Peck Bailey, Renzi Timothy, Peach Hannah, Gaultney Jane, Marino Joseph S
J Sport Rehabil. 2019 Feb 1;28(2):126-132. doi: 10.1123/jsr.2017-0127. Epub 2018 Sep 29.
Professional football linemen are at risk for sleep-disordered breathing (SDB) compared with other types of athletes. It is currently unknown whether college football linemen display a similar risk profile.
(1) To determine for the first time whether college football linemen show risk for SDB and (2) test the hypothesis that SDB risk is higher in college football linemen compared with an athletic comparison group.
Descriptive laboratory study.
The Health Risk Assessment Laboratory.
Male football linemen (n = 21) and track (n = 19) Division I athletes between the ages of 18 and 22 years.
Participants completed the Multivariable Apnea Prediction Index and Epworth Sleepiness Scale surveys, validated measures of symptoms of sleep apnea and daytime sleepiness, respectively. Neck and waist circumferences, blood pressure, Modified Mallampati Index (MMPI), and tonsil size were determined, followed by body composition assessment using dual-energy X-ray absorptiometry.
Scores from surveys, anthropometric data, MMPI, and body composition.
Survey data demonstrated a deficiency in sleep quality and efficiency, coinciding with increased self-reported symptoms of apnea (Multivariable Apnea Prediction Index = 0.78) in college linemen relative to track athletes. Neck circumference (44.36 cm), waist circumference (107.07 cm), body mass index (35.87 kg/m), and percent body fat (29.20%), all of which exceeded the clinical predictors of risk for obstructive sleep apnea, were significantly greater in linemen compared with track athletes. Multivariable Apnea Prediction variables were significantly correlated with MMPI, neck circumference, percent body fat, body mass index, and systolic blood pressure (r ≥ .31, P < .05), indicating that college football linemen are at increased risk for SDB.
Risk factors for SDB recognized in professional football linemen are also present at the college level. Screening may minimize present or future risk for SDB, as well as the downstream risk of SDB-associated metabolic and cardiovascular disease.
与其他类型的运动员相比，职业橄榄球前锋有睡眠呼吸障碍（SDB）的风险。目前尚不清楚大学橄榄球前锋是否也有类似的风险状况。
（1）首次确定大学橄榄球前锋是否有SDB风险；（2）检验大学橄榄球前锋的SDB风险高于运动对照组的假设。
描述性实验室研究。
健康风险评估实验室。
18至22岁的男子橄榄球前锋（n = 21）和田径运动员（n = 19），均为第一分区的运动员。
参与者分别完成多变量呼吸暂停预测指数和爱泼华嗜睡量表调查，这是验证睡眠呼吸暂停症状和白天嗜睡情况的有效测量方法。测量颈部和腰围、血压、改良马兰帕蒂指数（MMPI）和扁桃体大小，然后使用双能X线吸收法进行身体成分评估。
调查得分、人体测量数据、MMPI和身体成分。
调查数据显示睡眠质量和效率存在缺陷，与田径运动员相比，大学橄榄球前锋自我报告的呼吸暂停症状增加（多变量呼吸暂停预测指数 = 0.78）。橄榄球前锋的颈围（44.36厘米）、腰围（107.07厘米）、体重指数（35.87千克/平方米）和体脂百分比（29.20%）均超过阻塞性睡眠呼吸暂停风险的临床预测指标，与田径运动员相比显著更高。多变量呼吸暂停预测变量与MMPI、颈围、体脂百分比、体重指数和收缩压显著相关（r≥0.31，P < 0.05），表明大学橄榄球前锋患SDB的风险增加。
职业橄榄球前锋中公认的SDB风险因素在大学水平也存在。筛查可能会将当前或未来的SDB风险以及SDB相关代谢和心血管疾病的下游风险降至最低。
