast!
“I love sleep. My life has the tendency to fall apart when I'm awake, you know?”
― Ernest Hemingway
* * *LIMITED TIME OFFER! Get it for only $2.99 ! * * *
Regularly priced at $4.99.
Read on your PC, Mac, smart phone, tablet or Kindle device.
This book contains 7 proven natural exercises as well as steps and strategies on how to manage and treat your sleep apnea. This book will help you to understand what sleep apnea is, what its effects are, the changes that you can make in your lifestyle to avoid it, and the treatment you can undergo so that you will be able to finally have a good night’s sleep. This book also includes the outcomes that you can expect after the treatment.