Gander, P. H., Gregory, K. B., Miller, D. L., Rosekind, M. R. (1996). Circadian and Environmental Factors Affecting Sleep of Long-Haul Flight Crews. Sleep Research, 25, 549.
San Jose State University Foundation, Sterling Software, and NASA Ames Research Center
Long-haul flight crews often operate
a succession of transmeridian flights with approximately 24-hour
rest periods (layovers) between flights. This creates an
erratic pattern of environmental time cues to the circadian clock.
Twenty-nine long-haul crew members (average age 52 years) were
monitored before, during, and after four international trip patterns
lasting 5-9 days, with flights crossing up to 8 time zones. Rectal
temperature was recorded every 2 min. Sleep quantity and quality,
and nap timing, were noted in a logbook. Significant periodicities
in trip temperature data were detected by linear-non-linear least
squares iterative multiple regression (1). Cycle-by-cycle temperature
minima were
estimated by multiple complex demodulation of each subjects
data (unmasked by adding 0.28°C to the raw temperature data whenever
he reported being asleep; ref. 2). The average duty/rest cycle
lasted 34.6 h (9.8 h of duty and a 24.8 h layover). Layover sleep
episodes averaged 105 min shorter than pretrip sleep episodes.
However, in 2/3 of layovers crew members slept twice, so that
their total sleep per 24 h on trips averaged 49 min less than
pretrip. Three main factors influenced layover sleep: 1)
local time; 2)
prior flight direction; and 3)
the circadian cycle. When asked about
their layover strategies, most crew members indicated that they
tried to adapt to local time, but were only moderately sucessful.
Figure 1 shows a preference for sleeping during local night. However,
after eastward night flights (average off-duty time 1100 local
time), 2/3 of crew
members slept for several hours in the afternoon, and then again
during local night. In contrast, after westward flights (average
off-duty time 1400), crew members usually deferred sleep until
local night, and this was the main layover sleep episode (80%
of cases). After flights crossing fewer than 4 time zones, no
one layover sleep pattern predominated (Figure 2). Eighty-two
percent of subjects retained significant
circadian variation in temperature during trips (average period
25.7 h). The average time of sleep onset was 2 min after the temperature
minimum, and of wakeup 6.4 h after the temperature minimum (Figure
3), comparable to the circadian distributions of sleep onset and
wakeup of desynchronized subjects in time-free environments (3).
Two types of sleep episodes did not conform to this pattern. Afternoon
sleep episodes after eastward night flights were broadly distributed
in the circadian cycle, and were probably a response to acute
sleep loss rather than to circadian physiology. Short sleep episodes
towards the end of layovers after westward flights typically ended
as temperature was falling. In this case, crew members had to
wake up to go back on duty. These findings highlight the complex
combination of factors that influence layover sleep during long-haul
flight operations, when the circadian clock cannot follow the
erratic environmental time cues. Operational constraints sometimes
leave minimal room for flexibility in
the timing of layovers. Long-haul crew members need effective
countermeasure strategies to
minimize their sleep loss during these operations (4).