Unique features of obstructive sleep apnea in World Trade Center responders with aerodigestive disorders

Details

• Personal Author:
  Cepeda C ; Kelly-McNeil K ; Kipen H ; Ko S ; Marroccoli B ; Ohman-Strickland P ; Perret C ; Scardella A ; Sunderram J ; Udasin I
• Description:
  OBJECTIVES: To compare obstructive sleep apnea (OSA) in World Trade Center (WTC) responders with aerodigestive disorders and snoring with non-WTC habitual snorers, and to distinguish features of OSA in a subset of responders with worsening of snoring after 9/11 from responders with previous habitual snoring. METHODS: Cross-sectional comparative study of 50 WTC Medical Monitoring and Treatment Program responders with aerodigestive disorders and snoring and 50 nonresponders with snoring. Responders with worsening of snoring after 9/11 were compared with previous habitual snorers. RESULTS: While there was a strong correlation between body mass index (BMI), weight, and Apnea + Hypopnea Index (r = 0.36, P = 0.001; r = 0.29, P = 0.044) in the nonresponders, no correlation between either BMI or weight and Apnea + Hypopnea Index was found in the responders. Responders with worsening of snoring after 9/11 had a significantly lower BMI than previous habitual snorers. CONCLUSION: Mechanisms other than obesity are important in the pathogenesis of OSA in WTC responders with aerodigestive disorders. [Description provided by NIOSH]
• Subjects:
  Body Weight Emergency Responders Firefighters Health Care Facilities Workforce And Services Occupational Health Respiratory System Safety
• Keywords:
  Airway Obstruction Body Weight Emergency Responders Fire Fighters Medical Monitoring Pathogenesis Rescue Workers Sleep Apnea Weight Factors
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  53
• Issue:
  9
• NIOSHTIC Number:
  nn:20045764
• Citation:
  J Occup Environ Med 2011 Sep; 53(9):975-980
• Contact Point Address:
  Jag Sunderram, MD, MEB 574, 1 Robert Wood Johnson Place, CN 19, New Brunswick, NJ 08903
• Email:
  sunderja@umdnj.edu
• Federal Fiscal Year:
  2011
• NORA Priority Area:
  Services
• Performing Organization:
  University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School, Piscataway
• Peer Reviewed:
  True
• Start Date:
  20040601
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20111230
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fa710bb48e32fd0dfb34ffb258f28078942e054d559b5025356bb20b3a7b67c23809530eecdb0f16e62c59a100f1b86d90acc604964d18dfef6c7eea20b9874e
• Download URL:
  https://stacks.cdc.gov/view/cdc/201054/cdc_201054_DS1.pdf
• File Type:
  [PDF - 169.69 KB ]