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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Sleep Apnea | Research article

Assessment of the relationship between metabolic syndrome and obstructive sleep apnea in male drivers of Shahroud city in 2018: a cross sectional study

Authors: Mina Shayestefar, Khosro Sadeghniiat Haghighi, Shayesteh Jahanfar, Mehri Delvarianzadeh, Farzaneh Nematzadeh, Mohammad Hossein Ebrahimi

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Metabolic syndrome involves a set of metabolic risk factors that directly increases the risk of atherosclerotic cardiovascular disease. Physical inactivity due to driving can increase the risk of metabolic syndrome. It is also known that sleep disorders (sleep apnea) can result in MetS. Driving in Iran is considered a very popular but risky occupation, so paying attention to this profession is of special importance. Therefore, the researchers aimed to investigate the association between sleep disorders and metabolic syndrome in drivers in Shahroud city in 2018.

Methods

This cross-sectional study was carried out on 948 drivers from Shahroud city in 2018. After obtaining consent from participants, 3 questionnaires including demographic, Epworth Sleepiness Scale and STOP-BANG were completed. Clinical and anthropometric measurements were assessed, including blood pressure, waist circumference, hip circumference, weight, height, and body mass index. In addition, blood was drawn to measure High Density Lipoprotein, Low Density Lipoprotein, Triglyceride, cholesterol, and Fasting Blood Sugar levels. The relationship between metabolic syndrome and sleep disorders was then studied. In this study, statistical analyses were performed using SPSS software version 23 at a significance level of 0.05.

Results

Mean age of drivers was 44.15 ± 11.66 (years). The mean waist circumference and mean hip circumference in subjects with a Class 1 Driver’s License (a certificate for trucks and buses) were higher than those with a Class 2 Driver’s License (a certificate for motorcars, minibuses, vans, etc. (seating< 20)) (P = 0.01 and P = 0.003, respectively). Moreover, the BMI in subjects with a Class 1 Driver’s License was higher compared to subjects with a Class 2 Driver’s License. The correlation between metabolic syndrome with sleep apnea based on STOP-BANG questionnaire was significant (p < 0.001) irrespective of definition (ATP and IDF).

Conclusions

According to the results of this study, there was a bi-directional association between sleep disorders and Mets, so this group should pass periodic medical examinations and training courses. Moreover, their families should be informed of prevention and treatment of this syndrome.
Footnotes
1
A questionnaire measuring snoring, tiredness, observed apnea, blood pressure, body mass index, age, neck circumference and gender; a full description is given below.
 
2
High Density Lipoprotein, Low Density Lipoprotein, Triglyceride, cholesterol, and Fasting Blood Sugar
 
3
Snoring, Tiredness, Observed apnea, high blood Pressure, BMI, Age, Neck circumference, Gender
 
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Metadata
Title
Assessment of the relationship between metabolic syndrome and obstructive sleep apnea in male drivers of Shahroud city in 2018: a cross sectional study
Authors
Mina Shayestefar
Khosro Sadeghniiat Haghighi
Shayesteh Jahanfar
Mehri Delvarianzadeh
Farzaneh Nematzadeh
Mohammad Hossein Ebrahimi
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Sleep Apnea
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7361-5

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