Vincent Mysliwiec1, Vincent F Capaldi2, Jessica Gill3, Tristin Baxter1, Brian M O'Reilly1, Panagiotis Matsangas4, Bernard J Roth1. 1. Department of Pulmonary, Sleep Medicine, Critical Care, Madigan Army Medical Center, 9040A Fitzsimmons Avenue, Tacoma, WA 98431. 2. Walter Reed Army Institute of Research, 508 Robert Grant Avenue, Silver Spring, MD 20910. 3. National Institutes of Health, 10 Center Drive, Bethesda, MD 20892. 4. Department of Operations Research, Naval Postgraduate School, 1411 Cunningham Road, Monterey, CA 93943.
Abstract
OBJECTIVES: Obstructive sleep apnea (OSA) is frequently diagnosed in U.S. military personnel. OSA is associated with sleepiness, poor sleep quality, and service-related illnesses of insomnia, depression, post-traumatic stress disorder, and traumatic brain injury. METHODS: Observational study of active duty military personnel with OSA and adherence to positive airway pressure (PAP) assessed with smart chip technology. RESULTS: 58 men with mean age 36.2 ± 7.7 years, mean body mass index 31.4 ± 3.7 with mean apnea-hypopnea index (AHI) 19.1 ± 19.0 are reported. 23 (39.7%) participants were adherent to PAP, and 35 (60.3%) were nonadherent. No significant differences in baseline demographics, apnea-hypopnea index, service-related illnesses, or clinical instrument scores. Military personnel adherent to PAP had significantly improved sleepiness (p = 0.007), sleep quality (p = 0.013), depressive symptoms (p = 0.01), energy/fatigue (p = 0.027), and emotional well-being (p = 0.024). Participants with moderate-severe OSA were more likely to be in the adherent group when compared with participants diagnosed with mild OSA. CONCLUSIONS: Military personnel with OSA have low adherence to PAP. Adherence is associated with improved depressive symptoms, sleepiness, sleep quality, energy/fatigue, emotional well-being, and social functioning. Future research should focus on interventions to improve the management of OSA in military personnel. Reprint &
OBJECTIVES: Obstructive sleep apnea (OSA) is frequently diagnosed in U.S. military personnel. OSA is associated with sleepiness, poor sleep quality, and service-related illnesses of insomnia, depression, post-traumatic stress disorder, and traumatic brain injury. METHODS: Observational study of active duty military personnel with OSA and adherence to positive airway pressure (PAP) assessed with smart chip technology. RESULTS: 58 men with mean age 36.2 ± 7.7 years, mean body mass index 31.4 ± 3.7 with mean apnea-hypopnea index (AHI) 19.1 ± 19.0 are reported. 23 (39.7%) participants were adherent to PAP, and 35 (60.3%) were nonadherent. No significant differences in baseline demographics, apnea-hypopnea index, service-related illnesses, or clinical instrument scores. Military personnel adherent to PAP had significantly improved sleepiness (p = 0.007), sleep quality (p = 0.013), depressive symptoms (p = 0.01), energy/fatigue (p = 0.027), and emotional well-being (p = 0.024). Participants with moderate-severe OSA were more likely to be in the adherent group when compared with participants diagnosed with mild OSA. CONCLUSIONS: Military personnel with OSA have low adherence to PAP. Adherence is associated with improved depressive symptoms, sleepiness, sleep quality, energy/fatigue, emotional well-being, and social functioning. Future research should focus on interventions to improve the management of OSA in military personnel. Reprint &
Authors: Vincent Mysliwiec; Panagiotis Matsangas; Jessica Gill; Tristin Baxter; Brian O'Reilly; Jacob F Collen; Bernard J Roth Journal: J Clin Sleep Med Date: 2015-12-15 Impact factor: 4.062
Authors: Patrick R Smith; Karen L Sheikh; Camille Costan-Toth; Derek Forsthoefel; Edward Bridges; Teotimo F Andrada; Aaron B Holley Journal: J Clin Sleep Med Date: 2017-01-15 Impact factor: 4.062