«Sleep disorders and work: guidelines for health surveillance, risk management and prevention». Sleep disorders and related diseases are becoming increasingly relevant for the health and wellbeing of the general and working populations. Sleep disorders affect all aspects of health, showing a bi-directionality with health conditions and comorbidity with several diseases. Consequently, sleep disorders may have severe negative consequences both for the individual and the enterprise, as well as for society on the whole, in terms of health, productivity and social costs. When considering the disturbances of the sleep/wake cycle, it is important to distinguish between those connected with endogenous biological factors from those related to socio-environmental conditions, including work, and those associated with mental and physical diseases, that are often associated and interact with each other. Many sleep disorders are still underestimated and under-valued in clinical practice and, to a much greater extent, in workers’ health surveillance. The present paper is aimed at drawing the attention of the occupational health physician to some key issues, particularly regarding excessive daytime sleepiness, obstructive sleep apnea syndrome and shift and night work, as well as their implications in terms of health and occupational consequences. Information on the main aspects of clinical diagnosis and health surveillance, as well as risk management and prevention at the workplace, are provided.

I disturbi e le patologie del sonno stanno assumendo un’importanza sempre maggiore per il benessere e la salute psico- fisica sia della popolazione generale che di quella in età lavorativa. È ampiamente documentato che i disturbi del sonno influenzano pressoché tutti gli aspetti della sfera sanitaria, mostrando una bidirezionalità e una comorbidità con numerose patologie, con notevoli conseguenze negative, sia per l’individuo che per l’impresa e l’intera società, in termini di salute, produttività e costi sociali. Nel considerare i disturbi del ciclo sonno/veglia, è importante distinguere quelli che sono primariamente collegati a fattori biologici endogeni, da quelli causati da cambiamenti delle condizioni socio ambientali, incluse quelle lavorative, e da quelli conseguenti a patologie organiche, che molto spesso risultano variamente associate e interagenti tra loro. Molti disturbi del sonno sono ancora sottostimati e sottovalutati sia nella pratica clinica sia, ancor più, nella sorveglianza sanitaria dei lavoratori. Il presente articolo vuole richiamare l’attenzione del Medico del Lavoro/Competente sui principali aspetti del problema, in particolare per quanto riguarda l’eccessiva sonnolenza diurna, la sindrome delle apnee ostruttive nel sonno (OSAS) e il lavoro a turni e notturno, e sulle relative implicazioni di carattere sanitario e professionale, offrendogli indicazioni sui principali aspetti relativi alla diagnosi clinica e alla sorveglianza sanitaria, nonché sulla gestione e prevenzione del rischio nei luoghi di lavoro

Costa, G., Accattoli, M., Garbarino, S., Magnavita, N., Roscelli, F., I disturbi del sonno in ambito lavorativo: indirizzi di sorveglianza sanitaria, prevenzione e gestione del rischio. Sleep disorders and work: guidelines for health surveillance, risk management and prevention, <<LA MEDICINA DEL LAVORO>>, 2013; 104 (Aprile): 251-266 [http://hdl.handle.net/10807/51022]

I disturbi del sonno in ambito lavorativo: indirizzi di sorveglianza sanitaria, prevenzione e gestione del rischio. Sleep disorders and work: guidelines for health surveillance, risk management and prevention

Magnavita, Nicola;
2013

Abstract

«Sleep disorders and work: guidelines for health surveillance, risk management and prevention». Sleep disorders and related diseases are becoming increasingly relevant for the health and wellbeing of the general and working populations. Sleep disorders affect all aspects of health, showing a bi-directionality with health conditions and comorbidity with several diseases. Consequently, sleep disorders may have severe negative consequences both for the individual and the enterprise, as well as for society on the whole, in terms of health, productivity and social costs. When considering the disturbances of the sleep/wake cycle, it is important to distinguish between those connected with endogenous biological factors from those related to socio-environmental conditions, including work, and those associated with mental and physical diseases, that are often associated and interact with each other. Many sleep disorders are still underestimated and under-valued in clinical practice and, to a much greater extent, in workers’ health surveillance. The present paper is aimed at drawing the attention of the occupational health physician to some key issues, particularly regarding excessive daytime sleepiness, obstructive sleep apnea syndrome and shift and night work, as well as their implications in terms of health and occupational consequences. Information on the main aspects of clinical diagnosis and health surveillance, as well as risk management and prevention at the workplace, are provided.
2013
Italiano
Costa, G., Accattoli, M., Garbarino, S., Magnavita, N., Roscelli, F., I disturbi del sonno in ambito lavorativo: indirizzi di sorveglianza sanitaria, prevenzione e gestione del rischio. Sleep disorders and work: guidelines for health surveillance, risk management and prevention, <<LA MEDICINA DEL LAVORO>>, 2013; 104 (Aprile): 251-266 [http://hdl.handle.net/10807/51022]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/51022
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