A Cross-Sectional Study to Analyze the Physical and Cognitive Fatigue Due to Sleep Disruption Among Shift Workers in Tamilnadu

Vimala Rani Swaminathan; Archana Rajasundaram; Sasikumar Santhoshkumar

doi:10.52756/ijerr.2024.v40spl.015

Authors

Vimala Rani Swaminathan Department of Physiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai-600044, India https://orcid.org/0000-0002-4938-0943
Archana Rajasundaram Department of Anatomy, Sree Balaji Medical College and Hospital, Chromepet, Chennai-600044, India https://orcid.org/0000-0003-3960-8390
Sasikumar Santhoshkumar Department of Physiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai-600044, India https://orcid.org/0000-0002-8372-1879

DOI:

https://doi.org/10.52756/ijerr.2024.v40spl.015

Keywords:

Cognition, Disturbed sleep, Fatigue, Muscle strength, Shift work

Abstract

The objective of this research is to analyse the extent and manner of the kind of fatigue among shift workers in Tamil Nadu, India. As for shift workers, they often have disturbed night’s sleep. Shift work is distinguished by its irregular and unique work hours, unlike the regular day-time Schedule. It is combined with circadian alteration, which affects most of the bodily activities. They have diverse sorts of health problems, such as physical and mental fatigue. A Cross-sectional Analysis was done among airport workers. 200 participants were randomly selected for the study aged 35-45 years and conducted for a duration of 6 months in the Airport, Tamilnadu. Sleep quality and cognition were assessed using a validated questionnaire. The muscle fatigue was evaluated using Mosso’s ergograph. R-statistical Software (version 4.0.2) was used for Data Analysis. The Primary analyses of data set’s normality were done by Kolmogorov - Smirnov Z test. Significant negative correlation exists between global PSQI score and both cognition score (r= -0.315, P<0.001) and Work done by Mosso (r= -0.405, P<0.001) There is also negative correlation exists between work done and the cognition score (r= - 0.565, P<0.001) which is statistically significant. Decreased Sleep Quality, more fatigue and lowering of cognition levels not only affects physical health but also the quality of life. It has been noted that sleep disturbance leads to physical and mental exhaustion among Tamil Nadu shift workers. The outcomes underscore the need for targeted interventions to improve sleep-related behaviours as well as the treatment of fatigue in this population. Reducing the disturbances of shift work effects on produce, growth as well as health may be authorized by way of implementing organized work shifts and also promoting sleep promotion.

References

Albertas, S., Diana, K., & Laura, Z. (2021). Effects of two nights of sleep deprivation on executive function and central and peripheral fatigue during maximal voluntary contraction lasting 60s, Physiology & Behavior, 229. https://doi.org/10.1016/j.physbeh.2020.113226.

Andrew, W., Mc Hill, Kenneth, P., & Wright (2019). Cognitive Impairments during the Transition to Working at Night and on Subsequent Night Shifts. Journal of Biological Rhythms, 34(4), 432–446. https://doi.org/10.1177/0748730419848552

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Carty, C. L., Noonan, C., & Muller, C. (2022). Mid-life physical activity and late-life cognitive performance among American Indians. Neuroepidemiology, 56(2), 119-126. https://doi.org/10.1159/000521791

Chellappa, S. L., Morris, C. J., & Scheer, F. A. (2019). Effects of circadian misalignment on cognition in chronic shift workers. Sci. Rep., 9, 1–9. https://doi.org/10.1038/s41598-018-36762-w

Craven, J., Mc Cartney, D., Desbrow, B., & Sabapathy, S. (2022). Effects of Acute Sleep Loss on Physical Performance: A Systematic and Meta-Analytical Review. Sports Med.,52(11), 2669-2690. https://doi.org/10.1007/s40279-022-01706-y

Elhami Athar, M., Atef Vahid, M. K., & Ashouri, A. (2020). The Influence of Shift Work on the Quality of Sleep and Executive Functions. J. Circadian Rhythms,18(4). https://doi.org/10.5334/jcr.194

