Keywords
How to Cite
Abstract
Introduction: The work of the military police can increase sleep deprivation and trigger chances of car accidents, injuries caused by chases in environments without lighting, wrong approaches and fatalities in confrontations with firearms or decay in the performance of work. Objective: The objective of this study is to report the prevalence of risk for obstructive sleep apnea syndrome (OSAS) and daytime sleepiness among MPs in the metropolitan region of Belém, in the state of Pará. Methods: This was a pilot cross-sectional study, which used 80 PMs working in the state of Pará, northern Brazil to answer 3 digitized questionnaires. The questionnaires were applied by the google forms platform and the first questionnaire was about epidemiological questions, the second was the STOP-Bang questionnaire (QSB), the third was the Epworth Sleepiness Scale (ESS) and the static analysis was performed by relative frequency and absolute.Results: 6 individuals who had both intermediate risk and risk of daytime sleepiness, with the most prevalent patents for this event to occur were in decreasing order: cable; sergeant, captain and major. Another 5 individuals presented more alarming cases of high risk for OSAS regarding the risk of daytime sleepiness and, as mentioned above, the most prevalent patents for this occurrence were Corporal; sergeant and captain. Conclusion: We conclude that despite the small sample size, a high prevalence of obstructive sleep apnea was identified in military police officers working on a night shift or scale when compared to the general population of the study.
References
Rajaratnam S, Barger L, Lockley S, Shea S, Wang W, Landrigan C, et al. Sleep disorders, health, and safety in police officers. JAMA. 2011, 21; 306(23): 2567-78.
Sanna A, Passali D, De Benedetto M, Marano G, Loglisci M, Garbarino S. Obstructive sleep apnea syndrome and public health: the Italian way. Sleep Breath. 2017; 21 (4): 995-996.
Aydın Güçlü Ö, Karadağ M, İntepe Y, Acıcan T, Arslan S, Sertoğullarından B. Assessment of the risk of obstructive sleep apnoea syndrome among healthcare workers. Tuberk Toraks. 2019; 67(1):47-54.
Verde-Tinoco S, Santana-Miranda R, Gutiérrez-Escobar R, Haro R, Miranda-Ortiz J, Berruga-Fernandez T, et al. Sleep Architecture in Night Shift Workers Police Officers with Obstructive Sleep Apnea-hypopnea Syndrome. Sleep Sci. 2017; 10(4):136-141.
Pepin E, Gillet P, Sauvet F, Gomez-Merino D, Thaon I, Chennaoui M, et al. Shift work, night work and sleep disorders among pastry cookers and shopkeepers in France: a cross-sectional survey. BMJ Open. 2018, 9; 8(5):e019098.
Sakamoto Y, Porto-Sousa F, Salles C. Prevalence of obstructive sleep apnea in shift workers: a systematic review. Cien Saude Colet. 2018; 23(10): 3381-3392.
Cori J, Jackson M, Barnes M, Westlake J, Emerson P, Lee J, et al. The Differential Effects of Regular Shift Work and Obstructive Sleep Apnea on Sleepiness, Mood and Neurocognitive Function. J Clin Sleep Med. 2018, 15;14(6): 941-951.
Good C, Brager A, Capaldi V, Mysliwiec V. Sleep in the United States Military. Neuropsychopharmacology. 2020; 45(1):176-191.
Klawe J, Laudencka A, Miśkowiec I, Tafil-Klawe M. Occurrence of obstructive sleep apnea in a group of shift worked police officers. J Physiol Pharmacol. 2005; 56 Suppl 4:115-7.
Tafil-Klawe M, Laudencka A, Klawe J, Miśkowiec I. Does night work favor sleep-related accidents in police officers? J Physiol Pharmacol. 2005; 56 Suppl 4:223-6.
Laudencka A, Klawe J, Tafil-Klawe M, Złomańczuk P. Does night-shift work induce apnea events in obstructive sleep apnea patients? J Physiol Pharmacol. 2007; 58 Suppl 5(Pt 1):345-7.
Barger L, Rajaratnam S, Cannon C, Lukas M, Im K, Goodrich E, et al. Short Sleep Duration, Obstructive Sleep Apnea, Shiftwork, and the Risk of Adverse Cardiovascular Events in Patients After an Acute Coronary Syndrome. J Am Heart Assoc. 2017, 10; 6(10):e006959.
Van Ryswyk E, Mukherjee S, Chai-Coetzer C, Vakulin A, McEvoy R. Sleep Disorders, Including Sleep Apnea and Hypertension. Am J Hypertens. 2018, 16; 31(8):857-864.
McDermott M, Brown D, Chervin R. Sleep disorders and the risk of stroke. Expert Rev Neurother. 2018; 18(7):523-531.
