Brito Renata Silva, Dias Cristiane, Afonso Filho Agenor, Salles Cristina
Escola Bahiana de Medicina e Saúde Pública, Medicina - Salvador - Bahia - Brazil.
Clinos Clínica de Neurologia e Otorrinolaringologia, Medicina - Santo Antônio de Jesus - Bahia - Brazil.
Sleep Sci. 2021 Jan-Mar;14(1):47-54. doi: 10.5935/1984-0063.20190150.
Insomnia is a sleep disorder of high prevalence with somatic and psychic repercussions. The present study aimed to describe the prevalence of insomnia in shift workers, as well as the associated variables: gender, age, marital status, profession and shift work schedule. A systematic review was performed using the descriptors "insomnia" AND "shift work", in the PubMed, SciELO and LILACS databases, including studies that presented frequency of insomnia in shift workers, published between 2000 and 2020, in English or Portuguese, only in individuals over 18-years-old. Review articles, meta-analyzes, studies without socioeconomic information, articles without abstract and articles with participants who presented other comorbidities that justified presence of insomnia or pregnant women were excluded. From 480 studies identified, 5 were included in the analysis, with a total sample of 10,141 participants, of whom 4,183 were shift workers. The prevalence of insomnia in shift workers ranged from 12.8% to 76.4%, higher than estimated for general population. Moreover, a higher prevalence was observed among women and singles, and there was no significant variation with age and profession. On the other hand, a relationship between shift work schedule and onset of insomnia still seems controversial.
失眠是一种高发性睡眠障碍,会对身体和心理产生影响。本研究旨在描述轮班工作者中失眠的患病率,以及相关变量:性别、年龄、婚姻状况、职业和轮班工作时间表。在PubMed、SciELO和LILACS数据库中,使用描述词“失眠”和“轮班工作”进行了系统综述,纳入了2000年至2020年间发表的、以英文或葡萄牙文撰写的、仅针对18岁以上个体的、呈现轮班工作者失眠频率的研究。综述文章、荟萃分析、无社会经济信息的研究、无摘要的文章以及参与者患有其他可解释失眠存在的合并症的文章或孕妇相关文章均被排除。从480项识别出的研究中,5项被纳入分析,总样本量为10141名参与者,其中4183名是轮班工作者。轮班工作者中失眠的患病率在12.8%至76.4%之间,高于一般人群的估计患病率。此外,女性和单身者中的患病率更高,且在年龄和职业方面没有显著差异。另一方面,轮班工作时间表与失眠发作之间的关系似乎仍存在争议。