{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:02:08Z","timestamp":1761418928537,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2014,5,5]],"date-time":"2014-05-05T00:00:00Z","timestamp":1399248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Background: Sleepiness-at-the-wheel has been identified as a major cause of highway accidents. The aim of our study is identifying the candidate measures for home-based screening of sleep disordered breathing in Taiwanese bus drivers, instead of polysomnography. Methods: Overnight polysomnography accompanied with simultaneous measurements of alternative screening devices (pulse oximetry, ApneaLink, and Actigraphy), heart rate variability, wake-up systolic blood pressure and questionnaires were completed by 151 eligible participants who were long-haul bus drivers with a duty period of more than  12 h a day and duty shifting. Results: 63.6% of professional bus drivers were diagnosed as having sleep disordered breathing and had a higher body mass index, neck circumference, systolic blood pressure, arousal index and desaturation index than those professional bus drivers without evidence of sleep disordered breathing. Simple home-based candidate measures: (1) Pulse oximetry, oxygen-desaturation indices by \u22653% and 4% (r = 0.87~0.92); (2) Pulse oximetry, pulse-rising indices by \u22657% and 8% from a baseline (r = 0.61~0.89); and (3) ApneaLink airflow detection, apnea-hypopnea indices (r = 0.70~0.70), based on recording-time or Actigraphy-corrected total sleep time were all significantly correlated with, and had high agreement with, corresponding polysomnographic apnea-hypopnea indices [(1) 94.5%~96.6%, (2) 93.8%~97.2%, (3) 91.1%~91.3%, respectively]. Conversely, no validities of SDB screening were found in the multi-variables apnea prediction questionnaire, Epworth Sleepiness Scale, night-sleep heart rate variability, wake-up systolic blood pressure and anthropometric variables. Conclusions: The indices of pulse oximetry and apnea flow detection are eligible criteria for home-based screening of sleep disordered breathing, specifically for professional drivers.<\/jats:p>","DOI":"10.3390\/s140508126","type":"journal-article","created":{"date-parts":[[2014,5,5]],"date-time":"2014-05-05T11:53:53Z","timestamp":1399290833000},"page":"8126-8149","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers"],"prefix":"10.3390","volume":"14","author":[{"given":"Hua","family":"Ting","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40201, Taiwan"},{"name":"Center of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, Taiwan"},{"name":"Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren-Jing","family":"Huang","sequence":"additional","affiliation":[{"name":"Center of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, Taiwan"},{"name":"Department of Medical Image and Radiological Science, Chung-Shan Medical University,  Taichung 40201, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Hsiang","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics, Chung Shan Medical University, Taichung 40201, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shen-Wen","family":"Chang","sequence":"additional","affiliation":[{"name":"Center of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ai-Hui","family":"Chung","sequence":"additional","affiliation":[{"name":"Center of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teng-Yao","family":"Kuo","sequence":"additional","affiliation":[{"name":"PhD Program of Mechanical and Aeronautical Engineering, Feng Chia University, Taichung 40724, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Haur","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Photonics and Communication Engineering, Asia University, Taichung 41354, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tung-Sheng","family":"Shih","sequence":"additional","affiliation":[{"name":"Institute of Labor Policy and Occupational Safety and Health, Ministry of Labor Affairs,  Executive Yuan, Taipei 22143, Taiwan"},{"name":"Department of Public Health, College of Public Health, China Medical University,  Taichung 40402, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8393-8349","authenticated-orcid":false,"given":"Shin-Da","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Medicine, Shanghai University of TCM, Shanghai 201203, China"},{"name":"Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung 40202, Taiwan"},{"name":"Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2014,5,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0001-4575(00)00013-0","article-title":"The role of driver sleepiness in car crashes: A systematic review of epidemiological studies","volume":"33","author":"Connor","year":"2001","journal-title":"Accid. 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