Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/tede/handle/tede/866 |
Resumo: | Obstructive sleep apnea (OSA) is a respiratory disorder characterized by the collapse of the upper airway and has a significant prevalence in the occupational class of professional drivers. The main objective of this study was to evaluate the effectiveness of negative expiratory pressure (NEP) test as a proposed screening for the risk of OSA in a population of professional interstate bus drivers. Method: A population of adult male subjects from an interstate bus company participated of this study. They underwent full night polysomnography (PSG), spirometry and NEP test. Results: The mean age of the drivers population was 41.7??6.9 years, mean weight of 81.4??3.3kg and mean body mass index of 27.2??3.3kg/m2. It was found a high prevalence of cardiovascular risk factors, in addition to obesity and hypertension in this population. Of the 34 drivers who underwent PSG, 8 (24%) were considered normal, 11 (32%) had mild OSA, 7 (20%) had moderate OSA and 8 (24%) drivers were considered to have severe OSA. It was also found an association between BMI and neck circumference (r=0,466, p=0,005), as well as with the dessaturation index (r=0,478, p=0,004). There was also na association between age and ?? (%) in supine position (r=0,524, p=0.031). Conclusion: A greater emphasis on the prevention and treatment of the risk factors observed is needed, such as educational and nutritional changes and lifestyle. It is expected to continue this research protocol in order to find predictive value for OSA through the NEP test, contributing to early and lower cost diagnosis, thus allowing faster access to the subjects with this disorder, reducing its impact and its complications in the general population. |
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Oliveira, Luis Vicente Franco dehttp://lattes.cnpq.br/3644494034569111Sampaio, Luciana Maria Malos??http://lattes.cnpq.br/2970138065407046Lorenzi Filho, Geraldohttp://lattes.cnpq.br/6575657318298264CPF:04792402909http://lattes.cnpq.br/3933495098967937Hirata, Raquel Pastrello2015-04-22T17:20:35Z2012-06-212011-12-08HIRATA, Raquel Pastrello. Factors of cardiovascular risk, riots of sleep and colapsabilidade of the by airmail superior one through the test of the expirat??ria negative pressure (nep) in professional drivers of interstate buses.. 2011. 144 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2011.http://bibliotecatede.uninove.br/tede/handle/tede/866Obstructive sleep apnea (OSA) is a respiratory disorder characterized by the collapse of the upper airway and has a significant prevalence in the occupational class of professional drivers. The main objective of this study was to evaluate the effectiveness of negative expiratory pressure (NEP) test as a proposed screening for the risk of OSA in a population of professional interstate bus drivers. Method: A population of adult male subjects from an interstate bus company participated of this study. They underwent full night polysomnography (PSG), spirometry and NEP test. Results: The mean age of the drivers population was 41.7??6.9 years, mean weight of 81.4??3.3kg and mean body mass index of 27.2??3.3kg/m2. It was found a high prevalence of cardiovascular risk factors, in addition to obesity and hypertension in this population. Of the 34 drivers who underwent PSG, 8 (24%) were considered normal, 11 (32%) had mild OSA, 7 (20%) had moderate OSA and 8 (24%) drivers were considered to have severe OSA. It was also found an association between BMI and neck circumference (r=0,466, p=0,005), as well as with the dessaturation index (r=0,478, p=0,004). There was also na association between age and ?? (%) in supine position (r=0,524, p=0.031). Conclusion: A greater emphasis on the prevention and treatment of the risk factors observed is needed, such as educational and nutritional changes and lifestyle. It is expected to continue this research protocol in order to find predictive value for OSA through the NEP test, contributing to early and lower cost diagnosis, thus allowing faster access to the subjects with this disorder, reducing its impact and its complications in the general population.A apneia obstrutiva do sono (AOS) ?? um dist??rbio respirat??rio caracterizado pelo colapso da via a??rea superior e possui uma importante preval??ncia na classe ocupacional de motoristas profissionais. O objetivo geral deste trabalho foi verificar a efic??cia do teste da press??o negativa expirat??ria (NEP) como proposta de screening para o risco de AOS em uma popula????o de motoristas de ??nibus profissionais interestaduais. M??todo: Participaram deste estudo sujeitos do sexo masculino provenientes de uma empresa de via????o rodovi??ria interestadual, os quais foram submetidos ?? polissonografia completa noturna (PSG), espirometria e teste da NEP. Resultados: A m??dia de idade da popula????o de motoristas foi de 41,7??6,9 anos, peso m??dio de 81,4??3,3kg e o ??ndice de massa corp??rea m??dio foi de 27,2??3,3kg/m2. Foi encontrada uma alta preval??ncia de fatores de risco cardiovascular, al??m de obesidade e hipertens??o nesta popula????o. Dos 34 motoristas que realizaram a PSG, 8 (24%) foram considerados normais, 11 (32%) apresentaram AOS leve, 7 (20%) apresentaram AOS moderada e 8 (24%) motoristas foram considerados portadores de AOS grave. Foi encontrada associa????o entre o IMC e a circunfer??ncia de pesco??o (r=0,466, p=0,005), assim como com o IDO (r=0,478, p=0,004). Tamb??m houve associa????o entre a idade e o ?? (%) na posi????o supina (r=0,524, p=0.031). Conclus??o: ?? necess??ria uma maior ??nfase quanto ?? preven????o e tratamento dos fatores de risco observados, por meio de a????es educativas quanto a altera????es nutricionais e no estilo de vida. Espera-se dar continuidade a este protocolo de pesquisa com o objetivo de encontrar valores preditivos para a AOS por meio do teste da NEP, contribuindo para o diagn??stico precoce e de menor custo possibilitando assim o acesso mais r??pido aos sujeitos portadores deste dist??rbio, reduzindo o seu impacto e suas complica????es na popula????o em geral.Made available in DSpace on 2015-04-22T17:20:35Z (GMT). No. of bitstreams: 1 B_Raquel Pastrello Hirata.pdf: 3492470 bytes, checksum: e7fab7793d8cb1f105cbbfcd4c4d42eb (MD5) Previous issue date: 2011-12-08application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBRSa??deSa??de ocupacionalsistema cardiovascularfatores de riscoapneia do sono tipo obstrutivaOccupational healthcardiovascular systemrisk factorsobstructive sleep apneaCIENCIAS DA SAUDEFatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduaisFactors of cardiovascular risk, riots of sleep and colapsabilidade of the by airmail superior one through the test of the Expirat??ria Negative Pressure (NEP) in professional drivers of interstate buses.