Burn pit exposure in military personnel: is there an effect on sleep-disordered breathing?

被引:2
|
作者
Powell, Tyler A. [1 ]
Mysliwiec, Vincent [1 ]
Aden, James K. [2 ]
Morris, Michael J. [2 ]
机构
[1] Wilford Hall Ambulatory Surg Ctr, Sleep Med Serv, San Antonio, TX 78234 USA
[2] Brooke Army Med Ctr, Grad Med Educ, San Antonio, TX USA
关键词
Obstructive sleep apnea; Burn pits; Particulate matter; Military; Veterans; RESPIRATORY AROUSAL THRESHOLD; ACTIVE-DUTY MILITARY; PARTICULATE MATTER; APNEA; PREVALENCE; IMPACT; IRAQ; DISTURBANCES; ASSOCIATION; SEVERITY;
D O I
10.1007/s11325-020-02060-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose Exposure to elevated concentrations of respirable particulate matter (< 10 mu m) may influence sleep-disordered breathing. Burn pits as utilized by the US military in the Middle East until 2011 produced elevated particle matter concentrations. We seek to determine if subjective exposure to burn pits during deployment affects prevalence or severity of obstructive sleep apnea (OSA) in military personnel. Methods As part of a prospective observational study of previously deployed military personnel with exertional dyspnea (n = 145), all patients underwent pulmonary function testing, screening for burn pit exposure, and if warranted by questionnaires, overnight polysomnography. A total of 100 patients completed all testing. For analysis, patients were classified into a burn pit exposure group (45 patients) and a no exposure group (55 patients). Additional analyses were performed on those endorsing burn pit maintenance during deployment (25 patients) and those with > 12 h of daily exposure (17 patients). Results The prevalence of OSA, defined by apnea-hypopnea index (AHI) > 5/h, was similarly high in both groups (69% vs. 71%, p = 0.83). Surprisingly, the mean AHI was lower in the exposed group (12.8/h vs. 19.7/h, p = 0.04) while nadir of oxygen saturation was similar (87% vs. 86%, p = 0.39). Subgroup analyses revealed similar findings in those who performed burn pit maintenance (prevalence = 80%, p = 0.58; AHI = 14.8, p = 0.16) and those with > 12 h of daily exposure (prevalence = 88%, p = 0.33; AHI = 18.0, p = 0.62). Conclusions Subjective burn pit exposure does not appear to influence OSA development in previously deployed military personnel. Given the high rate of OSA in this cohort, continued investigation of deployment exposures which may influence sleep-disordered breathing is recommended.
引用
收藏
页码:479 / 485
页数:7
相关论文
共 50 条
  • [1] Burn pit exposure in military personnel: is there an effect on sleep-disordered breathing?
    Tyler A. Powell
    Vincent Mysliwiec
    James K. Aden
    Michael J. Morris
    Sleep and Breathing, 2021, 25 : 479 - 485
  • [2] The risk factors for insomnia and sleep-disordered breathing in military communities: A meta-analysis
    Huang, Yujia
    Xu, Jingzhou
    Zheng, Siqi
    Xu, Shuyu
    Wang, Yajing
    Du, Jing
    Xiao, Lei
    Zhang, Ruike
    Wang, Hao
    Tang, Yunxiang
    Su, Tong
    PLOS ONE, 2021, 16 (05):
  • [3] The Effect of Weight Loss on Sleep-disordered Breathing in Obese Teenagers
    Verhulst, Stijn L.
    Franckx, Hilde
    Van Gaal, Luc
    De Backer, Wilfried
    Desager, Kristine
    OBESITY, 2009, 17 (06) : 1178 - 1183
  • [4] Allergy and sleep-disordered breathing
    Kimple, Adam J.
    Ishman, Stacey L.
    CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2013, 21 (03): : 277 - 281
  • [5] Sleep-disordered breathing in pregnancy
    Orth, M.
    Schaefer, T.
    Rasche, K.
    SOMNOLOGIE, 2021, 25 (04): : 259 - 276
  • [6] Obesity, Asthma, and Sleep-Disordered Breathing
    Kheirandish-Gozal, Leila
    Gozal, David
    JOURNAL OF PEDIATRICS, 2012, 160 (05): : 713 - 714
  • [7] Sleep-disordered breathing in heart failure
    Uznanska-Loch, Barbara
    Kurpesa, Malgorzata
    KARDIOLOGIA POLSKA, 2011, 69 (12) : 1285 - 1290
  • [8] Sleep-Disordered Breathing and Acute Stroke
    Cardona Portela, Pere
    Campdelacreu Fumado, Jaume
    Quesada Garcia, Helena
    Rubio Borrego, Francisco
    CEREBROVASCULAR DISEASES, 2009, 27 : 104 - 110
  • [9] Evaluation of risk factors for sleep-disordered breathing in dogs
    Niinikoski, Iida
    Himanen, Sari-Leena
    Tenhunen, Mirja
    Aromaa, Mimma
    Lilja-Maula, Liisa
    Rajamaeki, Minna M.
    JOURNAL OF VETERINARY INTERNAL MEDICINE, 2024, 38 (02) : 1135 - 1145
  • [10] Narcolepsy and sleep-disordered breathing
    Pataka, A. D.
    Frangulyan, R. R.
    Mackay, T. W.
    Douglas, N. J.
    Riha, R. L.
    EUROPEAN JOURNAL OF NEUROLOGY, 2012, 19 (05) : 696 - 702