Insufficient sleep impairs driving performance and cognitive function

Miyata, Seiko; Noda, Akiko; Ozaki, Norio; Hara, Yuki; Minoshima, Makoto; Iwamoto, Kunihiro; Takahashi, Masahiro; Iidaka, Tetsuya; Koike, Yasuo

doi:10.1016/j.neulet.2009.12.001

Cited by 76 publications

(80 citation statements)

References 28 publications

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“…Os mais freqüentes são déficits de atenção e desempenho na direção de veículos. Um estudo verificou a diminuição na oxigenação do córtex cerebral em situação de sono insuficiente que justificaria as alterações cognitivas e comportamentais 1 .…”

Section: Discussionunclassified

“…Outra pesquisa experimental examinou os efeitos do sono insuficiente sobre a função cognitiva, desempenho na condução e fluxo sangüíneo cerebral em 19 adultos saudáveis 1 . Concluíram que uma noite de sono insuficiente afeta a função cognitiva diurna e a performance de condução, associada a alterações na resposta da oxigenação cortical.…”

Section: Associação Com Transtornos Neurocomportamentaisunclassified

“…Por exemplo, sono insuficiente é capaz de alterar o estado de saúde e de promover impactos negativos na economia. A prevalência deste na população geral é estimada em 25%, constituindo-se numa patologia crônica freqüente entre trabalhadores 1 . Outro exemplo são as conseqüências da privação de sono que leva a sonolência diurna excessiva com possível aumento de acidentes de tráfego e nas indústrias, eventos estes com elevado perigo de vida, além de problemas de memória e de atenção 1 .…”

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“…A prevalência deste na população geral é estimada em 25%, constituindo-se numa patologia crônica freqüente entre trabalhadores 1 . Outro exemplo são as conseqüências da privação de sono que leva a sonolência diurna excessiva com possível aumento de acidentes de tráfego e nas indústrias, eventos estes com elevado perigo de vida, além de problemas de memória e de atenção 1 . Compreender a influência do sono insuficiente na função cognitiva e psíquica é fundamental para os profissionais de saúde ocupacional.…”

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Aspectos do sono e das funções neurocomportamentais em condutores profissionais de veículos pesados: revisão da literatura

Filho

Mussi

Sá

et al. 2011

Rev. Med. (São Paulo)

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Rev Med (São Paulo RESUMO:Caminhoneiros tipicamente têm horários de trabalho irregulares e devem freqüentemente inverter o ciclo vigília-sono, levando a privação parcial de sono cronicamente. Esta situação predispõe a elevados níveis de estresse, ao uso abusivo de drogas e psicoestimulantes, aos distúrbios alimentares, ao sedentarismo e ao desenvolvimento de doenças crônicas. Este estudo teve por objetivo revisar os distúrbios de sono e as alterações neurocomportamentais nesta população. Os autores realizaram uma discussão de 38 artigos selecionados nas bases de dados Medline, Cochrane Library, Lilacs e SciELO, usando como descritores transtornos do sono, condução de veículo, manifestações comportamentais no período de 1997 a 2010. Os autores enfatizaram neste trabalho os aspectos epidemiológicos, os fatores relacionados, os protocolos de avaliação, os instrumentos usados, as modalidades de tratamento, os distúrbios neurocomportamentais associados e as repercussões no trabalho, na saúde e na sociedade. Uma avaliação completa por profissionais capacitados na área de saúde ocupacional é fortemente recomendada na admissão, exames periódicos e na demissão destes funcionários. Faz necessário mais estudo para delinear quais os tipos de protocolos mais úteis na prática clínica, a fim de desenvolver estratégias de tratamento que contemple as necessidades destas pessoas. DESCRitORES:Transtornos do sono; Manifestações neurocomportamentais; Condução de veículo; Veículos automotores. ABStRACt:Truck drivers have typically irregular working hours and they must frequently reverse the sleep-wake cycle which leads them to a chronic partial sleep privation. This situation tpredispose them to high levels of stress, to the use of psycho stimulants and drugs to eating disorders and to sedentarism and the development of chronic diseases. This study aimed to review the sleep-wake cycle and the neurobehavioral changes in this population. The authors performed a discussion of 38 selected articles on Medline, Cochrane Library, Scielo and Lilacs, based on descriptors such as sleep disorders, vehicle driving, behavioral manifestations during the period 1997 to 2010. The authors emphasized on this study epidemiological aspects related factors, the evaluation protocols, instruments used, methods of treatment to neurobehavioral disorders and their impact on labor, health and society. A full analysis to look for qualified professionals in the field of occupational health is strongly recommended for admission, periodic examinations and for a dismissal of those employees. More study is needed to delineate which types of protocols most be useful in clinical practice, to develop treatment strategies that addresses the needs of this population.

