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Countermeasures for sleep loss and deprivation.

Stanford University Center of Excellence for Sleep Disorders, 401 Quarry Road, Suite 3301, Stanford, CA 94305, USA. .
Current Treatment Options in Neurology (Impact Factor: 2.18). 10/2006; 8(5):361-6. DOI: 10.1007/s11940-006-0025-7
Source: PubMed

ABSTRACT Sleep deprivation is ubiquitous and carries profound consequences in terms of personal and public health and safety. There is no substitute for a good night's sleep. Sleep that is optimal in quality and quantity for individuals, factoring in their age and personal sleep requirements, will minimize sleep debt and maximize daytime performance. Therefore, setting aside an adequate amount of time for sleep should be a priority; sleep should not be sacrificed at the expense of other activities of daily living. Nevertheless, there are certain therapeutic countermeasures available for individuals who are unable to obtain adequate sleep because of medical or sleep-related conditions (eg, narcolepsy, obstructive sleep apnea) when excessive daytime sleepiness is the main feature of the condition, or residual sleepiness despite treatment for the main conditions is present. These therapeutic countermeasures may also be considered in situations in which occupational constraints (eg, rotating shift work, military duty) dictate that constant or heightened vigilance is important or critical to work performance, crucial decision making, and/or survival. Exploration of the causes of sleep loss or deprivation, whether it is voluntary, or work or family induced, and/or the effects of a medical or sleep disorder, is a necessary first step in the evaluation of a patient who has significant daytime fatigue or sleepiness. Wake-promoting substances and medications such as caffeine, modafinil, methylphenidate, and dextroamphetamine may be considered in situations in which sleep loss is unavoidable or persists despite treatment of an underlying disorder that is characterized by or associated with daytime fatigue or sleepiness.

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    ABSTRACT: The objective was to examine the relationship between seasonal variations in sleep quantity and work-related injuries on Saskatchewan farms. A cross-sectional analysis of data from the Saskatchewan Farm Injury Cohort Study was conducted. Analyses were restricted to workers, aged ≥16 years. The primary outcome was work-related injury in the last year. Logistic regression models were used to identify associations between sleep quantity and farm injury. After controlling for confounding variables peak production season sleep was not associated with increased odds of injury. However, those obtaining ≤5 hr sleep per night during non-peak production seasons had increased odds of injury (OR 2.42, 95% CI 1.04-5.59) compared with those sleeping ≥7 hr per night. We identified that restricted sleep durations, in certain seasons, placed farmers, and farm workers at risk of injury. Agricultural injury intervention programs need to consider the role of seasonal-related variations in sleep on farm injury.
    American Journal of Industrial Medicine 04/2012; 55(4):367-75. DOI:10.1002/ajim.22003 · 1.59 Impact Factor
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