Obstructive sleep apnea risk for driving license applicants in India – A community based study

Objectives To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India. Material and Methods In this cross-sectional community based, study body mass index, waist–hip ratio, blood pressure of each subject were determined as an anthropo...

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Main Authors: Abhishek Dubey, Darshan K. Bajaj, Apurva Mishra, Balendra Pratap Singh, Vinay Gupta, Surya Kant, Swati Dixit
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2018-10-01
Series:International Journal of Occupational Medicine and Environmental Health
Subjects:
Online Access:http://www.journalssystem.com/ijomeh/Obstructive-sleep-apnea-risk-in-driving-license-applicants-in-India-a-community-based-study,65753,0,2.html
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author Abhishek Dubey
Darshan K. Bajaj
Apurva Mishra
Balendra Pratap Singh
Vinay Gupta
Surya Kant
Swati Dixit
author_facet Abhishek Dubey
Darshan K. Bajaj
Apurva Mishra
Balendra Pratap Singh
Vinay Gupta
Surya Kant
Swati Dixit
author_sort Abhishek Dubey
collection DOAJ
description Objectives To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India. Material and Methods In this cross-sectional community based, study body mass index, waist–hip ratio, blood pressure of each subject were determined as an anthropometric parameter along with the history of habit of smoking, tobacco chewing, alcohol consumption. STOP-Bang (Snoring, Tired or sleepy, Observed apnea, high blood Pressure, Body mass index, Age, Neck, Gender) Questionnaire – a scoring risk assessment tool – was applied for assessment of OSA risk (high OSA risk defined by score ≥ 3) for 542 male DL recipients at 2 Regional Transport Office (RTO) centers in Lucknow, India. The statistical software SPSS 17.0 was applied to the testing. Results In total 23% (N = 125) of participants were found with the risk of OSA. High blood pressure (≥ 140/90 mm Hg) was found for the maximum number of participants (40.5%) followed by neck circumference > 40 cm (17.1%), age (> 50 years old) (15.3%), snoring (12.3%) and tired/sleepy (10.5%). Mean values of age, anthropometric measurements and blood pressure were observed significantly higher (p < 0.001) for participants with the OSA risk. In this population the risk of OSA risk (STOP-Bang score ≥ 3) was observed for 6.7% of young ( 45 years old). Conclusions In view of findings of this study a high number of male driving license applicants were observed with the risk of OSA. Therefore efforts should be made to develop a national screening guideline/protocol for the OSA risk assessment for driving license applicants in India. This may reduce the possibility of road traffic accidents due to the OSA-associated fatigue and drowsiness behind the wheels. Int J Occup Med Environ Health 2018;31(1):25–36
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spelling doaj.art-4ba06cc8c96d4824aa5975dd81b81fa02022-12-21T18:31:36ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2018-10-01311253610.13075/ijomeh.1896.0102165753Obstructive sleep apnea risk for driving license applicants in India – A community based studyAbhishek Dubey0Darshan K. Bajaj1Apurva Mishra2Balendra Pratap Singh3Vinay Gupta4Surya Kant5Swati Dixit6King George’s Medical University, Lucknow, India (Respiratory Medicine)King George’s Medical University, Lucknow, India (Respiratory Medicine)King George’s Medical University, Lucknow, India (Paediatric and Preventive Dentistry)King George’s Medical University, Lucknow, India (Prosthodontics)King George’s Medical University, Lucknow, India (Community Dentistry)King George’s Medical University, Lucknow, India (Respiratory Medicine)Community Empowerment Lab, Lucknow, India (Nutrition)Objectives To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India. Material and Methods In this cross-sectional community based, study body mass index, waist–hip ratio, blood pressure of each subject were determined as an anthropometric parameter along with the history of habit of smoking, tobacco chewing, alcohol consumption. STOP-Bang (Snoring, Tired or sleepy, Observed apnea, high blood Pressure, Body mass index, Age, Neck, Gender) Questionnaire – a scoring risk assessment tool – was applied for assessment of OSA risk (high OSA risk defined by score ≥ 3) for 542 male DL recipients at 2 Regional Transport Office (RTO) centers in Lucknow, India. The statistical software SPSS 17.0 was applied to the testing. Results In total 23% (N = 125) of participants were found with the risk of OSA. High blood pressure (≥ 140/90 mm Hg) was found for the maximum number of participants (40.5%) followed by neck circumference > 40 cm (17.1%), age (> 50 years old) (15.3%), snoring (12.3%) and tired/sleepy (10.5%). Mean values of age, anthropometric measurements and blood pressure were observed significantly higher (p < 0.001) for participants with the OSA risk. In this population the risk of OSA risk (STOP-Bang score ≥ 3) was observed for 6.7% of young ( 45 years old). Conclusions In view of findings of this study a high number of male driving license applicants were observed with the risk of OSA. Therefore efforts should be made to develop a national screening guideline/protocol for the OSA risk assessment for driving license applicants in India. This may reduce the possibility of road traffic accidents due to the OSA-associated fatigue and drowsiness behind the wheels. Int J Occup Med Environ Health 2018;31(1):25–36http://www.journalssystem.com/ijomeh/Obstructive-sleep-apnea-risk-in-driving-license-applicants-in-India-a-community-based-study,65753,0,2.htmlobstructive sleep apneadriverssleepinessroad traffic accidentsSTOP-Banghigh blood pressure
spellingShingle Abhishek Dubey
Darshan K. Bajaj
Apurva Mishra
Balendra Pratap Singh
Vinay Gupta
Surya Kant
Swati Dixit
Obstructive sleep apnea risk for driving license applicants in India – A community based study
International Journal of Occupational Medicine and Environmental Health
obstructive sleep apnea
drivers
sleepiness
road traffic accidents
STOP-Bang
high blood pressure
title Obstructive sleep apnea risk for driving license applicants in India – A community based study
title_full Obstructive sleep apnea risk for driving license applicants in India – A community based study
title_fullStr Obstructive sleep apnea risk for driving license applicants in India – A community based study
title_full_unstemmed Obstructive sleep apnea risk for driving license applicants in India – A community based study
title_short Obstructive sleep apnea risk for driving license applicants in India – A community based study
title_sort obstructive sleep apnea risk for driving license applicants in india a community based study
topic obstructive sleep apnea
drivers
sleepiness
road traffic accidents
STOP-Bang
high blood pressure
url http://www.journalssystem.com/ijomeh/Obstructive-sleep-apnea-risk-in-driving-license-applicants-in-India-a-community-based-study,65753,0,2.html
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