Genario, R., Gil, S., Oliveira Junior, G., Leitao, A. E., Franco, T. C., & Sales, R. M. (2023). Sleep quality is a predictor of muscle mass, strength, quality of life, anxiety and depression in older adults with obesity. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-37921-4

Gothe, N. P., Ehlers, D. K., Salerno, E. A., & Fanning, J. (2020). Physical activity, sleep and quality of life in older adults: influence of physical, mental and social well-being. Behav. Sleep Med., 18, 797–808. https://doi.org/10.1080/15402002.2019.1690493

He, F., Lin, J., & Li, F. (2021). Physical work and exercise reduce the risk of cognitive impairment in older adults: a population-based longitudinal study. Curr. Alzheimer Res.,18(8), 638-645. https://doi.org/10.2174/1567205018666211118100451

Jia, R. X., Liang, J. H., Xu, Y., & Wang, Y.Q. (2019). Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis. BMC Geriatr,19, 181. https://doi.org/10.1186/s12877-019-1175-2

Kayser, K.C., Puig,V. A., & Estepp, J .R. (2022). Predicting and mitigating fatigue effects due to sleep deprivation: A review. Front Neurosci., 16.https://doi.org/10.3389/fnins.2022.930280

Kazemi, R., Haidarimoghadam, R., Motamedzadeh, M., & Golmohamadi, R. (2016). Effects of Shift Work on Cognitive Performance, Sleep Quality, and Sleepiness among Petrochemical Control Room Operators. J. Circadian Rhythms, 14(1). https://doi.org/10.5334/jcr.13

Keller, K., & Engelhardt, M. (2014). Strength and muscle mass loss with aging process. Age and strength loss. Muscles Ligaments Tendons J., 3(4), 346-50.

Knowles, O. E., Drinkwater, E. J., Urwin, C. S., Lamon, S., & Aisbett, B.( 2018). Inadequate sleep and muscle strength: Implications for resistance training. J. Sci. Med. Sport, 21(9), 959-968. https://doi.org/10.1016/j.jsams.2018.01.012

Lamon, S., Morabito, A., Arentson‐Lantz, E., Knowles, O., &Vincent, G. E.(2021). The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment. Physiological Reports, 9(1), e14660. https://doi.org/10.14814/phy2.14660

Lee, I., Cho, J., Hong, H., Jin,Y., & Kang, H. (2018). Sarcopenia Is Associated with Cognitive Impairment and Depression in Elderly Korean Women. Iran J. Public Health,47(3), 327-334.

Madhu, N.R., & Manna, C. K. (2010). Pineal-adrenal interactions in domestic male pigeon exposed to variable circadian light regimes and exogenous melatonin. Endocrine Regulation. 44(3), 121-127. https://doi.org/1010.4149/endo_2010_03_121

Madhu, N.R., & Manna, C. K. (2011). Pineal-adrenocortical interactions in domestic male pigeon exposed to long and short photoperiods and exogenous testosterone propionate. Biological Rhythm Research, 44(3), 349-362. https://doi.org/0.4149/endo_2010_03_121

Madhu, N.R., & Manna, C.K. (2021). Ultra-structural changes of the pineal and adrenal gland under effects of photoperiod, melatonin and testosterone propionate in the adult male pigeon. Chettinad Health City Medical Journal, 10(1), 1-5. https://doi.org/10.36503/chcmj

Musab, C., Sezen cimen, P., & Kaan, E. (2024). Investigation Of The Cognitive Flexibility, Sleep Quality, Academic Performance Of Students Based On Physical Activity Level, Educational Administration: Theory And Practice, 30(3), 112-118, https://doi.org/10.53555/kuey.v30i4.1415

Namsrai, T., Ambikairajah, A., & Cherbuin, N. (2023). Poorer sleep impairs brain health at midlife. Sci. Rep.,13(1), 1874. https://doi.org/10.1038/s41598-023-27913-9

Nasreddine, Z. S., Phillips, N. A., Bedirian, V., & Charbonneau, S. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc., 53(4), 695-9. https://doi.org/10.1111/j.1532-5415.2005.53221.x

