Indian Journal of Sleep Medicine

Register      Login

VOLUME 13 , ISSUE 4 ( October-December, 2018 ) > List of Articles


Shift Worker Disease with Obstructive Sleep Apnea

Keywords : Circadian rhythm, Obstructive sleep apnea, Shift worker disease

Citation Information : Shift Worker Disease with Obstructive Sleep Apnea. Indian Sleep Med 2018; 13 (4):71-73.

DOI: 10.5005/jp-journals-10069-0030

License: NA

Published Online: 01-01-2019

Copyright Statement:  NA


Shift work employment involves guidelines to be followed to protect employees from getting adverse effects on health. There are no proper guidelines that are made and followed in India about the same. Our patient who was covered under employee State Insurance Scheme was required to work continuously during the night for 5 years. He not only developed shift work disease but also had an overlap of obstructive sleep apnea (OSA). The adverse consequences made him suffer from severe depression for 2 years even after quitting the night shift. Strict guidelines are required to be laid down and followed for companies, which require night shift working.

PDF Share
  1. Wang XS, Armstrong ME, Cairns BJ, Key TJ, Travis RC. Shift work and chronic disease: the epidemiological evidence. Occupational medicine. 2011 Mar 1;61(2):78-89.
  2. Wickwire EM, Geiger-Brown J, Scharf SM, Drake CL. Shift work and shift work sleep disorder: clinical and organizational perspectives. Chest. 2017 May 1;151(5):1156-1172.
  3. Kerkhof GA. Shift work and sleep disorder comorbidity tend to go hand in hand. Chronobiology international. 2018 Feb 1;35(2):219-228.
  4. Barger LK, Rajaratnam SM, Cannon CP, Lukas MA, Im K, Goodrich EL, et al. Short sleep duration, obstructive sleep apnea, shiftwork, and the risk of adverse cardiovascular events in patients after an acute coronary syndrome. Journal of the American Heart Association. 2017 Oct 1;6(10):e006959.
  5. Scheer FA, Hilton MF, Mantzoros CS, Shea SA. Adverse metabolic and cardiovascular consequences of circadian misalignment. Proceedings of the National Academy of Sciences. 2009 Mar 17;106(11):4453-4458.
  6. Cappuccio FP, Cooper D, D'elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European heart journal. 2011 Feb 7;32(12):1484-1492.
  7. King CR, Knutson KL, Rathouz PJ, Sidney S, Liu K, Lauderdale DS. Short sleep duration and incident coronary artery calcification. Jama. 2008 Dec 24;300(24):2859-2866.
  8. Trinkoff AM, Storr CL. Work schedule characteristics and substance use in nurses. American journal of industrial medicine. 1998 Sep;34(3):266-271.
  9. Boisard P, Cartron D, Gollac M, Valeyre A. Time and work: duration of work. Publications Office of the European Union; 2003.
  10. Lee S, McCann D, Messenger JC. Working time around the world. Geneva: ILO. 2007.
  11. The international classification of sleep disorders: diagnostic and coding manual, ICSD-2. 2nd. Westchester, IL: American Academy of Sleep Medicine; 2005.
  12. Zhu L, Zee PC. Circadian rhythm sleep disorders. Neurologic clinics. 2012 Nov 1;30(4):1167-1191.
  13. Stephan FK, Zucker I. Circadian rhythms in drinking behavior and locomotor activity of rats are eliminated by hypothalamic lesions. Proceedings of the National Academy of Sciences. 1972 Jun 1;69(6):1583-1586.
  14. Czeisler CA, Allan JS, Strogatz SH, Ronda JM, Sanchez R, Rios CD, Freitag WO, Richardson GS, Kronauer RE. Bright light resets the human circadian pacemaker independent of the timing of the sleep-wake cycle. Science. 1986 Aug 8;233(4764):667-671.
  15. Sateia MJ. International classification of sleep disorders. Chest. 2014 Nov 1;146(5):1387-1394.
  16. Edition F, American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Publishing. 2013.
  17. Kloepfer C, Riemann D, Nofzinger EA, Feige B, Unterrainer J, O'R, Sorichter S, Nissen C. Memory before and after sleep in patients with moderate obstructive sleep apnea. Journal of Clinical Sleep Medicine. 2009 Dec 15;5(06):540- 548.
  18. Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T. Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep. 2004 Dec 1;27(8):1453-1462.
  19. Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27 485 people. Occupational and environmental medicine. 2001 Nov 1;58(11):747-752.
  20. Angerer P, Schmook R, Elfantel I, Li J. Night work and the risk of depression: A systematic review. Deutsches Ärzteblatt International. 2017 Jul;114(24):404.
  21. Nena E, Katsaouni M, Steiropoulos P, Theodorou E, Constantinidis TC, Tripsianis G. Effect of shift work on sleep, health, and quality of life of health-care workers. Indian journal of occupational and environmental medicine. 2018 Jan;22(1):29.
  22. Gordon NP, Cleary PD, Parker CE, Czeisler CA. The prevalence and health impact of shiftwork. American journal of public health. 1986 Oct;76(10):1225-1228.
  23. Boivin DB, James FO. Light treatment and circadian adaptation to shift work. Industrial health. 2005;43(1):34-48.
  24. Rajaratnam SM, Polymeropoulos MH, Fisher DM, Roth T, Scott C, Birznieks G, Klerman EB. Melatonin agonist tasimelteon (VEC-162) for transient insomnia after sleep-time shift: two randomised controlled multicentre trials. The Lancet. 2009 Feb 7;373(9662):482-491.
  25. Minors DS, Waterhouse JM. Does ‘anchor sleep'entrain circadian rhythms? Evidence from constant routine studies. The Journal of physiology. 1983 Dec 1;345(1):451-467.
  26. Smith-Coggins R, Howard SK, Mac DT, et al. Improving alertness and performance in emergency department physicians and nurses:the use of planned naps. Ann Emerg Med. 2006;48(5):596-604.
  27. Morgenthaler TI, Lee-Chiong T, Alessi C, Friedman L, Aurora RN, Boehlecke B, Brown T, Chesson Jr AL, Kapur V, Maganti R, Owens J. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. Sleep. 2007 Nov 1;30(11):1445-1459.
  28. Hart CL, Ward AS, Haney M, Foltin RW. Zolpidem-related effects on performance and mood during simulated nightshift work. Experimental and clinical psychopharmacology. 2003 Nov; 11(4):259.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.