| Literature DB >> 34854507 |
Lucia Arsintescu1, Sean Pradhan1,2, Ravi G Chachad1, Kevin B Gregory3, Jeffrey B Mulligan4, Erin E Flynn-Evans3.
Abstract
Flight crews are frequently required to work irregular schedules and, as a result, can experience sleep deficiency and fatigue. This study was conducted to determine whether perceived fatigue levels and objective performance varied by time of day, time awake, and prior night's sleep duration. Ninety-five pilots (86 male, 9 female) aged 33 years (±8) volunteered for the study. Participants completed a daily sleep diary, Samn-Perelli fatigue scale, and psychomotor vigilance task that were completed before and after each flight duty period and at the top-of-descent for each flight. Pilots experienced higher self-reported fatigue (EMM = 3.92, SE = 0.09, p < 0.001) and worse performance (Response speed: EMM = 4.27, SE = 0.08, p = 0.004) for late-finishing duties compared with early-starting duties (Samn-Perelli: EMM = 3.74, SE = 0.08; Response speed: EMM = 4.37, SE = 0.08), but had shorter sleep before early-starting duties (early: EMM = 6.94, SE = 0.10; late: EMM = 8.47, SE = 0.14, p < 0.001). However, pre-duty Samn-Perelli and response speed were worse (z = 4.18, p < 0.001; z = 3.05, p = 0.03; respectively) for early starts compared with late finishes (EMM = 2.74, SE = 0.19), while post-duty Samn-Perelli was worse for late finishes (EMM = 4.74, SE = 0.19) compared with early starts (EMM = 4.05, SE = 0.12). The results confirm that duty time has a strong influence on self-reported fatigue and performance. Thus, all flights that encroach on a biological night are targets for fatigue risk management oversight.Entities:
Keywords: aviation, crew, duty limits, fatigue, short-haul
Mesh:
Year: 2021 PMID: 34854507 PMCID: PMC9286802 DOI: 10.1111/jsr.13521
Source DB: PubMed Journal: J Sleep Res ISSN: 0962-1105 Impact factor: 5.296
Demographic characteristics of participating pilots (n = 94)
|
| Range | |
|---|---|---|
| Age | 32.9 (8.03) | 21–54 |
| Weight (kg) | 77.23 (11.61) | 45.5–100.5 |
| Height (m) | 1.79 (0.07) | 1.60–1.93 |
| BMI (kg/m²) | 23.99 (2.93) | 16.20–32.70 |
| Sleep need (h) | 7.76 (0.75) | 5–10 |
| MEQ score | 51.5 (5.91) | 36–64 |
| ESS score | 5.37 (3.72) | 0–19 |
Abbreviation: BMI, body mass index; ESS, Epworth sleepiness scale; M, mean; MEQ, Morningness‐eveningness questionnaire; SD, standard deviation.
Sleep characteristics prior to duty by duty start time
| Start of duty |
Waketime (hh:mm) |
Bedtime (hh:mm) | Sleep duration (h) |
|---|---|---|---|
| 05:00–06:59 (early) | 04:19 (01:14) | 21:15 (02:01) | 6.90 (1.30) |
| 07:00–10:59 (mid‐morning) | 06:30 (01:22) | 22:29 (01:27) | 7.54 (1.57) |
| 13:00–16:59 (afternoon) | 09:16 (01:19) | 01:05 (01:21) | 8.39 (1.47) |
| 17:00–20:59 (evening) | 09:27 (01:37) | 02:09 (01:31) | 8.26 (1.73) |
Sleep characteristics are reported as mean (standard deviation).
Abbreviation: hh:mm, hours and minutes.
Flight duty period information by duty start time
| Start of duty | Flights | Sectors | Flight duration (h) | Flight duty period duration (h) |
|---|---|---|---|---|
| 05:00–06:59 | 848 | 2.19 (0.58) | 2.18 (0.70) | 6.60 (1.67) |
| 07:00–10:59 | 296 | 2.17 (0.56) | 2.51 (0.66) | 7.30 (1.63) |
| 13:00–16:59 | 834 | 2.41 (0.82) | 2.48 (1.01) | 8.02 (1.99) |
| 17:00–20:59 | 117 | 1.99 (0.12) | 2.35 (0.50) | 6.42 (1.22) |
Flights are provided as frequencies. Sectors and durations are reported as mean (standard deviation).
FIGURE 1Estimated marginal mean Samn‐Perelli fatigue across duty (grey bars + 95% CI; top panel), response speed (grey bars + 95% CI; middle panel), and lapses (grey bars + 95% CI; bottom panel) plotted as a function of duty start time (05:00–06:59 h [early morning]; 07:00–10:59 h [mid‐morning]; 13:00–16:59 h [afternoon]; 17:00–20:59 h [evening]). Estimated marginal means are reported to adjust for other model terms. Top panel secondary vertical axis (right): Sleep period time (sleep duration) in the previous night = open squares; Time awake at duty start = open circles; ms, milliseconds; h, hours; *p < 0.05, ***p < 0.001
FIGURE 2Estimated marginal mean Samn‐Perelli fatigue across duty (grey bars + 95% CI; top panel), Response speed (grey bars + 95% CI; middle panel), and lapses (grey bars + 95% CI; bottom panel) for early‐start and late‐finishing FDPs. Top panel secondary vertical axis (right): Sleep period time (sleep duration) in the previous night = open squares; Time awake at duty start = open circles; ms, milliseconds; h, hours; **p < 0.01, ***p < 0.001
FIGURE 3Estimated marginal mean Samn‐Perelli fatigue by pre‐duty, in‐flight, and post‐duty (95% CI; top panel), Response speed (95% CI; middle panel), and lapses (95% CI; bottom panel) for early‐start and late‐finishing FDPs. ms, milliseconds; *p < 0.05, ***p < 0.001
FIGURE 4Mean Samn‐Perelli by time of day (open circles + 95% CI; top panel), Response speed (open diamonds + 95% CI; middle panel), and lapses (open squares + 95% CI; bottom panel). ms, milliseconds; h, hours; ***p < 0.001