Table of Contents
Journal of Respiratory Medicine
Volume 2014 (2014), Article ID 580264, 7 pages
http://dx.doi.org/10.1155/2014/580264
Research Article

Obstructive Sleep Apnea, Excessive Daytime Sleepiness, and Road Traffic Accidents among Interstate Commercial Vehicle Drivers in Nigeria

1Department of Medicine, Obafemi Awolowo University, Ile-Ife 220282, Nigeria
2Department of Preventive and Community Dentistry, Obafemi Awolowo University Teaching Hospital, Ile-Ife 220282, Nigeria
3Department of Radiology, Obafemi Awolowo University Teaching Hospital, Ile-Ife 220282, Nigeria
4Department of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife 220282, Nigeria

Received 2 June 2014; Revised 15 September 2014; Accepted 24 September 2014; Published 14 October 2014

Academic Editor: Christian Kähler

Copyright © 2014 Daniel O. Obaseki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Obstructive sleep apnea (OSA) is a growing public health problem in developing countries. However the burden among commercial drivers is not well described. Methods. The Epworth Sleepiness Scale (ESS) and Berlin questionnaire were administered to interstate commercial road transport drivers to assess the tendency to sleep in daytime and the risk of OSA, respectively. Body mass index (BMI), neck, and waist-hip circumferences were measured. Results. Out of 138 commercial drivers, 124 (90%) responded and provided complete data. The mean (SD) age, BMI, neck, and waist circumferences were 40.4 (9.3) years, 28.0 (4.6) kg/m2, 40.0 (3.0) cm, and 92.8 (11.1) cm, respectively. Twenty-two percent had ESS score above 11 and 36% of the respondents had a high risk for obstructive sleep apnea. Adjusting for age, BMI, and waist and neck circumferences, the key predictors of road accidents were ESS score above 11 (OR 3.77, 95% CI 1.18–12.06), self-reported diagnosis of hypertension (OR 4.63, 95% CI 1.46–14.69), and increasing hip circumference (OR 1.12, 95% CI 1.01–1.23). Conclusion. Obstructive sleep apnea is common among commercial interstate road drivers in Nigeria and ESS may be a simple tool for assessing accident risk.