Work-Fitness Evaluation for Shift Work Disorder

Abstract

Shift work disorder (SWD), which is characterized by insomnia and excessive sleepiness related with shift work, is one of the most common health problems in shift workers. Shift work disorder causes insomnia, fatigue, worse work performance, an increased likelihood of accidents, and a poor quality of life. In addition, SWD is associated with decreased productivity and increased economic costs. The correct management of SWD is important to prevent sleep disturbances and maintain work performance in shift workers. To diagnose and evaluate SWD, it is necessary to take detailed medical histories, assess the severity of sleep disturbances, and evaluate shift workers' sleep using a sleep diary and actigraphy. The work-fitness evaluation should include recommendations on how shift workers can reduce their sleep disturbances and increase work performance, as well as the assessment of work performance. This paper reviews previous research on the evaluation, diagnosis, and management of SWD and summarizes the work-fitness evaluation of SWD.

Keywords: actigraphy; circadian disruption; circadian rhythm; shift work; sleep diary; sleep disturbances; sleep work disorder; work-fitness.

Figure 1

Sample of actigraphy, measured with ActiGraph (WGT3X-BT; ActiGraph, 49 E, Chase St. Pensacola, FL, USA). Blue shows body movements, red and green color indicate the sleep period, and yellow indicates the detection of light.