1. + 50, Sleepiness and Work A1 SINGLE RISK FACTOR APPROACHES
5th european conference on promoting workplace health
A1 SINGLE RISK FACTOR APPROACHES
+ 50, Sleepiness and Work
Preliminary results

2. SPANISH AUTONOMOUS COMMUNITY OF ARAGÓN
+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

3. STEERING COMMITTEE Joaquín MARTÍNEZ PÉREZ Javier MOMPEL GRACIA
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

4. 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.

5. 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 )
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)

6. 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.

7. 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…)

8. 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.

9. 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.

10. 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

11. 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

12. Mª Dolores Solé