- 著者
-
Tatsuya Maruhashi
Masahiko Ogawa
Yasuo Fukunaga
Daisaku Kitaura
Masato Kajikawa
Shinji Kishimoto
Yuji Takaeko
Takayuki Yamaji
Takahiro Harada
Yu Hashimoto
Yiming Han
Aya Mizobuchi
Farina Mohamad Yusoff
Kazuaki Chayama
Ayumu Nakashima
Chikara Goto
Kenichi Yoshimura
Yukiko Nakano
Yukihito Higashi
- 出版者
- Japan Society for Vascular Failure
- 雑誌
- Vascular Failure (ISSN:24324477)
- 巻号頁・発行日
- vol.6, no.1, pp.14-19, 2022-12-25 (Released:2023-02-14)
- 参考文献数
- 15
Background: Sleep apnea is an independent risk factor for motor vehicle accidents. We investigated the prevalence of sleep-disordered breathing (SDB) among commercial motor vehicle drivers in a transport company. Methods: Among 355 drivers in a transport company, 345 commercial motor vehicle drivers (mean age: 47.0±8.8 years, range: 21-71 years) underwent unattended out-of-center sleep testing using a type IV portable sleep monitor between September 2019 and November 2019.Results: The prevalence of oxygen desaturation index 3% (ODI3) score ≥15 was 17.7%. The prevalence of moderate-to-severe SDB, defined as respiratory event index (REI) score ≥15, was 31.9%. The prevalence of Epworth Sleepiness Scale (ESS) score ≥11 was 15.3%. There was no significant correlation between the ESS score and ODI3 (ρ=−0.05, P=0.40) or REI (ρ=−0.03, P=0.65) score. Multivariate analysis revealed that age (odds ratio [OR]: 1.05, 95% confidence interval [CI]: 1.02-1.09, P=0.002), body mass index (OR: 1.14, 95% CI: 1.05-1.23, P<0.001), and daily alcohol intake (OR: 1.98, 95% CI: 1.10-3.55, P=0.02) were significantly associated with moderate-to-severe SDB in drivers. The ESS score was not significantly associated with moderate-to-severe SDB (OR: 0.98, 95% CI: 0.93-1.05, P=0.70).Conclusions: Objective screening tests for sleep apnea such as unattended out-of-center sleep testing may be necessary to improve the health and safety of commercial motor vehicle drivers, especially middle-aged obese male drivers having daily alcohol intake.