Shift work and disturbed sleep/wakefulness
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.
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?
Both night work and circadian misalignment decrease total sleep time, which also decreases leptin levels and impairs glucose tolerance and insulin sensitivity.
“Both night work and circadian misalignment decrease total sleep time which also decreases leptin levels and impairs glucose tolerance and insulin sensitivity (Åkerstedt, 1998; Buxton et al., 2010; Ohayon et al., 2002; Spiegel et al., 1999, 2004).”
From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Åkerstedt, 1998
The citation lists haven’t been fetched yet
References 50 · Cited by 252
- Authors
- Åkerstedt, T.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Åkerstedt, T
- ORCID
- Åkerstedt, T
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 1998-05
- Volume
- 2
- Issue
- 2
- Pages
- 117-128
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2161934707
- Cited by
- 252
- References
- 50
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 12 · 2021: 9 · 2020: 14 · 2019: 12 · 2018: 8 · 2017: 11 · 2016: 15 · 2015: 16 · 2014: 12 · 2013: 12 · 2012: 17
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- shift work, circadian rhythm, sleep disruption, alertness, fatigue, night work, insomnia, fatigue-related accidents, productivity loss, napping, shift rotation, recovery time
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
