دورية أكاديمية
Sleep health among US Navy afloat versus ashore personnel in the Millennium Cohort Study.
| العنوان: | Sleep health among US Navy afloat versus ashore personnel in the Millennium Cohort Study. |
|---|---|
| المؤلفون: | Jacobson IG; Deployment Health Research Department, Naval Health Research Center, San Diego, California, USA.; Leidos, Inc., San Diego, California, USA., Harbertson J; Deployment Health Research Department, Naval Health Research Center, San Diego, California, USA.; Leidos, Inc., San Diego, California, USA., Sharifian N; Deployment Health Research Department, Naval Health Research Center, San Diego, California, USA.; Leidos, Inc., San Diego, California, USA., Rull RP; Deployment Health Research Department, Naval Health Research Center, San Diego, California, USA., Steele CT; US Navy Bureau of Medicine and Surgery, Falls Church, Virginia, USA., Russell DW; US Navy, Commander, Naval Surface Forces, Coronado, California, USA.; Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. |
| المصدر: | Journal of sleep research [J Sleep Res] 2024 May 19, pp. e14207. Date of Electronic Publication: 2024 May 19. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Published on behalf of the European Sleep Research Society by Blackwell Scientific Publications Country of Publication: England NLM ID: 9214441 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2869 (Electronic) Linking ISSN: 09621105 NLM ISO Abbreviation: J Sleep Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford ; Boston : Published on behalf of the European Sleep Research Society by Blackwell Scientific Publications, c1992- |
| مستخلص: | Despite emerging public concern regarding the sleep health of military personnel over the past two decades, there remains a dearth of research examining sleep health among naval personnel assigned to sea duty. This study examined sleep metrics (e.g. fatigue, short sleep duration) and mental (e.g. posttraumatic stress disorder, depression) and physical health (e.g. type 2 diabetes, bodily pain) outcomes among naval personnel with recent sea duty (i.e. afloat) compared with naval personnel with recent shore duty (i.e. ashore). Prevalence ratios and mean differences for all outcomes were estimated and adjusted for demographic and military variables, and subsequently stratified by obesity. Sleep metrics were similar between afloat and ashore sailors except for short sleep duration, while sailors with recent shore duty had poorer physical health compared with those with recent sea duty. Stratified analyses suggested naval personnel with obesity had a higher proportion of nearly all adverse sleep-related health outcomes than those without obesity. Among participants without obesity, afloat personnel were more likely to report very short sleep (≤ 5 hours) and fewer hours of average nightly sleep, but were less likely to report physical health outcomes compared with ashore personnel. These findings suggest potential differences in sleep metrics and sleep-related health outcomes between afloat and ashore naval personnel. Additional research examining sleep outcomes using more objective measures is required to further investigate these findings, which may inform strategies to foster consolidated sleep despite environmental and occupational challenges in order to maintain high-performing naval personnel. (© 2024 Leidos Inc. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.) |
| References: | American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). American Psychiatric Association. Belding, J. N., Castaneda, S. F., Jacobson, I. G., LeardMann, C. A., Porter, B., Powell, T. M., Kolaja, C. A., Seelig, A. D., Matsuno, R. K., Carey, F. R., Rivera, A. C., Trone, D. W., Sheppard, B. D., Walstrom, J. L., Boyko, E. J., Rull, R. P., & Millennium Cohort Study, T. (2022). The millennium cohort study: The first 20 years of research dedicated to understanding the long‐term health of US Service members and veterans. Annals of Epidemiology, 67, 61–72. https://doi.org/10.1016/j.annepidem.2021.12.002. Boyko, E. J., Seelig, A. D., Jacobson, I. G., Hooper, T. I., Smith, B., Smith, T. C., Crum‐Cianflone, N. F., & Team, M. C. S. (2013). Sleep