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Anderson T, Adams WM, Burns GT, Post EG, Baumann S, Clark E, Cogan K, Finnoff JT. Addressing Circadian Disruptions in Visually Impaired Paralympic Athletes. Int J Sports Physiol Perform 2024; 19:212-218. [PMID: 38168013 DOI: 10.1123/ijspp.2023-0267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/27/2023] [Accepted: 11/27/2023] [Indexed: 01/05/2024]
Abstract
PURPOSE Transmeridian travel is common for elite athletes participating in competitions and training. However, this travel can lead to circadian misalignment wherein the internal biological clock becomes desynchronized with the light-dark cycle of the new environment, resulting in performance decrement and potential negative health consequences. Existing literature extensively discusses recommendations for managing jet lag, predominantly emphasizing light-based interventions to synchronize the internal clock with the anticipated time at the destination. Nevertheless, visually impaired (VI) athletes may lack photoreceptiveness, diminishing or nullifying the effectiveness of this therapy. Consequently, this invited commentary explores alternative strategies for addressing jet lag in VI athletes. CONCLUSIONS VI athletes with light perception but reduced visual acuity or visual fields may still benefit from light interventions in managing jet lag. However, VI athletes lacking a conscious perception of light should rely on gradual shifts in behavioral factors, such as meal timing and exercise, to facilitate the entrainment of circadian rhythms to the destination time. Furthermore, interventions like melatonin supplementation may prove useful during and after travel. In addition, it is recommended that athlete guides adopt phase-forward or phase-back approaches to synchronize with the athlete, aiding in jet-lag management and optimizing performance.
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Affiliation(s)
- Travis Anderson
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
| | - William M Adams
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, United Kingdom
- Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Geoffrey T Burns
- Department of Para & Internal Sports, United States Olympic and Paralympic Committee, Colorado Springs, CO, USA
- School of Kinesiology, University of Michigan, Ann Arbor, MI, USA
| | - Eric G Post
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
| | - Sally Baumann
- Department of Para & Internal Sports, United States Olympic and Paralympic Committee, Colorado Springs, CO, USA
| | - Emily Clark
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
| | - Karen Cogan
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
| | - Jonathan T Finnoff
- Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA
- United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA
- Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA
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Ruscitto C, Ogden J, Ellis JG. To what extent is circadian phase predictive of subjective jet lag in long-haul cabin crew pre- and post-trip? APPLIED ERGONOMICS 2023; 106:103882. [PMID: 36081186 DOI: 10.1016/j.apergo.2022.103882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 08/10/2022] [Accepted: 08/14/2022] [Indexed: 06/15/2023]
Abstract
Long-haul cabin crew regularly report misalignment between their circadian phase and the external world (i.e. jet lag). The extent to which changes in circadian phase relate to reported levels of jet lag remains unclear. The main aim of the present study was first to evaluate the relationship between objective (circadian phase) and subjective jet lag and second to explore the relative role of both subjective and objective psycho-behavioural factors in predicting the subjective experience of jet lag. Twenty-eight long-haul cabin crew completed questionnaires measuring diurnal preference, trip characteristics and subjective jet lag as a single and as a multidimensional measure. Sleep was monitored using actigraphy and urinary melatonin peak time was measured, at baseline (T1), e.g. before a long-haul trip and post-trip on the crew's first recovery day (T2). Subjective jet lag was also measured at both time points. At T1, later circadian phase related to increased unidimensional jet lag, however, a post-trip discrepancy was found between objective and subjective uni- and multidimensional jet lag measured at T2 and change from T1 to T2. After controlling for direction and size of circadian phase, increased uni- and multidimensional subjective jet lag was predicted by depressed mood states. The regression models including phase, diurnal preference, departure time on the outbound sector and arousal levels accounted for 28% of the variance in unidimensional jet lag and 53% of the variance in multidimensional jet lag. It was concluded that there is a discordance between objective and subjective jet lag post-trip. Further, subjective jet lag in long-haul cabin crew is better explained by mood impairment than circadian phase. The results are discussed with reference to the gap between subjective and objective jet lag and the role of psychology rather than just biology in the jet lag experience. The implications for improving health and safety in the workplace, through a better understanding of the role of human factors in the management of jet lag, are discussed.
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Affiliation(s)
| | - Jane Ogden
- School of Psychology, University of Surrey, Guildford, UK
| | - Jason G Ellis
- Northumbria Sleep Research Laboratory, Northumbria University, Newcastle, UK
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“Your health and safety is of utmost importance to us”: A review of research on the occupational health and safety of international employees. HUMAN RESOURCE MANAGEMENT REVIEW 2021. [DOI: 10.1016/j.hrmr.2020.100790] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Rigney G, Walters A, Bin YS, Crome E, Vincent GE. Jet-Lag Countermeasures Used by International Business Travelers. Aerosp Med Hum Perform 2021; 92:825-830. [PMID: 34642003 DOI: 10.3357/amhp.5874.2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION: Research has highlighted the significant impact that jet lag can have upon performance, health, and safety. International business travelers have an important role in economic growth; however, there is a lack of research investigating jet lag and jet-lag management in international business travelers. This study aimed to investigate international business travelers use of jet-lag countermeasures. METHODS: International business travelers from Australia (N = 107) participated in a survey examining use of jet-lag countermeasures (pharmacological and nonpharmacological). Chi-squared tests were conducted examining the association between duration of stay and traveling experience on jet-lag countermeasure use. RESULTS: Most subjects had traveled for business for less than 15 yr and 57% reported taking between 14 trips annually. Durations of stay averaged 10 d (SD 13 d). Nonpharmacological countermeasure use was high. Pharmacological countermeasure use was less common. There were no significant associations between duration of stay and countermeasure implementation. Travel experience was only associated with nonpharmacological countermeasures after arrival home. CONCLUSION: Education programs delivered through businesses would be beneficial for providing information on jet lag, its implications, and recommended countermeasures to travelers. Rigney G, Walters A, Bin YS, Crome E, Vincent GE. Jet-lag countermeasures used by international business travelers. Aerosp Med Hum Perform. 2021; 92(10):825830.
