ROGER ROSA



What Can The Study Of Work Scheduling Tell Us About Adolescent Sleep?

ROGER ROSA, Ph.D
National Institute for Occupational Safety and Health

ield studies of work scheduling have demonstrated a reliable association between working hours, sleep quantity and quality, and waking alertness. Both the circadian timing of working hours, and the number of hours worked in a day or week, can affect sleep and alertness. With respect to circadian timing, sleep will be affected adversely to the degree to which working hours intrude upon the normal nighttime sleeping hours. This tendency is most obvious in night shift workers who must sleep during the daytime, but also is quite apparent in those individuals who begin work before 7:00 am. Questionnaire studies have suggested that sleep often is truncated in these workers because of the necessity of early-morning awakening combined with circadian rhythm and social limitations on retiring early in the evening. A recent NIOSH study will be presented to support these claims. That study demonstrated that a one-hour delay in morning shift start times increased worker sleep and improved waking alertness during the shift.

Sleep also is curtailed when the total number of working hours is increased in a day or across the workweek. A series of NIOSH studies of 12-hour shift schedules will be presented to demonstrate both a gradually accumulating sleep debt over a 4-day work week, and decreased worker alertness during the 12-hour shifts. This sleep debt can be attributed partially to reduced daily personal time afforded by the extended workdays, which results in sleep being sacrificed for the sake of social/domestic obligations.

Studies of work scheduling in adults have direct relevance to adolescents because young people have the 'job' of attending and performing well at school on a schedule similar to the 40-hour adult workweek. In addition, at least half of U.S. adolescents are part of the commercial workforce, which can add up to 20 additional hours to their workweek. It is clear, in this context, that the study of extended workdays in adults has direct application to adolescents having a 50- to 60-hour weekly school-work schedule. Studies of extended workdays in adults suggest that sleep loss increases in proportion to the number of scheduled work hours per week, which could place working adolescents at greater risk of poor school performance or having an accident or injury. Studies of adult workshift timing also are relevant, however, since adolescents often are required to begin school very early in the morning because of transportation limitations. Consequently, they may have truncated morning sleep and associated waking drowsiness similar to adult morning shift workers. Research into the degree to which these effects differ in adults versus adolescents is not substantial. Recent evidence suggests that adolescents have a greater sleep need than adults which could exacerbate the effects of work-related sleep debt. Young people, however, usually have fewer domestic duties than adults which could allow greater opportunity for sleep. The modulating effects on adolescents of other work-related fatigue factors, such as workload, pacing, or environmental exposures, generally are unknown.