characteristics, mental health, and diabetes risk: A prospective study of US military service members in the millennium cohort study. Diabetes Care, 36(10), 3154–3161. Centers for Disease Control and Prevention. (2022). Defining Adult Overweight & Obesity. June 2022 Accessed 19 February 2024. Available at: https://www.cdc.gov/obesity/basics/adult-defining.html. Clerc, P. G., Mayer, S. B., & Graybill, S. (2022). Overweight BMI (25‐29) in active duty military: Excess fat or more lean mass? A look at the evidence. Military Medicine, 187(7–8), 201–203. https://doi.org/10.1093/milmed/usab447. Consensus Conference Panel. (2015). Joint consensus statement of the American Academy of sleep medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: Methodology and discussion. Journal of Clinical Sleep Medicine, 11(8), 931–952. https://doi.org/10.5664/jcsm.4950. Deddens, J. A., & Petersen, M. R. (2008). Approaches for estimating prevalence ratios. Occupational and Environmental Medicine, 65(7), 481, 501‐6. https://doi.org/10.1136/oem.2007.034777. Defense Centers for Public Health. (2022). Defense Health Agency. Health of the Force. Available at: https://ph.health.mil/Periodical%20Library/2022-hof-report.pdf Accessed: 19 February 2024. Gehrman, P., Seelig, A. D., Jacobson, I. G., Boyko, E. J., Hooper, T. I., Gackstetter, G. D., Ulmer, C. S., Smith, T. C., & Team, M. C. S. (2013). Predeployment sleep duration and insomnia symptoms as risk factors for new‐onset mental health disorders following military deployment. Sleep, 36(7), 1009–1018. Good, C. H., Brager, A. J., Capaldi, V. F., & Mysliwiec, V. (2020). Sleep in the United States military. Neuropsychopharmacology, 45(1), 176–191. https://doi.org/10.1038/s41386-019-0431-7. Grier, T., Canham‐Chervak, M., Sharp, M., & Jones, B. H. (2015). Does body mass index misclassify physically active young men. Preventive Medical Reports, 2, 483–487. https://doi.org/10.1016/j.pmedr.2015.06.003. Heinrich, K. M., Jitnarin, N., Suminski, R. R., Berkel, L., Hunter, C. M., Alvarez, L., Brundige, A. R., Peterson, A. L., Foreyt, J. P., Haddock, C. K., & Poston, W. S. (2008). Obesity classification in military personnel: A comparison of body fat, waist circumference, and body mass index measurements. Military Medicine, 173(1), 67–73. https://doi.org/10.7205/milmed.173.1.67. Jameson, J. T., Markwald, R. R., Kubala, A. G., Roma, P. G., Biggs, A. T., Lai, K., & Russell, D. W. (2022). Sleep deficiency, operational fatigue and the interplay of compromising factors: Analysis to aid in fatigue management. Journal of Sleep Research, e13788, e13788. https://doi.org/10.1111/jsr.13788. Kim, H. Y. (2015). Statistical notes for clinical researchers: Effect size. Restorative Dentistry & Endodontics, 40(4), 328–331. https://doi.org/10.5395/rde.2015.40.4.328. Knapik, J. J., Farina, E. K., Steelman, R. A., Trone, D. W., & Lieberman, H. R. (2023). The medical burden of obesity and overweight in the US military: Association of BMI with clinically diagnosed medical conditions in United States military service members. The Journal of Nutrition, 153(10), 2951–2967. https://doi.org/10.1016/j.tjnut.2023.08.023. Kolaja, C., Castaneda, S. F., Woodruff, S. I., Rull, R. P., Armenta, R. F., & Millennium Cohort Study, T. (2022). The relative impact of injury and deployment on mental and physical quality of life among military service members. PLoS One, 17(9), e0274973. https://doi.org/10.1371/journal.pone.0274973. Kroenke, K., Spitzer, R. L., Williams, J. B., & Lowe, B. (2010). The patient health questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry, 32(4), 345–359. https://doi.org/10.1016/j.genhosppsych.2010.03.006. Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ‐8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173. https://doi.org/10.1016/j.jad.2008.06.026. Langton, R. S., Neyra, J., Downs, J. W., & Niebuhr, D. W. (2016). The relationship between enlistment body mass index and the development of obstructive sleep apnea in the U.S. military. Military Medicine, 181(8), 913–919. https://doi.org/10.7205/MILMED-D-15-00295. Larson, G. E., Highfill‐McRoy, R. M., & Booth‐Kewley, S. (2008). Psychiatric diagnoses in historic and contemporary military cohorts: Combat deployment and the healthy warrior effect. American Journal of Epidemiology, 167(11), 1269–1276. https://doi.org/10.1093/aje/kwn084. Markwald, R. R., Carey, F. R., Kolaja, C. A., Jacobson, I. G., Cooper, A. D., & Chinoy, E. D. (2021). Prevalence and predictors of insomnia and sleep medication use in a large tri‐service US military sample. Sleep Health, 7(6), 675–682. https://doi.org/10.1016/j.sleh.2021.08.002. Matsangas, P., & Shattuck, N. L. (2020). Sleep quality, occupational factors, and psychomotor vigilance performance in the U.S. navy sailors. Sleep, 43(12), 1–9. https://doi.org/10.1093/sleep/zsaa118. Matsangas, P., & Shattuck, N. L. (2021). Habitability in berthing compartments and well‐being of sailors working on U.S. navy surface ships. Human Factors, 63(3), 462–473. https://doi.org/10.1177/0018720820906050. McLaughlin, R., Nielsen, L., & Waller, M. (2008). An evaluation of the effect of military service on mortality: Quantifying the healthy soldier effect. Annals of Epidemiology, 18(12), 928–936. https://doi.org/10.1016/j.annepidem.2008.09.002. McMichael, A. J. (1976). Standardized mortality ratios and the “healthy worker effect”: Scratching beneath the surface. Journal of Occupational Medicine, 18(3), 165–168. https://doi.org/10.1097/00043764-197603000-00009. Nagappa, M., Liao, P., Wong, J., Auckley, D., Ramachandran, S. K., Memtsoudis, S., Mokhlesi, B., & Chung, F. (2015). Validation of the STOP‐bang questionnaire as a screening tool for obstructive sleep apnea among different populations: A systematic review and meta‐analysis. PLoS One, 10(12), e0143697. https://doi.org/10.1371/journal.pone.0143697. National Transportation and Safety Board. (2019). Annual Summary of US Civil Aviation Accidents, 2019 NTSB US Civil Aviation Accident Statistics. Available at: https://www.ntsb.gov/safety/data/Pages/AviationDataStats2019.aspx#. Russell, D. W., Markwald, R. R., & Jameson, J. T. (2021). Self‐reported sleep and sleep deficiency: Results from a large initiative of sailors attached to U.S. navy warships. Journal of Sleep Research, 30(6), e13397. https://doi.org/10.1111/jsr.13397. Ryan, M. A., Smith, T. C., Smith, B., Amoroso, P., Boyko, E. J., Gray, G. C., Gackstetter, G. D., Riddle, J. R., Wells, T. S., Gumbs, G., Corbeil, T. E., & Hooper, T. I. (2007). Millennium cohort: Enrollment begins a 21‐year contribution to understanding the impact of military service. Journal of Clinical Epidemiology, 60(2), 181–191. https://doi.org/10.1016/j.jclinepi.2006.05.009. Shattuck, N. L., & Matsangas, P. (2022). Who sleeps more and who works longer in the US navy: Officers or enlisted personnel? Sleep Health, 8(4), 387–390. https://doi.org/10.1016/j.sleh.2022.03.007. Smith, T. C. (2009). The US Department of defense millennium cohort study: Career span and beyond longitudinal follow‐up. Journal of Occupational and Environmental Medicine, 51(10), 1193–1201. https://doi.org/10.1097/JOM.0b013e3181b73146. Tubbs, A. S., Khader, W., Fernandez, F., & Grandner, M. A. (2020). The common denominators of sleep, obesity, and psychopathology. Current Opinion in Psychology, 34, 84–88. https://doi.org/10.1016/j.copsyc.2019.11.003. United States Government Accountability Office. (2021). Navy Readiness: Additional efforts are needed to manage fatigue, reduce crewing shortfalls, and implement training (GAO 21–366). Available at: https://www.gao.gov/assets/720/714556.pdf. |
| معلومات مُعتمدة: | Military Operational Medicine Research Program; Defense Health Agency; U.S. Department of Veterans Affairs |
| فهرسة مساهمة: | Keywords: fatigue; mental health; military personnel; sleep duration; sleep hygiene; sleep initiation and maintenance disorders |
| تواريخ الأحداث: | Date Created: 20240519 Latest Revision: 20240519 |
| رمز التحديث: | 20240520 |
| DOI: | 10.1111/jsr.14207 |
| PMID: | 38764130 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1365-2869 |
|---|---|
| DOI: | 10.1111/jsr.14207 |