Obstructive Sleep Apnea-hypopnea Syndrome Patients with Overweight and Hypertension in a Japanese Workplace
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概要
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Obstructive Sleep Apnea-hypopnea Syndrome Patients with Overweight and Hypertension in a Japanese Workplace: Ken OKABAYASHI, et al. JR East Health Promotion Center, East Japan Railway Company-The objective of this study was to determine the relationship between obstructive sleep apnea-hypopnea syndrome (OSAHS) and overweight combined with hypertension and to examine whether OSAHS in conjunction with overweight and hypertension is associated with daytime sleepiness. In a Japanese workplace of 28,636 employees, 368 men (19-62 yr old), who were anxious regarding their OSAHS symptoms, underwent home pulse oximetry. Of these, 153 men subsequently underwent all-night polysomnography (PSG), and OSAHS was diagnosed in 149. We next classified these 149 men into the following groups: A[Overweight (-)/Hypertension (-), n=41], B[Overweight (-)/ Hypertension (+), n=15], C[Overweight (+)/ Hypertension (-), n=46], and D[Overweight (+)/ Hypertension (+), n=47]. The Epworth Sleepiness Scale (ESS) was used to evaluate daytime sleepiness and the apnea-hypopnea index (AHI) was used to evaluate the severity of OSAHS. The averages of the ESS score and the AHI were compared in each group. Both the average ESS scores and the percentage of ESS scores≥11 were not significantly different among the groups. The average AHI of group D was the highest among all of the groups and that of group C was significantly higher than those of aroups A and B. In all the groups, the OSAHS patients with overweight and hypertension in this study had the highest AHI. The level of daytime sleepiness evaluated by the ESS in this study was almost the same in the OSAHS patients regardless of the degree of overweight or hypertension. These observations suggest that it is necessary to positively recommend PSG to men who are suspected of having OSAHS with overweight and hypertension, even if they do not have daytime sleepiness.
- 社団法人日本産業衛生学会の論文
著者
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Togashi Yuki
Department of Cardiology, JR Tokyo General Hospital
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Yamaguchi Tetsuo
Department of Respiratory Medicine, JR Tokyo General Hospital
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TAKIGUTI Yuichi
School Med. Chiba Univ.
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Togashi Yuki
Department Of Respiratory Medicine Jr Tokyo General Hospital East Japan Railway
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Kasahara Etsuo
Jr East Health Promotion Center
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Yamada Yoshihito
Department of Respiratory Medicinel, JR Tokyo General Hospital
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Kono Chiyoko
Department of Respiratory Medicinel, JR Tokyo General Hospital
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Amano Hiroko
Department of Respiratory Medicinel, JR Tokyo General Hospital
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KAWAMOTO Toshihiro
Department of Environmental Health, University of Occupational and Environmental Health
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UETA YOICHI
Department of Physiology, School of Medicine, University of Occupational and Environmental Health
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FUJIHARA HIROAKI
Department of Physiology, School of Medicine, University of Occupational and Environmental Health
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Yamaguchi Tetsuo
Department Of Respiratory Medicine Jr Tokyo General Hospital East Japan Railway
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Ueta Yoichi
Department Of Physiology School Of Medicine University Of Occupational And Environmental Health
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Ueta Yoichi
Department Of Medicine University Of Bristol Bristol Royal Infirmary
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Kono Chiyoko
Department Of Respiratory Medicine Jr Tokyo General Hospital East Japan Railway
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Amano Hiroko
Department Of Respiratory Medicine Jr Tokyo General Hospital East Japan Railway
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Amano Hiroko
Department Of Pharmacology Hiroshima University School Of Medicine
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Kawamoto Toshihiro
Department Of Environmental Health School Of Medicine University Of Occupational And Environmental H
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OKABAYASHI Ken
JR East Health Promotion Center
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UCHIYAMA Hiroko
JR East Health Promotion Center
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YOKOTA Kazuhiko
JR East Health Promotion Center
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Takiguti Yuichi
Department Of Respirology Graduate School Of Medicine Chiba University
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Yamada Yoshihito
Department Of Respiratory Medicine Jr Tokyo General Hospital East Japan Railway
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Fujihara Hiroaki
Department Of Physiology School Of Medicine University Of Occupational And Environmental Health
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Yamaguchi Tetsuo
Department Of Applied Physics Graduate School Of Engineering The University Of Tokyo:crest Jst
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Takiguti Yuichi
Department Of Pulmonary Medicine Graduate School Of Medicine Chiba University
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Yamada Yoshihito
Department of Chest Medicine, Japan Railway Tokyo General Hospital, Japan
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