Unique features of obstructive sleep apnea in world trade center responders with aerodigestive disorders

Jag Sunderram, Iris Udasin, Kathie Kelly-Mcneil, Susan Ko, Clarimel Cepeda, Barbara Marroccoli, Carol Perret, Pamela Ohman-Strickland, Anthony Scardella, Howard Kipen

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objectives: To compare obstructive sleep apnea (OSA) in World Trade Center (WTC) responders with aerodigestive disorders and snoring with non-WTC habitual snorers, and to distinguish features of OSA in a subset of responders with worsening of snoring after 9/11 from responders with previous habitual snoring. Methods: Cross-sectional comparative study of 50 WTC Medical Monitoring and Treatment Program responders with aerodigestive disorders and snoring and 50 nonresponders with snoring. Responders with worsening of snoring after 9/11 were compared with previous habitual snorers. Results: While there was a strong correlation between body mass index (BMI), weight, and Apnea + Hypopnea Index (r = 0.36, P = 0.001; r = 0.29, P = 0.044) in the nonresponders, no correlation between either BMI or weight and Apnea + Hypopnea Index was found in the responders. Responders with worsening of snoring after 9/11 had a significantly lower BMI than previous habitual snorers. Conclusion: Mechanisms other than obesity are important in the pathogenesis of OSA in WTC responders with aerodigestive disorders.

Original languageEnglish (US)
Pages (from-to)975-980
Number of pages6
JournalJournal of occupational and environmental medicine
Volume53
Issue number9
DOIs
StatePublished - Sep 2011

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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