Obstructive sleep apnea and world trade center exposure

Michelle S. Glaser, Neomi Shah, Mayris P. Webber, Rachel Zeig-Owens, Nadia Jaber, David W. Appel, Charles B. Hall, Jessica Weakley, Hillel W. Cohen, Lawrence Shulman, Kerry Kelly, David Prezant

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives: Todescribe the proportion of at-risk World Trade Center (WTC)-exposed rescue/recovery workers with polysomnogram-confirmed obstructive sleep apnea (OSA) and examine the relationship between WTC ex-posure, physician-diagnosed gastroesophageal reflux disease (GERD), and rhinosinusitis and OSA.

Methods: A total of 636 male participants com-pleted polysomnography from September 24, 2010, to September 23, 2012. Obstructive sleep apnea was classified as mild, moderate, or severe. Associations were tested using nominal polytomous logistic regression.

Results: Eighty-one percent of workers were diagnosed with OSA. Using logistic regression models, severe OSA was associated with WTC exposure on September 11, 2001 (odds ratio, 1.91; 95% confidence interval, 1.15 to 3.17), GERD (odds ratio, 2.75; 95% confidence interval, 1.33 to 5.70), and comorbid GERD/rhinosinusitis (odds ratio, 2.31; 95% confidence interval, 1.22 to 4.40).

Conclusions: We found significant associations between severe OSA and WTC exposure, and with diseases prevalent in this population. Accordingly, we recommend clinical evaluation, including polysomnogra-phy, for patients with high WTC exposure, other OSA risk factors, and a physician diagnosis of GERD or comorbid GERD and rhinosinusitis.

Original languageEnglish (US)
Pages (from-to)S30-S34
JournalJournal of Occupational and Environmental Medicine
Volume56
DOIs
StatePublished - Oct 8 2014

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Obstructive Sleep Apnea
Gastroesophageal Reflux
Logistic Models
Odds Ratio
Confidence Intervals
Physicians
Polysomnography
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Obstructive sleep apnea and world trade center exposure. / Glaser, Michelle S.; Shah, Neomi; Webber, Mayris P.; Zeig-Owens, Rachel; Jaber, Nadia; Appel, David W.; Hall, Charles B.; Weakley, Jessica; Cohen, Hillel W.; Shulman, Lawrence; Kelly, Kerry; Prezant, David.

In: Journal of Occupational and Environmental Medicine, Vol. 56, 08.10.2014, p. S30-S34.

Research output: Contribution to journalArticle

Glaser, Michelle S. ; Shah, Neomi ; Webber, Mayris P. ; Zeig-Owens, Rachel ; Jaber, Nadia ; Appel, David W. ; Hall, Charles B. ; Weakley, Jessica ; Cohen, Hillel W. ; Shulman, Lawrence ; Kelly, Kerry ; Prezant, David. / Obstructive sleep apnea and world trade center exposure. In: Journal of Occupational and Environmental Medicine. 2014 ; Vol. 56. pp. S30-S34.
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abstract = "Objectives: Todescribe the proportion of at-risk World Trade Center (WTC)-exposed rescue/recovery workers with polysomnogram-confirmed obstructive sleep apnea (OSA) and examine the relationship between WTC ex-posure, physician-diagnosed gastroesophageal reflux disease (GERD), and rhinosinusitis and OSA.Methods: A total of 636 male participants com-pleted polysomnography from September 24, 2010, to September 23, 2012. Obstructive sleep apnea was classified as mild, moderate, or severe. Associations were tested using nominal polytomous logistic regression.Results: Eighty-one percent of workers were diagnosed with OSA. Using logistic regression models, severe OSA was associated with WTC exposure on September 11, 2001 (odds ratio, 1.91; 95{\%} confidence interval, 1.15 to 3.17), GERD (odds ratio, 2.75; 95{\%} confidence interval, 1.33 to 5.70), and comorbid GERD/rhinosinusitis (odds ratio, 2.31; 95{\%} confidence interval, 1.22 to 4.40).Conclusions: We found significant associations between severe OSA and WTC exposure, and with diseases prevalent in this population. Accordingly, we recommend clinical evaluation, including polysomnogra-phy, for patients with high WTC exposure, other OSA risk factors, and a physician diagnosis of GERD or comorbid GERD and rhinosinusitis.",
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