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Semin Respir Crit Care Med 2023; 44(03): 385-395
DOI: 10.1055/s-0043-1767787
Review Article

Work-Related Sleep Disorders: Causes and Impacts

Elen Gusman   *
1   Department of Pulmonary and Critical Care Medicine, Northwestern Medicine, Chicago, Illinois
,
Jordan Standlee   *
2   Department of Neurology, University of Michigan, Ann Arbor, Michigan
,
Kathryn J. Reid
3   Department of Neurology, Division of Sleep Medicine, Northwestern Medicine, Chicago, Illinois
4   Center for Circadian and Sleep Medicine, Northwestern Medicine, Chicago, Illinois
,
Lisa F. Wolfe
1   Department of Pulmonary and Critical Care Medicine, Northwestern Medicine, Chicago, Illinois
3   Department of Neurology, Division of Sleep Medicine, Northwestern Medicine, Chicago, Illinois
4   Center for Circadian and Sleep Medicine, Northwestern Medicine, Chicago, Illinois
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Abstract

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.

Keywords

sleep disorders in workers - obstructive sleep apnea - shift work disorder - insufficient sleep syndrome - commercial motor vehicle drivers - occupational health and safety

* Elen Gusman and Jordan Standlee contributed equally to this work.




Publication History

Article published online:
18 April 2023

© 2023. Thieme. All rights reserved.

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