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALB_Raquel Pastrello Hirata.pdfapplication/pdf3492470http://localhost:8080/tede/bitstream/tede/866/1/B_Raquel+Pastrello+Hirata.pdfe7fab7793d8cb1f105cbbfcd4c4d42ebMD51tede/8662018-06-15 12:34:02.953oai:localhost:tede/866Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-06-15T15:34:02Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
dc.title.alternative.eng.fl_str_mv |
Factors of cardiovascular risk, riots of sleep and colapsabilidade of the by airmail superior one through the test of the Expirat??ria Negative Pressure (NEP) in professional drivers of interstate buses. |
title |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
spellingShingle |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais Hirata, Raquel Pastrello Sa??de ocupacional sistema cardiovascular fatores de risco apneia do sono tipo obstrutiva Occupational health cardiovascular system risk factors obstructive sleep apnea CIENCIAS DA SAUDE |
title_short |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
title_full |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
title_fullStr |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
title_full_unstemmed |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
title_sort |
Fatores de risco cardiovascular, dist??rbios do sono e colapsabilidade da via a??rea superior atrav??s do teste da Press??o Negativa Expirat??ria (NEP) em motoristas profissionais de ??nibus interestaduais |
author |
Hirata, Raquel Pastrello |
author_facet |
Hirata, Raquel Pastrello |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Oliveira, Luis Vicente Franco de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3644494034569111 |
dc.contributor.referee1.fl_str_mv |
Sampaio, Luciana Maria Malos?? |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2970138065407046 |
dc.contributor.referee2.fl_str_mv |
Lorenzi Filho, Geraldo |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6575657318298264 |
dc.contributor.authorID.fl_str_mv |
CPF:04792402909 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3933495098967937 |
dc.contributor.author.fl_str_mv |
Hirata, Raquel Pastrello |
contributor_str_mv |
Oliveira, Luis Vicente Franco de Sampaio, Luciana Maria Malos?? Lorenzi Filho, Geraldo |
dc.subject.por.fl_str_mv |
Sa??de ocupacional sistema cardiovascular fatores de risco apneia do sono tipo obstrutiva |
topic |
Sa??de ocupacional sistema cardiovascular fatores de risco apneia do sono tipo obstrutiva Occupational health cardiovascular system risk factors obstructive sleep apnea CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Occupational health cardiovascular system risk factors obstructive sleep apnea |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Obstructive sleep apnea (OSA) is a respiratory disorder characterized by the collapse of the upper airway and has a significant prevalence in the occupational class of professional drivers. The main objective of this study was to evaluate the effectiveness of negative expiratory pressure (NEP) test as a proposed screening for the risk of OSA in a population of professional interstate bus drivers. Method: A population of adult male subjects from an interstate bus company participated of this study. They underwent full night polysomnography (PSG), spirometry and NEP test. Results: The mean age of the drivers population was 41.7??6.9 years, mean weight of 81.4??3.3kg and mean body mass index of 27.2??3.3kg/m2. It was found a high prevalence of cardiovascular risk factors, in addition to obesity and hypertension in this population. Of the 34 drivers who underwent PSG, 8 (24%) were considered normal, 11 (32%) had mild OSA, 7 (20%) had moderate OSA and 8 (24%) drivers were considered to have severe OSA. It was also found an association between BMI and neck circumference (r=0,466, p=0,005), as well as with the dessaturation index (r=0,478, p=0,004). There was also na association between age and ?? (%) in supine position (r=0,524, p=0.031). Conclusion: A greater emphasis on the prevention and treatment of the risk factors observed is needed, such as educational and nutritional changes and lifestyle. It is expected to continue this research protocol in order to find predictive value for OSA through the NEP test, contributing to early and lower cost diagnosis, thus allowing faster access to the subjects with this disorder, reducing its impact and its complications in the general population. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-12-08 |
dc.date.available.fl_str_mv |
2012-06-21 |
dc.date.accessioned.fl_str_mv |
2015-04-22T17:20:35Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
HIRATA, Raquel Pastrello. Factors of cardiovascular risk, riots of sleep and colapsabilidade of the by airmail superior one through the test of the expirat??ria negative pressure (nep) in professional drivers of interstate buses.. 2011. 144 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2011. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/tede/handle/tede/866 |
identifier_str_mv |
HIRATA, Raquel Pastrello. Factors of cardiovascular risk, riots of sleep and colapsabilidade of the by airmail superior one through the test of the expirat??ria negative pressure (nep) in professional drivers of interstate buses.. 2011. 144 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2011. |
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http://bibliotecatede.uninove.br/tede/handle/tede/866 |
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