The Importance of Sleep to a Healthy Workplace

Size: px

Start display at page:

Download "The Importance of Sleep to a Healthy Workplace"

Ralph O’Connor’
5 years ago
Views:

1 The Importance of Sleep to a Healthy Workplace Peter Cistulli MBBS, PhD, MBA, FRACP Head, Discipline of Sleep Medicine University of Sydney Medical School Royal North Shore Hospital Royal North Shore Hospital

2 Workplace Implications Sleep Health Leadership Resilience Productivity Morality Creativity Sleep is NOT a luxury Dr Peter Cistulli

3 Outline The Changing World and Work-Life Balance Economic Cost of Unhealthy Sleep The Science of Sleep Sleep Disorders Getting a Better Night s Sleep Dr Peter Cistulli

4 Triumvirate of Life Sleep Exercise Nutrition Dr Peter Cistulli

5 The Origins of the 24 Hour Society

6 Today s 24 Hour Society Productivity gone mad! A hyper-connected world A non-stop world

7 Work Life Balance: The Old Days LIFE WORK SLEEP Dr Peter Cistulli

8 Work Life Balance: The New Norm LIFE WORK SLEEP Dr Peter Cistulli

9 Beware the Vicious Cycle work Dr Peter Cistulli

11 Economic Cost of Sleep Disorders

12 The Cost of Unhealthy Sleep

13 What is Sleep? Sleep is the body s rest cycle Is a reversible behavioural state of perceptual disengagement Generally an unresponsiveness to the environment Dr Peter Cistulli

14 Cycles of Sleep The time of night when you sleep makes a significant difference in terms of the structure and quality of your sleep.

15 Wake - Sleep Brain Chemicals Wake Sleep

16 The Human (Circadian) Clock SCN Pineal Gland Melatonin Claustrat B, et al. Sleep Med Rev

17 How Much Sleep Do We Need? Around hours - Enough to be safe on the road, at home and at work <6.5 hrs U >8.5 hrs associated with reduced performance and ill-health Importance of genetics Dr Peter Cistulli

18 Effects of Sleep Deprivation - Mental Health issues

19 Dangers of Sleeping on the Job

20 Work Intruding on Sleep Time

21 Sleep Disorders: The Big Four Insomnia Snoring and sleep apnoea Restless Legs Syndrome Shift work disorder

22 What is Insomnia? Repeated persistent difficulty with - Sleep initiation - Sleep duration/consolidation - Or quality Despite adequate opportunity to sleep - Associated daytime impairment Very common Insomnia is distressing Insomnia Dr Peter Cistulli

23 Consequences of Insomnia Depression Irritability Motor Vehicle Accidents inattention more than fall asleep accidents Medical Consequences Hypertension in insomniacs with <5hrs sleep (Sleep 2009) Absenteeism & loss of work productivity Alcohol abuse Dr Peter Cistulli

24 Insomnia: Treatment Options Sleep hygiene Cognitive Behaviour Therapy (CBT) Drug therapy - Prescription - Over the counter - Self medication (eg. alcohol) Dr Peter Cistulli

25 Snoring and Obstructive Sleep Apnoea (OSA)

Prevalence of Snoring and OSA Habitual snoring - 24% men, 14% women - 30-60% men > 45 yrs - 10-20% of children

26 Prevalence of Snoring and OSA Habitual snoring - 24% men, 14% women % men > 45 yrs % of children Obstructive Sleep Apnoea (OSA) - 17% of adults - Almost 6% of adults have moderate to severe OSA Dr Peter Cistulli

27 Consequences of OSA Daytime sleepiness Memory & concentration disturbances Motor vehicle accidents High blood pressure Heart attack Stroke Diabetes Dr Peter Cistulli

28 Diagnosis and Treatment of Snoring and OSA CPAP Oral device Weight loss Surgery

29 Restless Legs Syndrome 5-10% population Familial Secondary causes Treatment with medications (dopamine)

Shift Work Disorder Sleep in night-shift workers is usually shortened by 1 to 4 hours compared to daytime workers Symptoms: Difficulties falling asleep or maintaining sleep

30 Shift Work Disorder Sleep in night-shift workers is usually shortened by 1 to 4 hours compared to daytime workers Symptoms: Difficulties falling asleep or maintaining sleep Unrefreshing sleep Sleepiness at work Consequences of chronic partial sleep deprivation Can impair social and cognitive function Sleepiness and safety hazards Dr Peter Cistulli

31 Shift Work Disorder Treatment Goal: Optimise circadian alignment, sleep quality, and performance and safety at work Combined approach: Bright light exposure (continuous or intermittent) beginning early during the night shift and terminating 2 h before the end of the shift to improve adaptation of circadian rhythm Avoiding bright light by wearing dark glasses during the morning commute Manage insomnia Manage sleepiness Dr Peter Cistulli

32 Getting a Better Night s Sleep. Sleep awareness Clean up your act sleep hygiene Understand your body clock Seek help for sleep disorders Dr Peter Cistulli

33 Avoid stimulants at night (eg. Caffeine, exercise) Go to bed later, get up earlier Sleep Hygiene - Increase your sleep debt Go to bed only when comfortable Use bed only for sleep ( and sex) - Re-establish the link between bed and sleep - Make bed a safe place of sleeping Get out of bed if unable to sleep within around quarter of an hour Go back to bed when you feel less tense Avoid bright light in the lead up to bed (ie. no electronic media) Dr Peter Cistulli

34 The Sleep Tech Revolution Self Education Web based therapy Treatment Adherence

35 More Information..

36 Happy Body At Work Program

Sleep and Ageing. Siobhan Banks PhD. Body and Brain at Work, Centre for Sleep Research University of South Australia

Sleep and Ageing. Siobhan Banks PhD. Body and Brain at Work, Centre for Sleep Research University of South Australia Sleep and Ageing Siobhan Banks PhD Body and Brain at Work, Centre for Sleep Research University of South Australia Health and Active Ageing, 22 nd September 2015 Sleep and Aging How does sleep change as