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Hayashi H, Shimoda A, Li Y, Sussman DD, Nishiuchi H, Viswanath K, Yamamoto Y, Kondo N, Yokokawa J, Baba H, Kawachi I. Lifestyle factors and jet lag prevention: a preliminary cross-sectional analysis of travel wellness among Japanese and U.S. business class travelers. Sleep Biol Rhythms 2020. [DOI: 10.1007/s41105-020-00297-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Janse van Rensburg DCC, Jansen van Rensburg A, Fowler P, Fullagar H, Stevens D, Halson S, Bender A, Vincent G, Claassen-Smithers A, Dunican I, Roach GD, Sargent C, Lastella M, Cronje T. How to manage travel fatigue and jet lag in athletes? A systematic review of interventions. Br J Sports Med 2020; 54:960-968. [PMID: 32303523 DOI: 10.1136/bjsports-2019-101635] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2020] [Indexed: 01/17/2023]
Abstract
OBJECTIVES We investigated the management of travel fatigue and jet lag in athlete populations by evaluating studies that have applied non-pharmacological interventions (exercise, sleep, light and nutrition), and pharmacological interventions (melatonin, sedatives, stimulants, melatonin analogues, glucocorticoids and antihistamines) following long-haul transmeridian travel-based, or laboratory-based circadian system phase-shifts. DESIGN Systematic review Eligibility criteria Randomised controlled trials (RCTs), and non-RCTs including experimental studies and observational studies, exploring interventions to manage travel fatigue and jet lag involving actual travel-based or laboratory-based phase-shifts. Studies included participants who were athletes, except for interventions rendering no athlete studies, then the search was expanded to include studies on healthy populations. DATA SOURCES Electronic searches in PubMed, MEDLINE, CINAHL, Google Scholar and SPORTDiscus from inception to March 2019. We assessed included articles for risk of bias, methodological quality, level of evidence and quality of evidence. RESULTS Twenty-two articles were included: 8 non-RCTs and 14 RCTs. No relevant travel fatigue papers were found. For jet lag, only 12 athlete-specific studies were available (six non-RCTs, six RCTs). In total (athletes and healthy populations), 11 non-pharmacological studies (participants 600; intervention group 290; four non-RCTs, seven RCTs) and 11 pharmacological studies (participants 1202; intervention group 870; four non-RCTs, seven RCTs) were included. For non-pharmacological interventions, seven studies across interventions related to actual travel and four to simulated travel. For pharmacological interventions, eight studies were based on actual travel and three on simulated travel. CONCLUSIONS We found no literature pertaining to the management of travel fatigue. Evidence for the successful management of jet lag in athletes was of low quality. More field-based studies specifically on athlete populations are required with a multifaceted approach, better design and implementation to draw valid conclusions. PROSPERO registration number The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD42019126852).
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Affiliation(s)
- Dina C Christa Janse van Rensburg
- Faculty of Health Science, Section Sports Medicine & Sport Exercise Medicine and Lifestyle Institute (SEMLI), University of Pretoria, Pretoria, Gauteng, South Africa .,Medical Board Member, International Netball Federation, Manchester, UK
| | - Audrey Jansen van Rensburg
- Faculty of Health Science, Section Sports Medicine & Sport Exercise Medicine and Lifestyle Institute (SEMLI), University of Pretoria, Pretoria, Gauteng, South Africa
| | - Peter Fowler
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Hugh Fullagar
- Sport and Exercise Science, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
| | - David Stevens
- Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
| | - Shona Halson
- School of Behavioural and Health Sciences, McAuley at Banyo, Australian Catholic University, Brisbane, Queensland, Australia
| | - Amy Bender
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Grace Vincent
- Appleton Institute for Behavioural Science, Central Queensland University, Rockhampton, Queensland, Australia
| | | | - Ian Dunican
- Centre for Sleep Science, The University of Western Australia Faculty of Health and Medical Sciences, Perth, Western Australia, Australia
| | - Gregory Daniel Roach
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Queensland, Australia
| | - Charli Sargent
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Queensland, Australia
| | - Michele Lastella
- Appleton Institute for Behavioural Science, Central Queensland University, Adelaide, Queensland, Australia
| | - Tanita Cronje
- Faculty of Natural and Agricultural Sciences, Department of Statistics, University of Pretoria, Pretoria, South Africa
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Ruscitto C, Ogden J. Predicting jet lag in long-haul cabin crew: The role of illness cognitions and behaviour. Psychol Health 2017; 32:1055-1081. [DOI: 10.1080/08870446.2017.1314481] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - Jane Ogden
- School of Psychology, University of Surrey, Guildford, UK
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