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Unique features of obstructive sleep apnea in World Trade Center responders with aerodigestive disorders.

Authors
Sunderram J; Udasin I; Kelly-McNeil K; Ko S; Cepeda C; Marroccoli B; Perret C; Ohman-Strickland P; Scardella A; Kipen H
Source
J Occup Environ Med 2011 Sep; 53(9):975-980
Link
https://doi.org/10.1097/jom.0b013e3182305282
NIOSHTIC No.
20045764
Abstract
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.
Keywords
Surveillance-programs; Health-programs; Medical-monitoring; Medical-screening; Medical-services; Health-care; Emergency-responders; Emergency-response; Sleep-disorders; Inhalation-studies; Airway-obstruction; Body-weight; Weight-factors; Pathogenesis; Humans; Rescue-workers; Fire-fighters
Contact
Jag Sunderram, MD, MEB 574, 1 Robert Wood Johnson Place, CN 19, New Brunswick, NJ 08903
CODEN
JOEMFM
Publication Date
20110901
Document Type
Journal Article
Email Address
sunderja@umdnj.edu
Funding Type
Cooperative Agreement
Fiscal Year
2011
Identifying No.
Cooperative-Agreement-Number-U10-OH-008239
Issue of Publication
9
ISSN
1076-2752
Priority Area
Services
Source Name
Journal of Occupational and Environmental Medicine
State
NY; NJ
Performing Organization
University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School, Piscataway
Page last reviewed: May 11, 2023
Content source: National Institute for Occupational Safety and Health Education and Information Division