Prevalence and incidence of high risk for obstructive sleep apnea in World Trade Center-exposed rescue/recovery workers

Details

• Personal Author:
  Gustave J ; Hall CB ; Kelly K ; Lee R ; Prezant D ; Soo J ; Webber MP
• Description:
  Purpose: World Trade Center (WTC)-exposed rescue/recovery workers continue to have high rates of gastroesophageal reflux disease (GERD), chronic rhinosinusitis, and posttraumatic stress disorder (PTSD) symptoms. This study examines the relationship between these WTC-related conditions and being at high risk for obstructive sleep apnea (OSA). Materials and methods: The Fire Department of the City of New York (FDNY) performs periodic health evaluations on FDNY members every 12 to 18 months. Evaluations consist of physician examinations and self-administered health questionnaires, which, since 2005, have incorporated questions about sleep problems that were adapted from the Berlin Questionnaire. The study population consisted of 11,701 male firefighters and emergency medical service personnel. Incidence analyses were limited to a cohort (n = 4,576) who did not meet the criterion for being at high risk for OSA at baseline (between September 12, 2005 and September 8, 2006) and had at least one follow-up assessment, on average, 1.4 (+/-0.5) years later. Results: The baseline prevalence of high risk for OSA was 36.5%. By follow-up, 16.9% of those not at high risk initially became at high risk for OSA. In multivariable logistic regression models predicting incident high risk for OSA, independent predictors included: earlier time of arrival at the WTC site, GERD, chronic rhinosinusitis, PTSD symptoms, self-assessed fair/poor health, low body mass index (BMI < 18.5 kg/m2), and, as expected, BMI > 30 kg/m2 and weight gain of =10 lb (4.5 kg). Conclusions: We found significant associations between being at high risk for OSA and common WTC-related conditions, although the responsible causative mechanisms remain unknown. Since the etiology of OSA is likely multifactorial, improvement may require successful treatment of both OSA and its comorbid conditions. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Firefighters Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: World Trade Center Disaster Recovery Fire Fighters Gastroesophageal Reflux Disease GERD Obstructive Sleep Apnea Post-traumatic Stress Disorder PTSD Rescue Workers Rhinosinusitis Sleep Disordered Breathing Snoring World Trade Center WTC

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• ISSN:
  1520-9512
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  283-294
• Volume:
  15
• Issue:
  3
• NIOSHTIC Number:
  nn:20046205
• Citation:
  Sleep Breath 2011 Sep; 15(3):283-294
• Contact Point Address:
  Mayris P. Webber, Bureau of Health Services, fire Department of the City of New York, 9 Metrotech Centerr, Brooklyn, NY 11201
• Email:
  webberm@fdny.nyc.gov
• Federal Fiscal Year:
  2011
• Performing Organization:
  New York City Fire Department
• Peer Reviewed:
  True
• Start Date:
  20040701
• Source Full Name:
  Sleep and Breathing
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e4c1386430aa67dfbaf7d60338544e6e05f437754e2976e95abc86b2a2b5349e346567ff78ac786705e6b4150e81516196df4499ed9739aa1cad8e0ad98422ca
• Download URL:
  https://stacks.cdc.gov/view/cdc/201330/cdc_201330_DS1.pdf
• File Type:
  [PDF - 151.86 KB ]