轮班工人睡眠和认知功能障碍的运动干预:随机试验的系统审查
Fahad Hamoud Algharbi1,2, Shibili Nuhmani1, Mohammed Alsubaiei1
1Department of Physiotherapy, College of Applied Medical Sciences, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
Frontiers in public health
|February 23, 2026
概括
结构化炼有望改善轮班工人的睡眠和认知功能. 定制的,以工作场所为基础的计划可能会提高坚持和有效性,但需要更多的研究.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 运动科学 运动科学
背景情况:
- 轮班工作破坏昼夜节律,导致睡眠障碍,心脏代谢问题和认知障碍.
- 这些影响在对安全至关重要的职业中尤为严重.
- 结构化炼对轮班工人的睡眠和认知的影响尚未得到充分证实.
研究的目的:
- 审查轮班工人结构化运动训练的随机对照试验 (RCT).
- 为了确定运动对睡眠和认知结果的影响.
- 检查干预特征,机制和实施障碍.
主要方法:
- 按照PRISMA和Cochrane指南进行RCT的系统审查.
- 在六个数据库中搜索了关于成年轮班工作者和结构化炼的研究.
- 评估睡眠质量 (PSQI,动图,多睡眠图),嗜睡 (KSS) 和认知表现 (PVT).
- 评估偏差风险和方法质量.
主要成果:
- 十个RCT (n=420) 主要使用有氧或混合运动.
- 八项研究显示,睡眠质量和数量有所改善,尽管效果大小各不相同.
- 三个RCT改善了警觉和认知功能,特别是在轮班后或监督干预时.
- 机制包括昼夜阶段转移和心率变化 (HRV) 的改善.
- 80%的研究具有中度至高偏差风险;坚持障碍是常见的.
结论:
- 定制的,基于工作场所的炼计划显示出轮班工人睡眠和认知的潜力.
- 监督干预措施可以提高遵守性和适用性.
- 为了制定指导方针,还需要更多具有标准化结果的高质量的RCT.
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