Prediction of shiftworker alertness, sleep, and circadian phase using a model of arousal dynamics constrained by shift schedules and light exposure

Jun 10, 2021Sleep

Predicting shift workers’ alertness, sleep, and body clock timing from work schedules and light exposure

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Abstract

Combinations including light information predicted urinary 6-sulphatoxymelatonin acrophase within ±1 hour for 65% of nurses on diurnal schedules.

  • Simulations showed that 56%-60% of subjective sleepiness scores were predicted within ±1 on a day shift and 48%-52% on a night shift.
  • Accurate prediction of circadian phase required individualized light input.
  • Minute-by-minute sleep-wake state overlap between the model and empirical data ranged from 81 ± 6% to 87 ± 5%, depending on input constraints.
  • The model's predictions were more accurate when including environmental factors such as light exposure.

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Key numbers

56%
KSS Prediction Accuracy Day Shift
Percentage of KSS scores predicted within ±1 on the day shift.
48%
KSS Prediction Accuracy Night Shift
Percentage of KSS scores predicted within ±1 on the night shift.
65%
Circadian Phase Prediction Accuracy
Percentage of aMT6s acrophase values predicted within ±1 h.

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