Pal, G. K., & Pal, P. (2021). Textbook of practical Physiology. Vol. 5, 228-34. ISBN: 9789389211641

Peng, X., Liu, N., Zhang, X., Bao, X., Xie, Y., & Huang, J. (2018). Associations between objectively assessed physical fitness levels and sleep quality in community-dwelling elderly people in South China. Sleep & Breathing, 23(2), 679–685. https://doi.org/10.1007/s11325-018-1749-9

Ramoo, K., Hairi, N. N., & Yahya, A. (2022). Longitudinal Association between Sarcopenia and Cognitive Impairment among Older Adults in Rural Malaysia. Int. J. Environ. Res. Public Health,19(8), 4723. https://doi.org/10.3390/ijerph19084723

Shortz, A. E., Pickens, A., & Zheng, Q. (2015). The effect of cognitive fatigue on prefrontal cortex correlates of neuromuscular fatigue in older women. J. NeuroEngineering Rehabil, 12, 115 https://doi.org/10.1186/s12984-015-0108-3.

Sui, S. X., Holloway, K. L., Hyde, N. K., & Williams, L.J. (2020). Muscle strength and function rather than muscle mass are better indicators for poor cognitive performance in older men. Sci. Rep., 10, 1–9. https://doi.org/10.1038/s41598-020-67251-8

Sui, S. X., Williams, L. J., Holloway-Kew, K. L., & Hyde, N. K. (2021).Skeletal Muscle Health and Cognitive Function: A Narrative Review. Int. J. Mol. Sci., 22, 255. https://doi.org/10.3390/ijms22010255

Swaminathan, V., Rajasundaram, A., & Santhoshkumar, S. (2024). Effect of Altered Sleep, Perceived Stress on Muscle Strength between Night and Day Shift Workers: A Cross-Sectional Study in Chennai. International Journal of Experimental Research and Review, 38, 111-118. https://doi.org/10.52756/ijerr.2024.v38.010

Thompson, K., Chau, M., Lorenzetti, M. S., Hill, L. D., Fins, A. I., & Tartar, J. L. (2022). Acute sleep deprivation disrupts emotion, cognition, inflammation, and cortisol in young healthy adults. Frontiers in Behavioral Neuroscience, 16, 945661. https://doi.org/10.3389/fnbeh.2022.945661

Tolea, M. I., & Galvin, J. E. (2015). Sarcopenia and impairment in cognitive and physical performance. Clin. Interv. Aging, 10, 663–671. https://doi.org/10.2147/cia.s76275

Uchida, T., Sugimoto, C., Tange, Y., Nishita, H., & Shimokata, N. (2023). Association between Reduction of Muscle Mass and Faster Declines in Global Cognition among Older People: A 4-Year Prospective Cohort Study. The Journal of Nutrition, Health and Aging, 27(11), 932-939. https://doi.org/10.1007/s12603-023-2007-9

Yeo, H., Lee, J., Jeon, S., Lee, S., Hwang, Y., Kim, J., & Kim, S. J. (2022). Sleep disturbances, depressive symptoms and cognitive efficiency as determinants of mistakes at work in shift and non-shift workers. Front Public Health, 10. https://doi.org/10.3389/fpubh.2022.1030710

Zavecz, Z., Nagy, T., Galkó, A., Nemeth, D., & Janacsek, K. (2020). The relationship between subjective sleep quality and cognitive performance in healthy young adults: Evidence from three empirical studies. Scientific Reports, 10(1), 4855. https://doi.org/10.1038/s41598-020-61627-6

Zhang, J., Liu, Y., Sun, Q., Shi, J., & Ni, J. (2024). Comparative efficacy of various exercise interventions on sleep in patients with cognitive impairment: a systematic review and meta-analysis. Front Neurol.,15. https://doi.org/10.3389/fneur.2024.1300459.

Zhao, X., Jin, L., & Sun, S.B. (2021). The bidirectional association between physical and cognitive function among Chinese older adults: a mediation analysis. Int. J. Aging Hum. Dev., 92(2), 240-263. https://doi.org/10.1177/0091415020940214