Sleep and sleepiness during an ultra long-range flight operation between the Middle East and United States
Abstract
This study provides a practical example of fatigue risk management in aviation. The sleep and sleepiness of 44 pilots (11 trips × 4 pilot crew) working an ultra long-range (ULR; flight time >16 h) round-trip operation between Doha and Houston was assessed. Sleep was assessed using activity monitors and self-reported sleep diaries. Mean Karolinska Sleepiness Scores (KSS) for climb and descent did not exceed 5 ("neither alert nor sleepy"). Mean daily sleep duration was maintained above 6.3h throughout the operation. During in-flight rest periods, 98% of pilots obtained sleep and sleepiness was subsequently reduced. On layover (49.5h) crew were advised to sleep on Doha or Universal Co-ordinated Time (UTC), but 64% slept during the local (social) night time. Pilots originating from regions with a siesta culture were more likely to nap and made particularly effective use of their daytime in-flight rest periods. The results indicate that the operation is well designed from a fatigue management perspective.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sleep disorders screening in addition to circadian approaches and scheduled napping has shown effectiveness in improving safety.
“To address these concerns, sleep disorders screening in addition to circadian approaches and scheduled napping have shown effectiveness in improving safety.189–197”
From Sleep, Health, and Society (2017) · cites this paper as [193]
Cites
Individual Differences in Adult Human Sleep and Wakefulness: Leitmotif for a Research Agenda
Dongen, H. P. A. V., Vitellaro, K. M., & Dinges, D. F. (2005) · SLEEP · doi:10.1093/sleep/28.4.479 · Cited by 339 · see citing works
John A. Groeger, P., Viola, A., June C.Y. Lo, M., Malcolm von Schantz, P., Simon N. Archer, P., & Derk-Jan Dijk, P. (2008) · SLEEP · doi:10.5665/sleep/31.8.1159 · Cited by 160 · see citing works
Controlled breaks as a fatigue countermeasure on the flight deck.
Neri, D. F., Oyung, R. L., Colletti, L. M., Mallis, M. M., Tam, P. Y., & Dinges, D. F. (2002) · PubMed · Cited by 87 · see citing works
Season of Birth, Gender, and Social-Cultural Effects on Sleep Timing Preferences in Humans
Natale, V., Adán, A., & Fabbri, M. (2009) · SLEEP · doi:10.1093/sleep/32.3.423 · Cited by 85 · see citing works
The siesta culture concept is not supported by the sleep habits of urban Mexican students
Valencia‐Flores, M., Castaño, V. A., Campos, R. M., Rosenthal, L. D., Resendiz, M., Aragón, P. V., Aguilar‐Roblero, R. A., RAMOS, G. G., & Bliwise, D. L. (1998) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1998.00087.x · Cited by 48 · see citing works
Löwden, A., & Åkerstedt, T. (1999) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1999.00129.x · Cited by 44 · see citing works
Prediction of probabilistic sleep distributions following travel across multiple time zones
Darwent, D., Dawson, D., & Roach, G. D. (2010) · SLEEP · doi:10.1093/sleep/33.2.185 · Cited by 36 · see citing works
Sleep and wake patterns in aircrew on a 2-day layover on westward long distance flights.
Löwden, A., & Åkerstedt, T. (1998) · PubMed · Cited by 34 · see citing works
Siesta and sleep patterns in a sample of adolescents in Greece
Paraskakis, E., Ntouros, T., Ntokos, M., Siavana, O., Bitsori, M., & Galanakis, E. (2008) · Pediatrics International · doi:10.1111/j.1442-200x.2008.02632.x · Cited by 27 · see citing works
Sia, A. L. M. (2023) · Edward Elgar Publishing eBooks · doi:10.4337/9781803923659.00058 · Cited by 25 · see citing works
Layover sleep prediction for cockpit crews during transmeridian flight patterns.
Kandelaars, K. J., Fletcher, A., Eitzen, G. E., Roach, G. D., & Dawson, D. E. (2006) · PubMed · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Grandner, M. A. (2017) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2016.10.012 · Cited by 720 · see citing works
Fatigue in aviation: A systematic review of the literature
Bendak, S., & Rashid, H. S. J. (2020) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2020.102928 · Cited by 174 · see citing works
- Authors
- Holmes, A., Al-Bayat, S., Hilditch, C., & Bourgeois-Bougrine, S.
- Affiliations
- Qatar Airways (Qatar) (QA)
- Corresponding author
- Holmes, Alexandra
- ORCID
- Hilditch, Cassie
- Venue
- Accident Analysis & Prevention
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 45
- Pages
- 27-31
- ISSN
- 0001-4575 (ISSN-L)
- OpenAlex
- W2093490057
- Cited by
- 46
- References
- 11
- Citations by year
- 2025: 6 · 2024: 6 · 2023: 2 · 2022: 9 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 1
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Accident Analysis & Prevention (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Social Psychology › Human-Automation Interaction and Safety
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- pilot fatigue, sleep, sleepiness, fatigue risk management, Karolinska Sleepiness Scale, napping, sleep duration
- MeSH terms
- Aerospace Medicine, Aviation, Circadian Rhythm, Fatigue, Humans, Middle East, Sleep, Sleep Deprivation, United States, Work Schedule Tolerance, Statistics, Nonparametric
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review