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Section: Associação Com Transtornos Neurocomportamentaisunclassified

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Aspectos do sono e das funções neurocomportamentais em condutores profissionais de veículos pesados: revisão da literatura

Filho

Mussi

Sá

et al. 2011

Rev. Med. (São Paulo)

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“…There is clear evidence that sleep disturbance and deprivation in Americans is closely associated with decreased daytime performance (social, cognitive, psychological), increased morbidity and mortality (hypertension, coronary heart disease, diabetes, cerebral vascular disease), risk of accidents, and diminished quality of life. [2][3][4][5][6][7][8] …”

Section: Validation Of the Behavioral Risk Factor Surveillance Systemmentioning

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Validation of the Behavioral Risk Factor Surveillance System Sleep Questions

Jungquist

Mund

Aquilina

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objective: Sleep problems may constitute a risk for health problems, including cardiovascular disease, depression, diabetes, poor work performance, and motor vehicle accidents. The primary purpose of this study was to assess the validity of the current Behavioral Risk Factor Surveillance System (BRFSS) sleep questions by establishing the sensitivity and specificity for detection of sleep/ wake disturbance. Methods: Repeated cross-sectional assessment of 300 community dwelling adults over the age of 18 who did not wear CPAP or oxygen during sleep. Reliability and validity testing of the BRFSS sleep questions was performed comparing to BFRSS responses to data from home sleep study, actigraphy for 14 days, Insomnia Severity Index, Epworth Sleepiness Scale, and PROMIS-57. Results: Only two of the five BRFSS sleep questions were found valid and reliable in determining total sleep time and excessive daytime sleepiness. I NTRO DUCTI O NThe Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing telephone health survey system conducted by the Centers for Disease Control and Prevention (CDC) in the 50 United States as well as District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. The purpose of the BRFSS is to track health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. The use of the system started in 1984 and continues monthly. More than 350,000 adults are interviewed each year. Information from the surveys is used in research and clinical practice, and is frequently used to support public health policies and health-related legislative efforts. 1In early 2000, the CDC, in collaboration with the National Sleep Foundation, facilitated a work group charged with raising awareness about, increasing the understanding of, and reducing the impact of sleep deprivation and sleep disorders. In response to the work group's recommendations, the sleep question that was initiated in the BRFSS in 1995 was expanded upon with four optional module questions to capture sleep related symptoms. The current BRFSS sleep questions are: (1) During the past 30 days for about how many days have you felt you did not get enough rest or sleep; (2) On average, how many hours of sleep do you get in a 24-hour period? Think about the time you actually spend sleeping or napping, not just the amount of sleep you think you should get; (3) Do you snore; (4) During the past 30 days, for about how many days did you find yourself unintentionally falling asleep during the day; and (5) During the past 30 days, have you ever nodded off or fallen asleep, even just for a brief moment, while driving? The questions were implemented into the state telephone surveys around 2005, but to date, evidence of their validation is lacking. Therefore, a study was performed to assess the reliability and validity of the BRFSS sleep questions to determine their sensitivity to detect sleep disorders and insufficient sleep in adults. Establishing questions that will accurately identif...

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Effects of hypnotics on prefrontal cortex activity during a verbal fluency task in healthy male subjects: A near‐infrared spectroscopy study

Tsuruta

Iwamoto

Banno

et al. 2018

Human Psychopharmacology

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Objective To assess the effects of hypnotics on prefrontal cortex activity in healthy subjects using near‐infrared spectroscopy (NIRS) in a double‐blind, placebo‐controlled crossover trial. Methods Eighteen healthy males received acute doses of ramelteon (8 mg), triazolam (0.125 mg), or placebo in a predetermined randomization schedule, with a washout period of more than 1 week. All subjects performed a verbal fluency task during NIRS assessments at baseline and at 1 and 4 hr post‐dose. The number of words correctly generated during the task (behavioral performance) and scores on the Stanford Sleepiness Scale (SSS) were also recorded at each test time. Results Compared with the placebo, triazolam (0.125 mg) significantly decreased oxyhemoglobin (oxy‐Hb) concentration change in NIRS during the posttask period and significantly increased behavioral performance, whereas triazolam (0.125 mg) and ramelteon (8 mg) significantly increased SSS scores. Conclusions The differential effects of two types of hypnotics on oxy‐Hb change measured by NIRS were observed in acute dosing, suggesting that when assessing brain activity of patients with psychiatric disorders, researchers should consider how certain types of hypnotics can influence brain function. This would also provide useful information to clinicians when prescribing hypnotics suitable for their patients' conditions.

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Insufficient sleep impairs driving performance and cognitive function

Cited by 76 publications

References 28 publications

Aspectos do sono e das funções neurocomportamentais em condutores profissionais de veículos pesados: revisão da literatura

Aspectos do sono e das funções neurocomportamentais em condutores profissionais de veículos pesados: revisão da literatura

Validation of the Behavioral Risk Factor Surveillance System Sleep Questions

Effects of hypnotics on prefrontal cortex activity during a verbal fluency task in healthy male subjects: A near‐infrared spectroscopy study

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