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Updated: Mar 7, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Association Between Employee Sleep With Workplace Health and Economic Outcomes
Wayne N Burton1, Chin-Yu Chen, Alyssa B Schultz
1University of Illinois at Chicago, American Express Company, Chicago, Illinois (Dr Burton); and University of Michigan Health Management Research Center, Ann Arbor, Michigan (Drs Chen, Schultz, Li).
Objective:
Poor sleep can impact occupational functioning. The current study examines health risks, medical conditions, and workplace economic outcomes associated with self-reported hours of sleep among employees.
Methods:
Employees of a global financial services corporation were categorized on the basis of their self-reported average hours of sleep. Differences in health care costs, productivity measures, health risks, and medical conditions were analyzed by hours of sleep while controlling for confounding variables.
Results:
A strong U-shaped relationship between health care costs, short-term disability, absenteeism, and presenteeism (on-the-job work loss) and the hours of sleep was found among employees. The nadir of the "U" occurs for 7 or 8 hours of sleep per night.
Conclusions:
Worksite wellness programs often address health risks and medical conditions and may benefit from incorporating sleep education.
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