Shift work and disturbed sleep/wakefulness - PubMed

Shift work and disturbed sleep/wakefulness

T Akerstedt. Sleep Med Rev. 1998 May.

Abstract

This paper reviews the effects of shift work and finds strong, acute effects on sleep and alertness in relation to night and morning work. The effects seem, however, to linger and also affect days off. The level of the disturbances is similar to that seen in clinical insomnia and may be responsible for considerable human and economical costs due to fatigue related accidents and reduced productivity. The mechanism behind the disturbances is the sleep interfering properties of the circadian system during day sleep and the corresponding sleep promoting properties during night work. Various strategies may be used to counteract the effects of shift work, such as napping, sufficient recovery time between shifts, clockwise rotation, etc. Still it does not seem possible to more eliminate the effects-only to reduce them.

Similar articles

• Implementation of 12-hour shifts in a Brazilian petrochemical plant: impact on sleep and alertness.

  Fischer FM, de Moreno CR, Notarnicola da Silva Borges F, Louzada FM. Fischer FM, et al. Chronobiol Int. 2000 Jul;17(4):521-37. doi: 10.1081/cbi-100101062. Chronobiol Int. 2000. PMID: 10908128

• Shift work and disturbed sleep/wakefulness.

  Akerstedt T. Akerstedt T. Occup Med (Lond). 2003 Mar;53(2):89-94. doi: 10.1093/occmed/kqg046. Occup Med (Lond). 2003. PMID: 12637592 Review.

• Sleep loss and performance of anaesthesia trainees and specialists.

  Gander P, Millar M, Webster C, Merry A. Gander P, et al. Chronobiol Int. 2008 Nov;25(6):1077-91. doi: 10.1080/07420520802551428. Chronobiol Int. 2008. PMID: 19005906

• Is there an optimal sleep-wake pattern in shift work?

  Akerstedt T. Akerstedt T. Scand J Work Environ Health. 1998;24 Suppl 3:18-27. Scand J Work Environ Health. 1998. PMID: 9916813 Review.

• A compromise phase position for permanent night shift workers: circadian phase after two night shifts with scheduled sleep and light/dark exposure.

  Lee C, Smith MR, Eastman CI. Lee C, et al. Chronobiol Int. 2006;23(4):859-75. doi: 10.1080/07420520600827160. Chronobiol Int. 2006. PMID: 16887753

Cited by

• Sleep quality of professional firefighters.

  Mehrdad R, Haghighi KS, Esfahani AH. Mehrdad R, et al. Int J Prev Med. 2013 Sep;4(9):1095-100. Int J Prev Med. 2013. PMID: 24130955 Free PMC article.

• Shift work disorder among oil rig workers in the North Sea.

  Waage S, Moen BE, Pallesen S, Eriksen HR, Ursin H, Akerstedt T, Bjorvatn B. Waage S, et al. Sleep. 2009 Apr;32(4):558-65. doi: 10.1093/sleep/32.4.558. Sleep. 2009. PMID: 19413151 Free PMC article.

• The relationship between quality of sleep and night shift rotation interval.

  Kim JY, Chae CH, Kim YO, Son JS, Kim JH, Kim CW, Park HO, Lee JH, Kwon SI. Kim JY, et al. Ann Occup Environ Med. 2015 Dec 17;27:31. doi: 10.1186/s40557-015-0084-x. eCollection 2015. Ann Occup Environ Med. 2015. PMID: 26688731 Free PMC article.

• Function and Morphology of the Meibomian Glands Using a LipiView Interferometer in Rotating Shift Medical Staff.

  Zhang J, Wu Z, Sun L, Liu XH. Zhang J, et al. J Ophthalmol. 2020 Aug 17;2020:3275143. doi: 10.1155/2020/3275143. eCollection 2020. J Ophthalmol. 2020. PMID: 32879738 Free PMC article.

• The impact of the circadian timing system on cardiovascular and metabolic function.

  Morris CJ, Yang JN, Scheer FAJL. Morris CJ, et al. Prog Brain Res. 2012;199:337-358. doi: 10.1016/B978-0-444-59427-3.00019-8. Prog Brain Res. 2012. PMID: 22877674 Free PMC article. Review.