Department of Kinesiology, Towson University, Towson, MD 21252, USA.
Towson Research Academy of Collaborative Sport Science (TRACS), Towson University, Towson, MD 21252, USA.
Mil Med. 2022 Oct 29;187(11-12):1318-1329. doi: 10.1093/milmed/usac118.
Musculoskeletal injuries (MSKIs) are a significant health problem in the military. Accordingly, identifying risk factors associated with MSKI to develop targeted strategies that attenuate injury risk remains a top priority within the military. Insufficient sleep has garnered increased attention as a potential risk factor for MSKI in both civilians and military personnel. Yet, there are no systematic evaluations of the potential association between sleep and MSKI in the military. The purpose of this review is to examine the relationship between sleep and injury in military personnel.
Literature searches were performed in multiple electronic databases using keywords relevant to sleep quantity and quality, MSKI, and military populations. Two investigators independently assessed the methodological quality of each study using the Newcastle-Ottawa Scale for cohort studies or an adapted form of this scale for cross-sectional studies.
The search yielded 2402 total citations, with 8 studies (3 cohort and 5 cross-sectional) fitting the inclusion criteria. Overall, the systematic review found 5 of the 8 reviewed studies supporting an association between sleep (quality and duration) and MSKI in military personnel. Specifically, poor sleep was associated with increased injury incidence in 2 cohort and 3 cross-sectional studies.
This is the first systematic review to evaluate the published literature on the association between sleep and MSKI risk in military populations. Although there is currently limited research on this topic, findings suggest that sleep is associated with MSKI and should be considered when designing strategies aimed at reducing MSKI risk in military personnel.
肌肉骨骼损伤（MSKIs）是军队中的一个重大健康问题。因此，确定与 MSKI 相关的风险因素，以制定有针对性的策略来降低受伤风险，仍然是军队的首要任务。睡眠不足作为平民和军人 MSKI 的一个潜在风险因素，已经引起了越来越多的关注。然而，在军队中，还没有对睡眠与 MSKI 之间潜在关联进行系统评估。本综述的目的是研究睡眠与军人受伤之间的关系。
使用与睡眠量和质量、MSKI 和军人人群相关的关键词，在多个电子数据库中进行文献检索。两名调查员使用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale）对队列研究或经过改编的横断面研究的量表，独立评估了每项研究的方法学质量。
搜索共产生了 2402 条总引文，其中有 8 项研究（3 项队列研究和 5 项横断面研究）符合纳入标准。总的来说，系统综述发现 8 项综述研究中有 5 项支持睡眠（质量和持续时间）与军人 MSKI 之间存在关联。具体而言，2 项队列研究和 3 项横断面研究表明，睡眠质量差与受伤发生率增加有关。
这是首次对评估睡眠与军事人群中 MSKI 风险之间关联的文献进行的系统综述。尽管目前关于这个主题的研究有限，但研究结果表明，睡眠与 MSKI 有关，在设计旨在降低军人 MSKI 风险的策略时应考虑到这一点。
