Dubey Abhishek, Bajaj Darshan K, Mishra Apurva, Singh Balendra Pratap, Gupta Vinay, Kant Surya, Dixit Swati
King George's Medical University, Lucknow, India (Respiratory Medicine).
King George's Medical University, Lucknow, India (Paediatric and Preventive Dentistry).
Int J Occup Med Environ Health. 2018 Jan 1;31(1):25-36. doi: 10.13075/ijomeh.1896.01021. Epub 2017 Aug 31.
To determine the risk of obstructive sleep apnea (OSA) for male permanent driving license (DL) applicants of Lucknow, India.
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.
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 (< 35 years old), 34% of middle (35-45 years old) and 73% of elder age adults (> 45 years old).
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.
确定印度勒克瑙男性永久性驾驶执照（DL）申请者患阻塞性睡眠呼吸暂停（OSA）的风险。
在这项基于社区的横断面研究中，测定了每位受试者的体重指数、腰臀比、血压等人体测量参数，以及吸烟、嚼烟草、饮酒习惯史。应用STOP-Bang问卷（打鼾、疲倦或嗜睡、观察到的呼吸暂停、高血压、体重指数、年龄、颈部、性别）——一种评分风险评估工具——对印度勒克瑙2个地区运输办公室（RTO）中心的542名男性DL获得者进行OSA风险评估（OSA高风险定义为得分≥3）。使用统计软件SPSS 17.0进行测试。
总共发现23%（N = 125）的参与者有患OSA的风险。发现高血压（≥140/90 mmHg）的参与者数量最多（40.5%），其次是颈围>40 cm（17.1%）、年龄（>50岁）（15.3%）、打鼾（12.3%）和疲倦/嗜睡（10.5%）。OSA风险参与者的年龄、人体测量值和血压平均值显著更高（p < 0.001）。在该人群中，年轻（<35岁）者中有6.7%、中年（35 - 45岁）者中有34%、老年（>45岁）者中有73%存在OSA风险（STOP-Bang得分≥3）。
鉴于本研究的结果，发现大量男性驾驶执照申请者有患OSA的风险。因此，应努力制定针对印度驾驶执照申请者进行OSA风险评估的国家筛查指南/方案。这可能会降低因驾驶时与OSA相关的疲劳和困倦导致道路交通事故的可能性。《国际职业医学与环境卫生杂志》2018年；31(1):25 - 36。
