Sole

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5th european conference on promoting workplace health A1 SINGLE RISK FACTOR APPROACHES + 50, Sleepiness and Work Preliminary results

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+50, SOMNOLENCIA DIURNA Y TRABAJO Promoter: ACUPAMA Partners: Gen. Direct. Traffic Affairs Organisations and companies Focus: Sleep Apnea Breathing disorder characterized by brief interruptions of breathing during sleep. Target population: +50 workers SPANISH AUTONOMOUS COMMUNITY OF ARAGÓN

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STEERING COMMITTEE Joaquín MARTÍNEZ PÉREZ SIEMENS S.A. ELASA Division Internal Preventive Service Resp. Javier MOMPEL GRACIA PRAINSA Group Joint Preventive Service José Antonio VILLALBA HUETE BSH Internal Preventive Service Director Mariano MONTORI LASILLA Neurologist of the Hospital Clínico Lozano Blesa

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WHY SLEEP APNEA AT WORK? Far more common than generally understood. Produces excessive daytime sleepiness and diminish the level of attention. Enhances the risk of suffering occupational injuries. Behavioral therapy is an important part of the treatment program and even all that is needed in mild cases Importance of early recognition and treatment.

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SOME DATA 2-4% of adults suffer from sleep apnoea even just a few are diagnosed (less than 10%). +40 prevalence from 9 to 24% (max. 50-60) Risk of occupational accident is 4 times higher Risk of traffic accident is 10 times higher 15% of working population refers sleep problems (IV ENCT)

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AIMS OF THE PROJECT Early recognition of workers with excessive daytime sleepiness and possibly suffering from sleep apnoea. Estimate the risk of having an accident. Primary and secondary prevention of sleep apnoea. Effectiveness of early treatment including behavioural therapy. Increase awareness and knowledge of workers and occupational physicians and nurses.

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PREVENTION OF SLEEP APNOEA PRIMARY Management of overweigh and obesity Ensuring good upper airways function (adenoids, structural deformities…) Early treatment of dental occlusion or jaw deformities Avoidance of tobacco, alcohol and certain pills SECONDARY Management of overweigh and obesity Early recognition Motivation and involvement in own treatment Recommendations for specific situations (shift work, driving, domestic work, sleep hygiene…)

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METHODOLOGY I Sample of +50 workers among companies of the region of Zaragoza. Identification of cases by Preventive services, insurance companies and other partner organizations using a questionnaire. Case-Control study + Longitudinal study Medical follow-up during three years.

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METHODOLOGY II Questionnaire Identification: personal and job information Symptoms (Epworth scale for severity) Basic physical examination: BMI, Blood pressure, upper airways examination Tests to be performed -Identification of type of sleep disorder Respiratory evaluation Neurological examination: transcranial doppler, brain vasoreactivity study, Microtubule test, Neuropsychological tests.

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EXPECTED OUTPUTS State-of-the art of sleep disorders in working population in the area of Zaragoza. Recommendations: - early recognition at the workplace. - management of patients at the workplace. - preventing excessive daytime sleepiness in workers without sleep apnea. Courses and leaflets

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Preliminary results and outputs Fulfilment of 1,500 questionnaires by +50 workers 16,25% with excessive daytime sleepiness 91% drive a vehicle Guides and information leaflets Good practice workshops about lifestyles

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Mª Dolores Solé doloress@mtas.es