Relationship Between Sleep Quality, Obstructive Sleep Apnea and Sleepiness During Day With Related Factors in Professional Drivers
AbstractOne of the important reasons for accidents is sleepiness.With this description, the sleep disorders are associated with health and mortality, and not only affect the person but also the family and the whole society. Aim of this study was assessing of relationship between Sleep Quality, Obstructive sleep Apnea and Sleepiness during day with related factors in professional drivers. This was a cross-sectional study measuring correlation between sleep quality questionnaire (Pittsburgh Sleep Quality Index or PSQI), Epworth Sleepiness Scale (ESS) and Stop Bang questionnaire (STOP BANG).the appropriate sample size to achieve a 95% confidence level was 943 people. The study population was chosen among qualified drivers using a convenience sampling method that took place over 12 months duration. Exclusion criterion consisted of the presence of a physical or mental disability. Data analyzed by software SPSS, version 15. In this study, all drivers were men with mean of age 36±9/5 year (minimum 22 year and maximum 72 year), 799 (84.7%) were married, 535 (56.7%) had high school education. Also, 96.4 % of drivers had undesirable sleep quality, 25.8% obstructive sleep apnea and 6.8% abnormal sleepiness during day. Multiple linear regression test showed, Score of STOP-Bang was correlated with smoking (OR (β)=0/2, P=0.006) and history of hurt disease (OR (β)=0.95, P=0.003), shift work (OR (β)=0.19, P=0.006) more probability. Moreover, PSQI was statistically significant with shift work (OR (β)=0.44, P=0.02), smoking (OR (β)=0.98, P=0.001), history of pulmonary disease (OR (β)=3.58, P=0.009) more probability , and ESS was statistically significant with smoking (OR (β)=0.64, P=0.007) and history of pulmonary disease(OR (β)=2.82, P=0.006), shift work (OR (β)=0.59, P=0.008) more probability. In our study, according to the results, it should be planning to reduce the driving time in day and night and also it are recommended short breaks during driving. It is suggested the more widespread and prospective studies, as well as informing the drivers about the benefits of proper sleep and annual checkup drivers of health.
Gooneratne NS, Weaver TE, Cater JR, Pack FM, Arner HM, Greenberg AS, et al. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc 2003;51:642-9.
Kingshott RN, Cowan JO, Jones DR, Flannery EM, Smith AD, Herbison GP, et al. The role of sleep-disordered breathing, daytime sleepiness, and impaired performance in motor vehicle crashes-a case control study. Sleep Breath 2004;8:61-72.
Melamed S, Oksenberg A. Excessive daytime sleepiness and risk of occupational injuries in non-shift daytime workers. Sleep 2002;25:315-22.
Amagai Y, Ishikawa S, Gotoh T, Doi Y, Kayaba K, Nakamura Y, et al. Sleep duration and mortality in Japan: the Jichi medical school cohort study. J Epidemiol 2004;14:124-8.
Amagai Y, Ishikawa S, Gotoh T, Kayaba K, Nakamura Y, Kajii E. Sleep duration and incidence of cardiovascular events in a Japanese population: the Jichi Medical School cohort study. J Epidemiol 2010;20:106-10.
Lyznicki, J.M., et al., Sleepiness, driving, and motor vehicle crashes. JAMA 1998;279:1908-13.
Peden M. World report on road traffic injury prevention. World Health Organization. (Accessed April 2017, 29, at http://www.who.int/violence_injury_prevention/publications/road_traffic/world_report/en.)/
Philip P, Sagaspe P, Lagarde E, Leger D, Ohayon MM, Bioulac B, et al. Sleep disorders and accidental risk in a large group of regular registered highway drivers. Sleep Med 2010;11:973-9.
Akerstedt T. Consensus statement: fatigue and accidents in transport operations. J Sleep Res 2000;9:395.
Williamson A, Lombardi DA, Folkard S, Stutts J, Courtney TK, Connor JL. The link between fatigue and safety. Accid Anal Prev 2011;43:498-515.
