Prevalence of Snoring and Sleep-Disordered Breathing Among Military Personnel

Okpala, Nnaemeka C. E.; Walker, Ross C.; Hosni, Asaad

doi:10.7205/milmed-d-10-00319

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…This may increase the risk of DIS ( 24 ), which was also a finding in this report. Other risk factors for sleep disturbances were also those expected from other studies, such as a having a history of asthma ( 12 ) and a high BMI ( 25 – 27 ).…”

Section: Discussionsupporting

confidence: 61%

Sleep disturbances among Swedish soldiers after military service abroad

Pettersson

Saers

Lindberg

et al. 2016

Upsala Journal of Medical Sciences

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AimsSince 1956, more than 100,000 Swedish soldiers have served abroad on various international missions. The aim of this paper was to determine whether there was a connection between military service abroad and sleep disorders among Swedish soldiers.MethodsThe prevalence of sleep disturbances among 1,080 veterans from Kosovo and Afghanistan was compared with almost 27,000 Swedes from a general population sample, using propensity score matching and logistic regression. The sleep disturbances studied were habitual snoring, difficulty inducing sleep (DIS), difficulty maintaining sleep (DMS), early morning awakenings (EMA), and excessive daytime sleepiness (EDS). Insomnia was defined as having at least one of DIS, DMS, or EMA. The covariates used in the matching and adjustments were age, gender, smoking habits, BMI, education, ever having had asthma, moist snuff, and exercise habits.ResultsThe veterans had a significantly lower prevalence of insomnia (26.2% versus 30.4%) and EDS (22.7% versus 29.4%) compared with a matched group from the reference population, using propensity score matching. Analyses with logistic regression showed that belonging to the military population was related to a lower risk of having DMS (adjusted OR (95% CI) 0.77 (0.64–0.91)), insomnia (OR 0.82 (0.71–0.95)), and EDS (OR 0.74 (0.63–0.86)), whereas no significant difference was found for snoring, DIS, and EMA.ConclusionSwedish veterans have fewer problems with insomnia and daytime sleepiness than the general Swedish population. The explanation of our findings may be the selection processes involved in becoming a soldier and when sampling personnel for military assignments abroad.

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Section: Discussionsupporting

confidence: 61%

Sleep disturbances among Swedish soldiers after military service abroad

Pettersson

Saers

Lindberg

et al. 2016

Upsala Journal of Medical Sciences

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“…A study on the prevalence of snoring and sleep-disordered breathing among military personnel in the UK was conducted in 1300 personnel [ 6 ]. They also recruited subjects of different ranks and genders, and the percentage of females was low (11.3%), similar to that in our study (6.4%).…”

Section: Discussionmentioning

confidence: 99%

“…Among these US military personnel, 70.9% returned from a combat within 12 months, and military personnel with comorbid insomnia and OSA were significantly more likely to meet the criteria for depression and PTSD [ 8 ]. In 1300 UK military personnel, the prevalence rates of snoring and OSA were 19.5 and 2.9% [ 6 ], respectively, and no study of OSA and snoring in the Thai military officer has been reported. Thus, the present study intends to investigate these aspects in the target group of the Royal Thai Army personnel.…”

Section: Introductionmentioning

confidence: 99%

Prospective study of the prevalence and co-morbidities of obstructive sleep apnea in active-duty army personnel in the three southernmost provinces of Thailand using questionnaire screening

Pilakasiri

Mahakit

2018

Military Med Res

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BackgroundIt is crucial for the army to know the prevalence of obstructive sleep apnea (OSA) syndrome in active-duty army personnel. Little information has been reported on the prevalence of OSA and clinical features in active-duty army personnel. This study was aimed to estimate the prevalence of snoring and risk of developing OSA in active-duty army personnel in Thailand and to identify the co-morbidities of OSA. In total, 1107 participants who were aged 20–60 years and were deployed to the three southernmost provinces of Thailand were enrolled. All the participants completed the Phramongkutklao (PMK) Hospital OSA Questionnaire that was modified and validated from the Berlin Questionnaire and underwent physical examination. The participants were 1107 active-duty army personnel in the three southernmost provinces of Thailand, both males and females, aged 20–60 years.MethodsThe PMK OSA Questionnaire was used to assess the risk of OSA together with interviewing for snoring, fatigue, falling asleep and day-time sleepiness. Physical examination of the neck, chest and hip circumference, and height was performed. Information concerning physical training, co-morbid diseases, smoking and alcoholic consumption was collected.ResultsThe prevalence of snoring was 58.5, and 4.8% met the PMK OSA Questionnaire criteria, thus indicating a high risk of OSA. The information obtained indicated that laryngopharyngeal reflux (LPR), current smoking and alcoholic consumption were significantly higher in the high-risk OSA group.ConclusionEarly detection and treatment of OSA in active-duty army personnel are imperative. Physical examination and polysomnography can be used to reveal the high-risk group. High body mess index (BMI), laryngopharyngeal reflux, current smoking and alcoholic consumption are modifiable factors for OSA and are avoidable. A policy to decrease the BMI and risk of LPR, as well as to stop smoking and alcoholic consumption, should be applied.

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“…Weight, smoking, and alcohol use are all risk factors for sleep apnea. Sleep apnea is highly prevalent in MM with prevalence rates of 37.5% in active MM reported in 2005 [37, 38] and as high as 62.7% in a 2013 study of 110 MMs recently returned from combat [39]. …”

Section: Introductionmentioning

confidence: 99%

“…These challenges include communal sleeping, training, and field action that is highly alerting and does not allow for a “wind-down” period prior to sleep and psychologically unsettling events. A study of British soldiers found that 19.5% snored and this behavior can have a serious negative impact on the sleep of others in communal settings [38]. Additionally, the appropriate timing of daylight exposure needed for circadian regulation may not be possible.…”

Section: Introductionmentioning

confidence: 99%

Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

2013

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Background. Many individuals who work in the military experience sleep deficiency which presents a significant problem given the nature of their work. The cause of their sleep problems is likely multifactorial, stemming from the interplay between their personal health, habits and lifestyle juxtaposed with the stress of their military work such as emotional and physical trauma experienced in service. Objective. To present an overview of sleep deficiency in military members (MMs) and review of nonpharmacological treatment options. Discussion. Although there are a number of promising nonpharmacological treatment options available for people working in the military who experience problems sleeping, testing interventions within the context of the military are still in the early stages. Further research utilizing rigorous design and standardized, context appropriate outcome measures is needed to help treat this burgeoning problem.

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Prevalence of Snoring and Sleep-Disordered Breathing Among Military Personnel

Abstract: With the possible implications for the military, greater attention with regards to SDB or OSAS is required, especially to its recognition and management.

Cited by 6 publications

References 17 publications

Sleep disturbances among Swedish soldiers after military service abroad

Sleep disturbances among Swedish soldiers after military service abroad

Prospective study of the prevalence and co-morbidities of obstructive sleep apnea in active-duty army personnel in the three southernmost provinces of Thailand using questionnaire screening

Sleep and Military Members: Emerging Issues and Nonpharmacological Intervention

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