http___www.krenizdravo.net_zdravlje_vozaci-s-nelijecenom-apnejom-pet-puta-cesce-uzrokuju-prometne-nesrece_1.xml
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A new study has found that four out of 10 North American police officers surveyed have some sort of sleep disorder. The researchers say the result can be impaired job performance, as well as a variety of health problems. Charles Czeisler, a leading sleep researcher at Harvard Medical School and Brigham and Women's Hospital in Boston, screened police officers in the United States and Canada for possible sleep disorders. "Forty percent of the nearly 5,000 police officers we studied screened positive for at least one sleep disorder," Czeisler said. "In this group of thousands of police officers, we found that one-third of them screened positive for obstructive sleep apnea." That made apnea the most common sleep disorder by far. In obstructive sleep apnea, a person repeatedly stops breathing for a brief moment during sleep. That interrupts sleep and often makes it impossible to get the deep sleep you need to be fully rested. This study found both health and job consequences for police officers with sleep disorders. "Those who screened positive for obstructive sleep apnea had a 61 percent greater odds of having diabetes and had a 148 percent increased odds of reporting that they had been diagnosed with depression. They also had a 22 percent greater odds of having an occupational injury," Czeisler said. Rotating shifts have something to do with the large number of police officers with sleep problems. Working days one week and nights the next can scramble anyone's sleep. But Czeisler says that's not the only cause. "The single greatest risk factor for obstructive sleep apnea is obesity. And in fact we found that four out of five police officers were overweight or obese." One of the agencies in this study, the Massachusetts State Police, had much lower rates of obstructive sleep apnea. Their cops also had a significantly lower rate of obesity than other officers in the study. Czeisler says Massachusetts required its state troopers to pass a fitness test, and equipped each police barracks with a fitness center. "They also made it a requirement that every state trooper spend an hour exercising on each one of their shifts. And that was paid time to work out in those gym facilities." The researchers say they think the fitness program resulted in lower rates of obesity. That, in turn, could help reduce the rate of sleep apnea. The Massachusetts program could become a model for other police agencies to reduce obesity rates and sleep apnea among their officers.
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Vozači s neliječenom apnejom pet puta češće uzrokuju prometne nesreće Vozači kamiona koji se ne pridržavaju propisane terapije za apneju u snu javna su prijetnja sigurnosti cestovnog prometa u SAD-u. Ovo je zaključak najvećeg ispitivanja utjecaja apneje u snu na rizik izazivanja sudara vozača komercijalnih motornih vozila, objavljenog u časopisu Sleep. U ispitivanju je sudjelovalo 1613 vozača jednog velikog američkog kamionskog prijevoznika s opstruktivnom apnejom u snu i 2016 vozača bez takve dijagnoze, zaposlenih kod istog poslodavca. Vozačima s dijagnozom apneje u snu, propisana je terapija korištenjem aparata za kontinuirani pozitivni tlak zraka (CPAP). Ovaj aparat ima automatsko podešavanje tlaka i može se koristiti za spavanje kod kuće i na ležaju u kabini kamiona. Objektivni podaci o korištenju uređaja preuzeti su s čipa, ugrađenog u CPAP aparat. Korištenje CPAP uređaja umanjuje rizik izazivanja sudara Rezultati ovog ispitivanja su pokazali da je broj sudara koji su izazvali vozači s apnejom u snu bio 5 puta veći u skupini koji nije koristila svoje aparate za CPAP terapiju, u odnosu na kontrolnu skupinu. Nasuprot tome, stopa nesreća koje su prouzročili vozači s apnejom u snu, a koji su se u cijelosti ili djelomično pridržavali propisane terapije, bila je statistički bliska kontrolnoj skupini. Prema podacima American Academy of Sleep Medicine, opstruktivna apneja u snu (OSA) je poremećaj spavanja koja pogađa najmanje 25 milijuna odraslih stanovnika SAD-a. Najčešći simptom bolesti je dnevna pospanost. Prva terapija izbora je korištenje CPAP uređaja koji održava dišne puteve otvorenima strujanjem zraka kroz masku koja se nosi za vrijeme spavanja. „Otkrili smo da vozači kamiona s neliječenom opstruktivnom apnejom u snu predstavljaju znatno veći rizik uzrokovanja sprječivih sudara kamiona“ rekao je koautor studije Dr. Charles Czeisler, načelnik odjela za poremećaje spavanja Brigham and Women’s Hospital i profesor na Harvard Medical School u Bostonu. „S obzirom na to da je i rizik od srčanih bolesti, raka, dijabetesa, demencije i prerane smrti na sličan način povećan kod osoba s neliječenom opstruktivnom apnejom u snu, regulatorne agencije širom svijeta trebale bi od vozača kamiona i ostalih vozila zahtijevati objektivno prikazivanje zdravstvenog stanja, dijagnostičko testiranje i kontrolu korištenja terapije kako bi osigurali da svi vozači ostanu budni za volanom.“