Clinical symptoms and related factors of obstructive sleep apnea among overweight and obese taxi drivers
Abstract: Obstructive sleep
apnea (OSA) is common condition in commercial drivers while overweight and
obesity as the most important risk factors. This study aimed to know the
clinical symptoms and risk factors of OSA in overweight and obese taxi drivers
in Jakarta, Indonesia.
Methods: A cross-sectional study was done in 103 taxi drivers in Jakarta
from November 2011–September 2013, by systematic random sampling from 10 taxi
stations. Inclusion criteria were taxi drivers with body mass index (BMI) which
23–29.9 and mild or moderate OSA. Portable polysomnography (PSG) test was used
to diagnose OSA. Parametric and nonparametric test were used in bivariate
analysis. Logistic regression multivariable was used to final evaluate risk
factors of OSA.
Results: There were 54 (52.4%) of 103 drivers with OSA and 49 (47.6%)
without OSA. Clinical symptoms found significantly (p<0.05) were snoring,
unrefreshing sleep, occasional sleep while driving, and headache or nausea on
waking up in the morning. Risk factors for OSA were increased BMI (OR=0.60, 95%
CI=0.45–0.79, p=0.001), snoring history in the family (OR=4.92, 95%
CI=1.82–13.31, p=0.002) and sleep duration <7 hours within 24 hours
(OR=5.14, 95% CI=1.37–19.23, p=0.015).
Conclusion: Clinical symptoms of OSA were snoring, unrefreshing sleep,
occasional sleep while driving and headache or nausea on waking up in the
morning. Risk factors of OSA were increased BMI, snoring history in the family
and sleep duration <7 hours within 24 hours.
Author: Agus D. Susanto,
Barmawi Hisyam, Lientje S. Maurits, Faisal Yunus
Journal Code: jpkedokterangg150336
