Related Experiment Video
Updated: Jul 9, 2026

08:36
Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Predicting long-term sickness absence from sleep and fatigue
Torbjorn Akerstedt1, Goran Kecklund, Lars Alfredsson
1Institute for Psychosocial Medicine, Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. torbjorn.akerstedt@ipm.ki.se
Journal of Sleep Research
|November 27, 2007
Summary
Disturbed sleep and fatigue predict long-term sickness absence. Poor sleep quality may lead to fatigue, increasing the likelihood of extended work absence.
Area of Science:
- Occupational Health
- Sleep Medicine
- Public Health
Background:
- Disturbed sleep is linked to disease, but its connection to sickness absence is less understood.
- Limited research exists on the relationship between sleep disturbances and subsequent work absenteeism.
- Fatigue is a common symptom often associated with sleep problems.
Purpose of the Study:
- To investigate the prospective association between disturbed sleep and fatigue with long-term sickness absence.
- To determine if sleep quality and fatigue predict future work absence.
- To analyze the impact of disturbed sleep and fatigue on different durations of sickness absence.
Main Methods:
- Utilized a national sample of 8300 individuals.
- Collected self-reported data on disturbed sleep and fatigue.
- Merged sleep data with long-term sickness absence records two years later.
- Employed logistic regression analysis, adjusting for demographic and work environment factors.
Main Results:
- Individuals reporting disturbed sleep had a significantly higher probability of long-term sickness absence (OR=1.24).
- Fatigue was a stronger predictor of long-term sickness absence (OR=1.69).
- Excluding either fatigue or disturbed sleep individually increased the odds ratio for the remaining factor, suggesting independent contributions.
Conclusions:
- Disturbed sleep and fatigue are significant predictors of long-term sickness absence.
- Impaired sleep may initiate a causal chain leading to fatigue and subsequent work absence.
- These findings highlight the importance of addressing sleep issues in occupational health strategies.
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
Longitudinal Research
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
Substance Use Disorders Affecting Sleep
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
