The prevalence of excessive sleepiness is higher in shift workers than in patients with obstructive sleep apnea.
Epworth Sleepiness Scale
obstructive sleep apnea
shift work
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
08
03
2020
revised:
07
04
2020
accepted:
22
04
2020
pubmed:
13
5
2020
medline:
19
3
2021
entrez:
13
5
2020
Statut:
ppublish
Résumé
Excessive daytime sleepiness (EDS) is a common feature among shift workers as well as in obstructive sleep apnea (OSA) patients. There are several important accidents related to sleep disturbances causing EDS. The aim of this study was to evaluate EDS in a group of shift workers (regular rotating) from civil aviation and to compare them with OSA patients (n = 300) and with a group of regular workers (RW) (n = 140). Our sample was composed of 730 working-age individuals (aged 18-67 years). The regular rotating shift workers (SW) sample was composed of 290 aeronautical mechanics. EDS was evaluated with the Epworth Sleepiness Scale (ESS) and defined as a score ≥ 11. The prevalence value obtained for the EDS of RW was 37.1%, for SW it was 60.7% and for OSA patients it was 40.7%. A logistic regression model for EDS in a subsample composed of men and matched for age and BMI, controlling for self-reported sleep duration, showed an increased risk of EDS for SW (OR = 3.91, p = .001), with the RW group as reference. OSA patients did not differ from RW on EDS levels. This study emphasizes the presence of EDS in a shift work group of civil aviation professionals, which exceeded the EDS level of a positive control group of OSA patients. Sleep hygiene education for companies' workers and management is important and mitigation strategies should be implemented to reduce excessive sleepiness among workers.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13073Informations de copyright
© 2020 European Sleep Research Society.
Références
Åkerstedt, T. (2019). Shift work - Sleepiness and sleep in transport. Sleep Medicine Clinics, 14, 413-421. https://doi.org/10.1016/j.jsmc.2019.07.003
Åkerstedt, T., Anund, A., Axelsson, J., & Kecklund, G. (2014). Subjective sleepiness is a sensitive indicator of insufficient sleep and impaired waking function. Journal of Sleep Research, 23, 240-252. https://doi.org/10.1111/jsr.12158
Bambra, C., Whitehead, M., Sowden, A., Akers, J., & Petticrew, M. (2008). “A hard day’s night?” The effects of compressed working week interventions on the health and work-life balance of shift workers: A systematic review. Journal of Epidemiology & Community Health, 62, 764-777. https://doi.org/10.1136/jech.2007.067249
Booker, L. A., Magee, M., Rajaratnam, S. M. W., Sletten, T. L., & Howard, M. E. (2018). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review. Sleep Medicine Reviews, 41, 220-233. https://doi.org/10.1016/j.smrv.2018.03.005
EASA. Effectiveness of flight time limitation (FTL). 2018, 11. https://www.easa.europa.eu/document-library/general-publications/effectiveness-flight-time-limitation-ftl-report
Guimarães, C., Martins, M. V., Vaz Rodrigues, L., Teixeira, F., & Moutinho dos Santos, J. (2012). Sleepiness Scale in obstructive sleep apnea syndrome - An underestimated subjective scale. Revista Portuguesa De Pneumologia (English Edition), 18, 267-271. https://doi.org/10.1016/j.rppnen.2012.06.005
He, K., & Kapur, V. K. (2017). Sleep-disordered breathing and excessive daytime sleepiness. Sleep Medicine Clinics, 12, 369-382. https://doi.org/10.1016/j.jsmc.2017.03.010
Hudgel, D. W. (2016). Sleep apnea severity classification - Revisited. Sleep, 39, 1165-1166. https://doi.org/10.5665/sleep.5776
Javaheri, S., & Javaheri, S. (2020). Update on persistent excessive daytime sleepiness in obstructive sleep apnea. Chest. Advance online publication. https://doi.org/10.1016/j.chest.2020.02.036
Johns, M. W. (1992). Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep, 15, 376-381. https://doi.org/10.1093/sleep/15.4.376
Kecklund, G., & Axelsson, J. (2016). Health consequences of shift work and insufficient sleep. BMJ, 355, i5210. https://doi.org/10.1136/bmj.i5210
Knauert, M., Naik, S., Gillespie, M. B., & Kryger, M. (2015). Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome. World Journal of Otorhinolaryngology-Head and Neck Surgery, 1, 17-27. https://doi.org/10.1016/j.wjorl.2015.08.001
MacLean, A. W., Davies, D. R. T., & Thiele, K. (2003). The hazards and prevention of driving while sleepy. Sleep Medicine Reviews, 7, 507-521. https://doi.org/10.1016/S1087-0792(03)90004-9
Reis, C., Mestre, C., Canhão, H., Gradwell, D., & Paiva, T. (2016). Sleep and fatigue differences in the two most common types of commercial flight operations. Aerospace Medicine and Human Performance, 87(9), 811-815. https://doi.org/10.3357/AMHP.4629.2016
Riedy, S. M., Roach, G. D., & Dawson, D. (2020). Sleep-wake behaviors exhibited by shift workers in normal operations and predicted by a biomathematical model of fatigue. Sleep, 26, zsaa049. https://doi.org/10.1093/sleep/zsaa049
Sateia, M. (2014) International classification of sleep disorders. Darien, IL: American Academy of Sleep Medicine.
Shattck, N. L., & Matsangas, P. (2015). Psychomotor vigilance performance predicted by Epworth Sleepiness Scale scores in an operational setting with the United States Navy. Journal of Sleep Research, 24, 174-180. https://doi.org/10.1111/jsr.12243
Vantolla, P., Sampsa, P., Kati, K., Tuula, O., & Mikko, H. (2020). Employees with shift work disorder experience excessive sleepiness also on non-work days: A cross-sectional survey linked to working hours register in Finnish hospitals. Industrial Health, 483-488. Advance online publication. https://doi.org/10.2486/indhealth.2019-0179
Westerlund, A., Brandt, L., Harlid, R., Åkerstedt, T., & Trolle Lagerros, Y. (2014). Using the Karolinska sleep questionnaire to identify obstructive sleep apnea syndrome in a sleep clinic population. Clinical Respiratory Journal, 8, 444-454. https://doi.org/10.1111/crj.12095
Wittmann, M., Dinich, J., Merrow, M., & Roenneberg, T. (2006). Social Jetlag: Misalignment of biological and social time. Chronobiology International, 23, 497-509.