High risk of obstructive sleep apnea, insomnia, and daytime sleepiness among commercial motor vehicle drivers

  • Jun-Sang Sunwoo
  • Dae-Seop Shin
  • Young Hwangbo
  • Won-Joo Kim
  • Min Kyung Chu
  • Chang-Ho Yun
  • Taekyoung Jang
  • Kwang Ik YangEmail author
Epidemiology • Original Article



We investigated the prevalence of sleep problems, such as obstructive sleep apnea (OSA), insomnia, and daytime sleepiness in commercial motor vehicle (CMV) drivers compared with that in the general population.


This is a cross-sectional study comparing sleep habits and sleep problems in 110 truck drivers with 1001 matched controls from the general population. The assessment was based on self-administered questionnaires that included the Berlin questionnaire, the insomnia severity index, and the Epworth sleepiness scale (ESS). Multivariate regression analysis was performed to determine whether CMV drivers were independently associated with these sleep problems compared with controls.


The prevalence of a high risk of OSA and insomnia was 35.5% and 15.2%, respectively, in CMV drivers, which was significantly higher than in controls with a prevalence of 12.2% and 4.1%, respectively (P < 0.001 for both). Although CMV drivers showed higher ESS scores than controls, the prevalence of daytime sleepiness did not differ between the two groups (19.1% vs. 16.8%, P = 0.54). After adjusting for covariates, CMV drivers had 3.68 times higher odds (95% CI 2.29–5.84) of OSA and 2.97 times higher odds (95% CI, 1.46–6.06) of insomnia compared with controls. However, the degree of daytime sleepiness was not independently associated with CMV drivers.


The prevalence of OSA and insomnia in CMV drivers was higher than that in the general population. Daytime sleepiness was associated with increased BMI, depression, OSA, and short sleep duration, regardless of CMV driving as an occupational factor.


Obstructive sleep apnea Insomnia Excessive daytime sleepiness Commercial motor vehicle drivers 



This work was supported by a National Research Foundation of Korea (NRF) grant funded by the Ministry of Education (No. NRF-2017R1D1A1B04035931) and a grant from the Soonchunhyang University Research Fund.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jun-Sang Sunwoo
    • 1
  • Dae-Seop Shin
    • 2
  • Young Hwangbo
    • 3
  • Won-Joo Kim
    • 4
  • Min Kyung Chu
    • 5
  • Chang-Ho Yun
    • 6
  • Taekyoung Jang
    • 7
  • Kwang Ik Yang
    • 2
    Email author
  1. 1.Department of Neurology, Soonchunhyang University College of MedicineSeoul HospitalSeoulSouth Korea
  2. 2.Sleep Disorders Center, Department of Neurology, Soonchunhyang University College of MedicineCheonan HospitalCheonanSouth Korea
  3. 3.Department of Preventive MedicineSoonchunhyang University College of MedicineCheonanSouth Korea
  4. 4.Department of Neurology, Yonsei University College of MedicineGangnam Severance HospitalSeoulSouth Korea
  5. 5.Department of Neurology, Yonsei University College of MedicineSeverance HospitalSeoulSouth Korea
  6. 6.Department of Neurology, Bundang Clinical Neuroscience CenterSeoul National University Bundang HospitalSeongnamSouth Korea
  7. 7.Samsung Traffic Safety Research InstituteSeoulSouth Korea

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