Economic Impact of Insufficient and Disturbed Sleep in the Workplace

Overview

Journal Pharmacoeconomics

Specialty Pharmacology

Date 2023 Mar 18

PMID 36933184

Authors

Danielle R Glick

Samuel A Abariga

Irine Thomas

Andrea G Shipper

Brian C Gunia

Michael A Grandner

Elliot Rosenberg

Stella E Hines

Vincent Capaldi

Jacob Collen

Emerson M Wickwire

Affiliations

Soon will be listed here.

Abstract

Objective: Insufficient and disturbed sleep are associated with significant morbidity among working-age adults. Poor sleep results in negative health outcomes and increases economic costs to employers. The current systematic review surveyed the peer-reviewed scientific literature and aggregated scientific evidence of sleep-related economic burdens borne by employers.

Methods: A systematic review was performed to identify peer-reviewed, English language studies evaluating the economic impact of insufficient and disturbed sleep among adult employee populations. An exhaustive literature search was performed using keywords related to sleep, economics, and the workplace. Included were scientific studies (randomized controlled trials, cohort and case control studies, cross-sectional and longitudinal studies) examining specific employee populations with relevant sleep and economic outcomes. Each included study was evaluated for risk of bias and relevant data was extracted and summarized.

Results: Sleep problems among employee populations are associated with worsened workplace outcomes, such as presenteeism, absenteeism, and accidents. Sleep problems also increased costs to employers, ranging from US$322 to US$1967 per employee. Interventions to improve sleep, such as the use of blue-light filtering glasses, strategic shift scheduling, and targeted interventions to treat insomnia, may improve workplace outcomes and reduce costs.

Conclusions: This review synthesizes the existing data regarding the negative impacts of insufficient and disturbed sleep on the workplace, suggesting that employers have an economic stake in their employees' sleep.

Trial Registration: PROSPERO: CRD42021224212.

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References

Ademi Z, Ackerman I, Zomer E, Liew D . Productivity-Adjusted Life-Years: A New Metric for Quantifying Disease Burden. Pharmacoeconomics. 2021; 39(3):271-273. PMC: 7797495. DOI: 10.1007/s40273-020-00999-z. View

Leger D, Massuel M, Metlaine A . Professional correlates of insomnia. Sleep. 2006; 29(2):171-8. View

Howard M, Desai A, Grunstein R, Hukins C, Armstrong J, Joffe D . Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers. Am J Respir Crit Care Med. 2004; 170(9):1014-21. DOI: 10.1164/rccm.200312-1782OC. View

Mulgrew A, Ryan C, Fleetham J, Cheema R, Fox N, Koehoorn M . The impact of obstructive sleep apnea and daytime sleepiness on work limitation. Sleep Med. 2007; 9(1):42-53. DOI: 10.1016/j.sleep.2007.01.009. View

Buxton O, Marcelli E . Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med. 2010; 71(5):1027-36. DOI: 10.1016/j.socscimed.2010.05.041. View

Guo X, Zheng L, Wang J, Zhang X, Zhang X, Li J . Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep Med. 2013; 14(4):324-32. DOI: 10.1016/j.sleep.2012.12.001. View

Lloyd-Jones D, Allen N, Anderson C, Black T, Brewer L, Foraker R . Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation. 2022; 146(5):e18-e43. PMC: 10503546. DOI: 10.1161/CIR.0000000000001078. View

Yaggi H, Concato J, Kernan W, Lichtman J, Brass L, Mohsenin V . Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005; 353(19):2034-41. DOI: 10.1056/NEJMoa043104. View

Gangwisch J, Heymsfield S, Boden-Albala B, Buijs R, Kreier F, Pickering T . Sleep duration as a risk factor for diabetes incidence in a large U.S. sample. Sleep. 2008; 30(12):1667-73. PMC: 2276127. DOI: 10.1093/sleep/30.12.1667. View

10.

Punjabi N, Shahar E, Redline S, Gottlieb D, Givelber R, Resnick H . Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol. 2004; 160(6):521-30. DOI: 10.1093/aje/kwh261. View

11.

Reichmuth K, Austin D, Skatrud J, Young T . Association of sleep apnea and type II diabetes: a population-based study. Am J Respir Crit Care Med. 2005; 172(12):1590-5. PMC: 2718458. DOI: 10.1164/rccm.200504-637OC. View

12.

John U, Meyer C, Rumpf H, Hapke U . Relationships of psychiatric disorders with sleep duration in an adult general population sample. J Psychiatr Res. 2005; 39(6):577-83. DOI: 10.1016/j.jpsychires.2005.01.006. View

13.

Finn L, Young T, Palta M, Fryback D . Sleep-disordered breathing and self-reported general health status in the Wisconsin Sleep Cohort Study. Sleep. 2001; 21(7):701-6. View

14.

Hirshkowitz M, Whiton K, Albert S, Alessi C, Bruni O, DonCarlos L . National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2017; 1(1):40-43. DOI: 10.1016/j.sleh.2014.12.010. View

15.

Watson N, Badr M, Belenky G, Bliwise D, Buxton O, Buysse D . Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015; 38(6):843-4. PMC: 4434546. DOI: 10.5665/sleep.4716. View

16.

Lowe C, Safati A, Hall P . The neurocognitive consequences of sleep restriction: A meta-analytic review. Neurosci Biobehav Rev. 2017; 80:586-604. DOI: 10.1016/j.neubiorev.2017.07.010. View

17.

Van Dongen H, Maislin G, Mullington J, Dinges D . The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep. 2003; 26(2):117-26. DOI: 10.1093/sleep/26.2.117. View

18.

Williamson A, Feyer A . Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occup Environ Med. 2000; 57(10):649-55. PMC: 1739867. DOI: 10.1136/oem.57.10.649. View

19.

Philip P, Akerstedt T . Transport and industrial safety, how are they affected by sleepiness and sleep restriction?. Sleep Med Rev. 2006; 10(5):347-56. DOI: 10.1016/j.smrv.2006.04.002. View

20.

Rajaratnam S, Howard M, Grunstein R . Sleep loss and circadian disruption in shift work: health burden and management. Med J Aust. 2013; 199(8):S11-5. DOI: 10.5694/mja13.10561. View