Vanlaar W, Simpson H, Mayhew D, Robertson R. Fatigued and drowsy driving: A survey of attitudes, opinions and behaviors. J Saf Res 2008;39:303-9.
Nantulya VM, Muli-Musiime F. Kenya: Uncovering the social determinants of road traffic accidents. (Accessed April 2017, 25, at http://www.oxfordscholarship.com/view/10.1093/acprof:oso/9780195137408.001.0001/acprof-9780195137408-chapter-15.)
Sadeghniiat K, Labbafinejad Y. Sleepiness among Iranian lorry drivers. Acta Med Iran 2007;45:149-52.
Akkoyunlu ME, Altın R, Kart L, Atalay F, Ornek T, Bayram M, et al., Investigation of obstructive sleep apnoea syndrome prevalence among long-distance drivers from Zonguldak, Turkey. Multidiscip Respir Med 2013;8:10.
Ghaljaei F, Naderifar M, Ghaljeh M. Comparison of general health status and sleep quality between nurses with fixed working shifts and nurses with rotating working shifts. Zahedan J Res Med Sci 2011;13:47-50.
Mahdizadeh S, Salari MM, Ebadi A, Aslani j, Naderi Z, Avazeh A, et al. Relationship between sleep quality of life in chemical warfare victims with bronchiolitis obliterans referred to Baqiyatallah hospital of Tehran, Iran. Payesh 2011;10:265-77.
Bloch KE, Schoch OD, Zhang JN, Russi EW. German version of the Epworth sleepiness scale. Respiration 1999;66:440-7.
Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep Breath 2011;16:79-82.
Sadeghniiat Haghighi K, Montazeri A, Khajeh Mehrizi A, Aminian O, Rahimi Golkhandan A, et al. The Epworth Sleepiness Scale: translation and validation study of the Iranian version. Sleep Breath 2012;17:419-26.
Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, Ghajarzadeh M, Alemohammad ZB, Aminian O, et al. The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population. Qual Life Res 2015;24:2025-30.
Silva GE, Vana KD, Goodwin JL, Sherrill DL, Quan SF. Identification of patients with sleep disordered breathing: comparing the four-variable screening tool, STOP, STOP-Bang, and Epworth Sleepiness Scales. J Clin Sleep Med 2011;7:467-42.
Malek M, Halvani G, Fallah H. A study of the relationship between the Pittsburgh sleep quality index and road accidents among truck drivers. Occup Med Q J 2011;3:14-20.
Pérez-Chada D, Videla AJ, O'Flaherty ME, Palermo P, Meoni J, Sarchi MI, et al. Sleep habits and accident risk among truck drivers: a cross-sectional study in Argentina. SLEEP 2005;28:1103.
Ozoh OB, Okubadejo NU, Akanbi MO, Dania MG. High-risk of obstructive sleep apnea and excessive daytime sleepiness among commercial intra-city drivers in Lagos metropolis. Niger Med J 2013;54:224-9.
Kanazawa H, Suzuki M, Onoda T, Yokozowa M. Excess workload and sleep-related symptoms among commercial long-haul truck drivers. Sleep Biol Rhythms 2006;4:121-8.
kakooei H, Akhlaghi A, Panahi D. Investigation of sleep quality professional drivers inter-city terminals (Case study: Tehran). Traffic Manag Stud 2010;5:1-10.
Gottlieb DJ, Yenokyan G, Newman AB, O'Connor GT, Punjabi NM, Quan SF, et al. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure the sleep heart health study. Circulation 2010;122:352-60.
MakKK, Ho SY, Thomas GN, Lo WS, Cheuk DK, Lai YK, et al. Smoking and sleep disorders in Chinese adolescents. Sleep Med 2010;11:268-73.
Dehghani M, Niat S, Ebrahimi M. Relationship between Epworth Sleepiness Scale and obstructive sleep apnea with road accidents. IOH 2015;12:87-96.