Dobrosielski Devon A, Nichols Dalton, Ford Julia, Watts Amy, Wilder Joshua N, Douglass-Burton Tamara
Department of Kinesiology Towson Research Academy for Collaborative Sport Science (TRACS), Towson University, Towson, Maryland.
Department of Kinesiology.
Respir Care. 2016 Sep;61(9):1144-50. doi: 10.4187/respcare.04520. Epub 2016 Mar 15.
Obstructive sleep apnea is a clinical disorder characterized by loud snoring, apneic episodes, and chronic sleep disruption. Collegiate football players exhibit several risk factors for OSA, including large neck circumference and high body mass index, although the prevalence of OSA in this cohort is unknown.
The STOP-BANG questionnaire was administered at random to members of a collegiate football team and used to stratify the players into high and low risk for sleep-disordered breathing (SDB). Those who completed the questionnaire were then evaluated for SDB during preseason camp using a single-channel (finger pulse oximetry) photoplethysmography-based device. SDB was defined as an apnea-hypopnea index of ≥5.
Of 56 players who underwent overnight photoplethysmography monitoring, valid results were available for 51. Forty-eight percent of the players were high-risk (neck size = 44.6 ± 2.2 cm, body mass index = 33.0 ± 5.4) versus low-risk (neck size = 41.4 ± 2.8 cm, body mass index = 27.6 ± 3.6) (both P values <.001). An apnea-hypopnea index of ≥5 was found in 2 (8.3%, 95% CI 1.0-20.0%) high-risk and 2 (7.7, 95% CI 1.0-18.4%) low-risk players. Two offensive linemen, a linebacker, and a tight end accounted for the positive cases.
Based on our sample, we estimate the prevalence of SDB among collegiate football players to be 8%, regardless of risk stratification. Given the strong link between SDB and cardiovascular disease, these data underscore the importance of screening and subsequent treatment of SDB in this highly conditioned yet potentially vulnerable group of athletes.
阻塞性睡眠呼吸暂停是一种临床疾病，其特征为大声打鼾、呼吸暂停发作和慢性睡眠中断。大学橄榄球运动员存在多种阻塞性睡眠呼吸暂停的风险因素，包括颈围较大和体重指数较高，尽管该队列中阻塞性睡眠呼吸暂停的患病率尚不清楚。
随机向一支大学橄榄球队的队员发放STOP-BANG问卷，用于将球员分为睡眠呼吸障碍（SDB）的高风险和低风险组。完成问卷的球员随后在季前训练营期间使用基于单通道（手指脉搏血氧饱和度）光电容积描记法的设备进行SDB评估。SDB定义为呼吸暂停低通气指数≥5。
在56名接受过夜光电容积描记法监测的球员中，51名获得了有效结果。48%的球员为高风险（颈围 = 44.6 ± 2.2 cm，体重指数 = 33.0 ± 5.4），而低风险组（颈围 = 41.4 ± 2.8 cm，体重指数 = 27.6 ± 3.6）（P值均 <.001）。2名（8.3%，95%CI 1.0 - 20.0%）高风险和2名（7.7%，95%CI 1.0 - 18.4%）低风险球员的呼吸暂停低通气指数≥5。两名进攻线卫、一名线卫和一名近端锋为阳性病例。
基于我们的样本，我们估计大学橄榄球运动员中SDB的患病率为8%，无论风险分层如何。鉴于SDB与心血管疾病之间存在紧密联系，这些数据强调了在这群身体状况良好但可能易受影响的运动员中筛查和后续治疗SDB的重要性。
