Unique Features of Obstructive Sleep Apnea in World Trade Center Responders With Aerodigestive Disorders

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...

Full description

Saved in:
Bibliographic Details
Published in:Journal of occupational and environmental medicine 2011-09, Vol.53 (9), p.975-980
Main Authors: Sunderram, Jag, Udasin, Iris, Kelly-McNeil, Kathie, Ko, Susan, Cepeda, Clarimel, Marroccoli, Barbara, Perret, Carol, Ohman-Strickland, Pamela, Scardella, Anthony, Kipen, Howard
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Body mass
Body Mass Index
Body Weight
Comparative studies
Cross-Sectional Studies
Disasters
Disease Progression
Dust
Emergency Medical Services
Gastroesophageal Reflux - complications
Gastrointestinal diseases
Humans
Inhalation Exposure - adverse effects
Medical sciences
Middle Aged
Obesity
Occupational Exposure - adverse effects
ORIGINAL ARTICLES
Pathogenesis
Pneumology
Rescue Work
Respiratory system : syndromes and miscellaneous diseases
September 11 Terrorist Attacks
Severity of Illness Index
Sleep apnea
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - etiology
Snoring - complications
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1076-2752
1536-5948
DOI:10.1097/JOM.0b013e3182305282