Demir, Nefise Ateş2024-02-152024-02-152015-09-08Çetinoğlu, E. D. vd. (2015). "The relationship between driving simulation performance and obstructive sleep apnoea risk, daytime sleepiness, obesity and road traffic accident history of commercial drivers in Turkey". Sleep and Breathing, 19(3), 865-872.1520-9512https://doi.org/10.1007/s11325-014-1114-6https://link.springer.com/article/10.1007/s11325-014-1114-6https://hdl.handle.net/11452/39783Driving performance is known to be very sensitive to cognitive-psychomotor impairment. The aim of the study was to determine the relationship between obesity, risk of obstructive sleep apnoea (OSA), daytime sleepiness, history of road traffic accident (RTA) and performance on a driving simulator, among commercial drivers. We examined commercial vehicle drivers admitted to Psycho-Technical Assessment System (PTAS), which is a computer-aided system that includes a driving simulator test and tests assessing psychomotor-cognitive skills required for driving. Risk of OSA and daytime sleepiness were assessed by the Berlin Questionnaire and the Epworth Sleepiness Scale (ESS), respectively. A total of 282 commercial vehicle drivers were consecutively enrolled. The age range was 29-76 years. Thirty drivers were at high risk of OSA. Median ESS of the group was 2 (0-20). Forty-seven percent of the subjects at high risk of OSA failed in early reaction time test, while 28 % of the drivers with low risk of OSA failed (p = 0.03). The obese drivers failed the peripheral vision test when compared with non-obese drivers (p = 0.02). ESS was higher for drivers with a history of RTA when compared to those without RTA (p = 0.02). Cognitive-psychomotor functions can be impaired in obese and high risk of OSA patients. In our opinion, requiring obese and/or high risk of OSA drivers to take PTAS tests that assess driving skills and psychomotor-cognitive functions crucial to those skills would significantly improve road traffic safety, which is of considerable importance to public health.eninfo:eu-repo/semantics/closedAccessNeurosciences & neurologyRespiratory systemObstructive sleep apneaBerlin questionnaireObesityDaytime sleepinessRoad traffic accidentDriving performanceMotor-vehicle crashesHaul truck driversReliabilityPressureInjuriesAccidents, trafficAdultAgedAttentionAutomobile drivingComputer simulationDisorders of excessive somnolenceHumansMaleMiddle agedMotor vehiclesNeuropsychological testsObesityOccupational diseasesPsychomotor performanceReaction timeRisk factorsSleep apnea, obstructiveTurkeyArticle0003607630000172-s2.0-8494096017286587219325604475Clinical neurologyRespiratory systemFatigue; Mental fatigue; ElectrooculogramAdultAgedArticleAssessment of humansAttention testBody massComputer simulationDaytime somnolenceDriverDriving abilityEpworth sleepiness scaleHumanMajor clinical studyMaleMemory testMiddle agedMotor performanceObesityPeripheral visionPriority journalPsycho technical assessment systemPsychomotor activityPsychomotor developmentReaction timeSleep disordered breathingTraffic accidentTraffic safetyVisionVisuomotor coordinationAttentionCar drivingDisorders of excessive somnolenceMotor vehicleNeuropsychological testObesityOccupational diseasesPathophysiologyPhysiologyPsychomotor performanceRisk factorSleep apnea, obstructiveStatistics and numerical dataTraffic accidentTurkey