Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society

Gurubhagavatula, Indira; Barnes, Christopher M.; Basner, Mathias; Boivin, Diane B.; Dawson, Drew; Drake, Christopher L.; Flynn‐Evans, Erin E.; Mysliwiec, Vincent; Patterson, P. Daniel; Reid, Kathryn J.; Samuels, Charles; Shattuck, Nita Lewis; Kazmi, Uzma; Carandang, Gerard; Heald, Jonathan L.; Dongen, Hans P. A. Van

doi:10.5664/jcsm.9512

Cited by 27 publications

(33 citation statements)

References 236 publications

(234 reference statements)

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“…In the transportation industries, for example, people often work across multiple times zones, which can cause their circadian rhythms to become misaligned with their schedules [ 3 ]. In occupations that require nighttime work, people rely on their abilities to obtain enough daytime sleep, although this is opposed by humans’ natural sleep–wake cycle patterns that favor wakefulness during the daytime and sleep during the night [ 4–7 ]. Work-related stress and environmental conditions (e.g.…”

Section: Introductionmentioning

confidence: 99%

Sleep, time, and space—fatigue and performance deficits in pilots, commercial truck drivers, and astronauts

Maki

Fink²,

Weaver

2022

SLEEP Advances

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Sleep is essential for preventing fatigue in occupations that require sustained vigilance. We conducted a scoping review to synthesize knowledge about sleep, fatigue, and performance in pilots, commercial truck drivers, and astronauts. We found 28 studies where researchers objectively or subjectively measured sleep, fatigue, and performance. The research included laboratory-based (simulator) and field-based studies (i.e. real-world missions and a variety of shift-work schedules). Most researchers used actigraphy to measure sleep, and they found that ~6 hrs of sleep was common. The research also demonstrated how sleep duration and quality were negatively affected by schedule irregularity, early-morning start times, and high-risk missions (e.g. extravehicular activities in space). Collectively, the data demonstrated how shorter sleep durations, short off-duty time, and early-morning start times were associated with slower reaction times, more lapses in attention, and premature responses on psychomotor vigilance tests. Considering that few studies included polysomnography and circadian rhythm biomarkers, there remains limited knowledge about the effects of sleep microstructure and circadian rhythm alterations on performance abilities in these occupations. Future neurobiological and mechanistic discoveries will be important for enhancing vigilance, health, and safety for people working in the skies, on the roads, and in space. This paper is part of the David F. Dinges Festschrift Collection. This collection is sponsored by Pulsar Informatics and the Department of Psychiatry in the Perelman School of Medicine at the University of Pennsylvania.

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Section: Introductionmentioning

confidence: 99%

Sleep, time, and space—fatigue and performance deficits in pilots, commercial truck drivers, and astronauts

Maki

Fink²,

Weaver

2022

SLEEP Advances

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“…Workers on night shifts are expected to be active at time that is not biologically appropriate, resulting in inadequate, disturbed sleep (i.e., short and superficial), excessive sleepiness in the waking phase that coincides with work, often resulting in impaired performance and safety. The inversion of sleep time increases health complaints in this population 321 .…”

Section: Sleep Disorders Related To Circadian Rhythmicitymentioning

confidence: 98%

“…However, there is limited evidence that avoiding exposure to natural light at the end of the shift is effective, and it is possible that this approach, which prevents the direct effect of acute light on alertness, can compromise safety when travelling between work and home. Long-term exposure to high-intensity artificial light is associated with an increased risk of cancer and can cause damage to the retina 321 .…”

Section: Sleep Disorders Related To Circadian Rhythmicitymentioning

confidence: 99%

Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

Frange¹,

Franco²,

Brasil³

et al. 2022

Sleep Sci

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This clinical guideline supported by the Brazilian Sleep Association comprises a brief history of the development of Brazilian sleep physiotherapy, outlines the role of the physiotherapist as part of a sleep health team, and describes the clinical guidelines in respect of the management of some sleep disorders by the physiotherapist (including sleep breathing disorders, i.e., obstructive sleep apnea, central sleep apnea, upper airway resistance syndrome, hypoventilation syndromes and overlap syndrome, and pediatric sleep breathing disorders; sleep bruxism; circadian rhythms disturbances; insomnia; and Willis-Ekbom disease/periodic limb movement disorder. This clinical practice guideline reflects the state of the art at the time of publication and will be reviewed and updated as new information becomes available.

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“…This section will focus on the definition, clinical features, pathophysiology, occupational contributors, and treatment of insufficient sleep syndrome and shiftwork disorder. 1…”

Section: Introductionmentioning

confidence: 99%

Work-Related Sleep Disorders: Causes and Impacts

Gusman

Standlee

Reid

et al. 2023

Semin Respir Crit Care Med

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Insufficient sleep syndrome, shift work disorder, and obstructive sleep apnea (OSA) not only significantly impact the health of affected individuals, but also pose a threat to public safety. This article describes the clinical manifestations and impact of these sleep disorders, particularly as they pertain to workers' health and those with safety-sensitive positions. Sleep deprivation, circadian rhythm disruptions, and excessive daytime sleepiness—hallmarks of insufficient sleep, shift work disorder, and OSA, respectively—all lead to a series of cognitive deficits and impaired concentration that affect workers in a wide variety of fields. We describe the health consequences of these disorders along with treatment strategies, with a focus on current regulatory standards and the under-recognition of OSA in commercial drivers. Given its large scale, there is a need for improved guidelines and regulations for the screening, diagnosis, treatment, and long-term follow-up of OSA in commercial motor vehicle drivers. Increased recognition of the ways in which these sleep disorders impact workers will pave the way for significant improvements in occupational health and safety.

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Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society

Cited by 27 publications

References 236 publications

Sleep, time, and space—fatigue and performance deficits in pilots, commercial truck drivers, and astronauts

Sleep, time, and space—fatigue and performance deficits in pilots, commercial truck drivers, and astronauts

Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

Work-Related Sleep Disorders: Causes and Impacts

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