Sleep Disorders and Associated Medical Comorbidities in Active Duty Military Personnel
| Autor: | Vincent Mysliwiec, Patrick Smith, Bernard J. Roth, Leigh McGraw, Brandon Trapp, Roslyn Pierce |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Sleep disorder
medicine.medical_specialty Pediatrics medicine.diagnostic_test business.industry Polysomnogram Poison control Polysomnography medicine.disease Sleep medicine Comorbidity Obstructive sleep apnea Physiology (medical) medicine Insomnia Physical therapy Neurology (clinical) medicine.symptom business |
| Zdroj: | Sleep. 36:167-174 |
| ISSN: | 1550-9109 0161-8105 |
| DOI: | 10.5665/sleep.2364 |
| Popis: | STUDY OBJECTIVES Describe the prevalence of sleep disorders in military personnel referred for polysomnography and identify relationships between demographic characteristics, comorbid diagnoses, and specific sleep disorders. DESIGN Retrospective cross-sectional study. SETTING Military medical treatment facility. PARTICIPANTS Active duty military personnel with diagnostic polysomnogram in 2010. MEASUREMENTS Primary sleep disorder rendered by review of polysomnogram and medical record by a board certified sleep medicine physician. Demographic characteristics and conditions of posttraumatic stress disorder (PTSD), mild traumatic brain injury (mTBI), anxiety, depression, and pain syndromes determined by medical record review. RESULTS Primary sleep diagnoses (n = 725) included: mild obstructive sleep apnea (OSA), 207 (27.2%); insomnia, 188 (24.7%); moderate-to-severe OSA, 183 (24.0 %); and paradoxical insomnia,39 (5.1%); behaviorally induced insufficient sleep syndrome, 68 (8.9%) and snoring, 40 (5.3%) comprised our control group. Short sleep duration (< 5 h) was reported by 41.8%. Overall 85.2% had deployed, with 58.1% having one or more comorbid diagnoses. Characteristics associated with moderate-to-severe OSA were age (adjusted odds ratio [OR], 1.03 [95% confidence interval {CI}, 1.0-1.05], sex (male) (adjusted OR, 19.97 [95% CI, 2.66-150.05], anxiety (adjusted OR, 0.58 [95% CI, 0.34-0.99]), and body mass index, BMI (adjusted OR 1.19 [95% CI, 1.13-1.25]; for insomnia, characteristics included PTSD (adjusted OR, 2.12 [95% CI, 1.31-3.44]), pain syndromes (adjusted OR, 1.48 [95%CI, 1.01-2.12]), sex (female) (adjusted OR, 0.22 [95% CI, 0.12-0.41]) and lower BMI (adjusted OR, 0.91 [95% CI, 0.87, 0.95]). CONCLUSIONS Service-related illnesses are prevalent in military personnel who undergo polysomnography with significant associations between PTSD, pain syndromes, and insomnia. Despite having sleep disorders, almost half reported short sleep duration. Multidisciplinary assessment and treatment of military personnel with sleep disorders and service-related illnesses are required. CITATION Mysliwiec V; McGraw L; Pierce R; Smith P; Trapp B; Roth BJ. Sleep disorders and associated medical comorbidities in active duty military personnel. SLEEP 2013;36(2):167-174. |
| Databáze: | OpenAIRE |
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