Ogilvie R, Patel S. The Epidemiology of Sleep and Diabetes. Curr Diab Rep. 2018, 17;18(10):82.
de Camargo F, DeMoura J, Cepeda F, de Almeida Correia M, Nascimento R, Fortes-Queiroz L, et al. Photobiomodulation by low-level laser therapy in patients with obstructive sleep apnea: Study protocol clinical trial (SPIRIT compliant). Medicine (Baltimore). 2020; 99 (12):e19547.
Komada Y, Nishida Y, Namba K, Abe T, Tsuiki S, Inoue Y. Elevated risk of motor vehicle accident for male drivers with obstructive sleep apnea syndrome in the Tokyo metropolitan area. Tohoku J Exp Med. 2009; 219(1):11-6.
Chung F, Abdullah H, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest. 2016; 149 (3): 631-8.
Chung F, Yegneswaran B, Liao P, Chung S, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008; 108(5):812-21.
Nagappa M, Liao P, Wong J, Auckley D, Ramachandran S, Memtsoudis S, et al. Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis. PLoS One. 2015, 14; 10(12):e0143697.
Goh J, Tang J, Cao J, Hao Y, Toh S. Apnoeic and Hypopnoeic Load in Obstructive Sleep Apnoea: Correlation with Epworth Sleepiness Scale. Ann Acad Med Singap. 2018; 47 (6): 216-222.
Soler X, Liao S, Marin J, Lorenzi-Filho G, Jen R, DeYoung P, et al. Age, gender, neck circumference, and Epworth sleepiness scale do not predict obstructive sleep apnea (OSA) in moderate to severe chronic obstructive pulmonary disease (COPD): The challenge to predict OSA in advanced COPD. PLoS One. 2017, 16; 12(5):e0177289.
Chen L, Chapman J, Yee B, Wong K, Grunstein R, Marshall N, et al. Agreement between electronic and paper Epworth Sleepiness Scale responses in obstructive sleep apnoea: secondary analysis of a randomised controlled trial undertaken in a specialised tertiary care clinic. BMJ Open. 2018, 8; 8(3):e019255.
Hurlston A, Foster S, Creamer J, Brock M, Matsangas P, Moore B, et al. The Epworth Sleepiness Scale in Service Members with Sleep Disorders. Mil Med. 2019, 1; 184(11-12):e701-e707.
Wirth M, Burch J, Violanti J, Burchfiel C, Fekedulegn D, Andrew M, et al. Shiftwork duration and the awakening cortisol response among police officers. Chronobiol Int. 2011; 28(5):446-57.
Fekedulegn D, Burchfiel C, Charles L, Hartley T, Andrew M, Violanti J. Shift Work and Sleep Quality Among Urban Police Officers: The BCOPS Study. J Occup Environ Med. 2016; 58(3):e66-71.
Wirth M, Andrew M, Burchfiel C, Burch J, Fekedulegn D, Hartley T, et al. Association of shiftwork and immune cells among police officers from the Buffalo Cardio-Metabolic Occupational Police Stress study. Chronobiol Int. 2017; 34(6):721-731.
Waggoner L, Grant D, Van Dongen H, Belenky G, Vila B. A combined field and laboratory design for assessing the impact of night shift work on police officer operational performance. Sleep. 2012, 1;35(11):1575-7.
Jensen M, Hansen Å, Kristiansen J, Nabe-Nielsen K, Garde A. Changes in the diurnal rhythms of cortisol, melatonin, and testosterone after 2, 4, and 7 consecutive night shifts in male police officers. Chronobiol Int. 2016; 33(9):1280-1292.
Tingting X, Danming Y, Xin C. Non-surgical treatment of obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol. 2018; 275(2):335-346.
Epstein L, Kristo D, Strollo P Jr, Friedman N, Malhotra A, Patil S, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009, 15;5(3):263-76.
Gottlieb D, Punjabi N. Diagnosis and Management of Obstructive Sleep Apnea: A Review. JAMA. 2020, 14;323(14):1389-1400.
Faber J, Faber C, Faber A. Obstructive sleep apnea in adults. Dental Press J Orthod. 2019, 1;24(3):99-109.
Marklund M, Braem M, Verbraecken J. Update on oral appliance therapy. Eur Respir Rev. 2019, 25;28(153):190083.
García N, Blaya F, Urquijo E, Heras E, D'Amato R. Oral appliance for Obstructive Sleep Apnea: Prototyping and Optimization of the Mandibular Protrusion Device. J Med Syst. 2019, 18;43(5):107.
Sutherland K, Almeida F, de Chazal P, Cistulli P. Prediction in obstructive sleep apnoea: diagnosis, comorbidity risk, and treatment outcomes. Expert Rev Respir Med. 2018; 12(4):293-307.
Barewal R. Obstructive Sleep Apnea: The Role of Gender in Prevalence, Symptoms, and Treatment Success. Dent Clin North Am. 2019; 63(2):297-308.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Carlos Adriano Bentes Horta, Danielle Flexa Ribeiro Horta, Renata Pimentel Oliveira, Karina Corrêa Flexa Ribeiro, Carlos Eduardo Vieira da Silva Gomes, Ricardo Fonseca