Published 7 April 2009, doi:10.1136/bmj.b1165
Cite this as: BMJ 2009;338:b1165

Practice

Easily Missed?

Obstructive sleep apnoea in adults

Sophie D West, consultant1, Helen A McBeath, general practitioner2, John R Stradling, professor1

1 Sleep Unit, Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford OX3 7LJ, 2 St Clements Surgery, Oxford OX4 1JS

Correspondence to: S D West sophie@west66.freeserve.co.uk

The first 150 words of the full text of this article appear below.


A 50 year old long distance lorry driver attends for a review of his heavy goods vehicle licence. His body mass index is 30, and he says his wife complains that he snores loudly. The history of loud snoring in this overweight man should raise concern about possible obstructive sleep apnoea. As he is a lorry driver this diagnosis is particularly important.


Obstructive sleep apnoea is characterised by snoring, recurrent episodes of upper airway obstruction during sleep (apnoeas and hypopnoeas), and arousals. The resulting sleep disturbance can cause excessive and disabling daytime sleepiness. The term obstructive sleep apnoea syndrome is used for people who have features of obstructive sleep apnoea on a sleep study and also have resulting daytime sleepiness.


  • Prevalence varies according to the population studied
  • In the US state of Wisconsin a cohort study of 30-60 year old workers found that 24% of men and 9% of women . . . [Full text of this article]



Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Articles

Treat sleep apnoea before people fall asleep at the wheel
Nic Tweddell and Seb Schmoller
BMJ 2009 338: b1976. [Extract] [Full Text]

Education with an angle
Jane Smith
BMJ 2009 338: b1548. [Extract] [Full Text]

Related external webpages:

Listen to BMJ podcast

This article has been cited by other articles:

  • Tweddell, N., Schmoller, S. (2009). Treat sleep apnoea before people fall asleep at the wheel. BMJ 338: b1976-b1976 [Full text]  

Rapid Responses:

Read all Rapid Responses

Even more likely, and even less detectable, in schizophrenics?
Zekria Ibrahimi
bmj.com, 5 May 2009 [Full text]
DVLA inaction is a key problem
Seb Schmoller, et al.
bmj.com, 7 May 2009 [Full text]
Role of the Ophthalmologist in Sleep Apnoea Syndrome
Anju Kadyan DMI, MS, FRCS (Ed), et al.
bmj.com, 18 May 2009 [Full text]



Access jobs at BMJ Careers
Whats new online at Student 

BMJ