Physical training intervention in female shift workers: I. The effects of intervention on fitness, fatigue, sleep, and psychosomatic symptoms.
ABSTRACT A physical training intervention was carried out on 75 nurses and nursing aides working irregular shifts to determine the effects of such an intervention on health, sleep-wakefulness and adaptation to shiftwork. The study design and changes in physical fitness, fatigue, sleep and psychosomatic symptoms are examined. Training (T) and control (C) groups were built randomly from matched sets of subjects. Questionnaire, laboratory and field studies were done before and after a controlled physical training programme lasting four months. Maximal oxygen consumption and muscle strength increased and heart rates at rest and at work decreased significantly in the T but not in the C group. General fatique during the shift cycle, and fatigue during the night shifts were reduced, whereas fatigue during the evening shifts increased owing to the intervention. Sleep length increased slightly and musculoskeletal symptoms were reduced. The results suggest that moderate physical training increases the physical fitness of female shift workers, and reduces work-dependent fatigue and musculoskeletal symptoms.
European Journal of Work and Organizational Psychology 10/2013; 24(1):76-87. DOI:10.1080/1359432X.2013.858700 · 2.09 Impact Factor
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ABSTRACT: Physicians worldwide are working round the clock to meet the demands of healthcare systems, especially in acute medical settings such as EDs. Demanding shift work schedules cause fatigue and thus deterioration in mood and motor performance. This article explores the effects of sleep deprivation, focusing on cognition, executive decision-making and the implications for clinical care. Humans are capable of functioning and even adapting to sleep restriction; however, clinicians should be aware of pitfalls and absolute minimums for sleep. Fatigue management training shows promise in enhancing safety in aviation and might have a role in medical shift work. Strategic napping improves performance during night shift in the ED, but does not fully negate fatigue. Drugs offer limited benefit for performance under sleep-deprived conditions, and whenever possible, sleep and/or strategic napping takes precedence.Emergency medicine Australasia: EMA 11/2014; 26(6):640-644. DOI:10.1111/1742-6723.12319 · 1.22 Impact Factor
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ABSTRACT: It is unknown if aerobic exercise overloads or improves the cardiovascular system among workers with high occupational physical activity. This was investigated in a worksite randomized controlled trial (RCT) of aerobic exercise among cleaners. We randomized 116 cleaners between 18-65 years. The aerobic exercise group (N=57) performed worksite aerobic exercise (30 minutes twice a week) and the reference group (N=59) received lectures. Cardiorespiratory fitness, blood pressure (BP) and diurnal heart rate (HR) for measuring aerobic workload [% HR reserve (% HRR)] were collected at baseline and after four months. A repeated measure 2×2 multi-adjusted mixed-model design was applied to compare the between-group differences in an intention-to-treat analysis. Between-group differences (P.Scandinavian Journal of Work, Environment & Health 12/2014; DOI:10.5271/sjweh.3475 · 3.10 Impact Factor