The role of physical exercise as a strategy for improvement of flight safety: focus on the air traffic controller
DOI:
https://doi.org/10.33233/rbfe.v18i3.3128Keywords:
air traffic controller; reverse shift work; rotational shift work; fatigue; sleep; physical trainingAbstract
Introduction: Air Traffic Controllers (ATC) activities are comprised by huge mental and physical overload and regular exercise can be an effective and economic alternative in this context. Objective: To discuss the responses related to physical training and its effects on work-related symptoms presented by ATC. Methods: Systematic review using Pubmed, Scielo, Lilacs and Scopus databases. Results: We did not found articles directly involving exercise training and ATC. However, it could be noted a similarity between symptoms presented by ATC and other shift workers. Studies that analyzed physical training programs demonstrated that exercise training programs were able to diminish the work-related symptoms from ATC. Conclusion: Physical training can contribute to mitigate the deleterious effects of work activity of ATC.
References
Sonati J, De Martino M, Vilarta R, Maciel E, Moreira E, Sanchez F et al. Quality of life, health, and sleep of air traffic controllers with different shift systems. Aerosp Med Hum Performance 2015;86(10):895-900. doi: 10.3357/amhp.4325.2015
Cruz C, Della PR, Hackworth C. Effects of quick rotating shift schedules on the health and adjustment of air traffic controllers. Aviat Space Environ Med 2000;71(4):400-7.
McEwen BS. Sleep deprivation as a neurobiologic and physiologic stressor: allostasis and allostatic load. Metabolism 2006;55:S20-S3. doi: 10.1016/j.metabol.2006.07.008
Comperatore C, Krueger G. Circadian rhythm desynchronosis, jet lag, shift lag, and coping strategies. Occup Med (Philadelphia, Pa) 1990;5(2):323-41.
Martinussen M, Richardsen AM. Air traffic controller burnout: survey responses regarding job demands, job resources, and health. Aviat Space Environ Med 2006;77(4):422-8.
Sonati JG, De Martino MMF, Vilarta R, da Silva Maciel É, Sonati RJF, Paduan PC. Quality of life, sleep, and health of air traffic controllers with rapid counterclockwise shift rotation. Workplace Health Saf 2016;64(8):377-84. doi: 10.1177/2165079916634710
Voss MW, Nagamatsu LS, Liu-Ambrose T, Kramer AF. Exercise, brain and cognition across the life span. J Applied Physiol 2011;111(5):1505-13. doi: 10.1152/japplphysiol.00210.2011
Ferreira Filho BA. A brief explanation of the air traffic controller professional activity. Rev Bras Hematol Hemoter 2011;33(3):175-6. doi: 10.5581/1516-8484.20110047
Atkinson G, Davenne D. Relationships between sleep, physical activity and human health. Physiol Behav 2007;90(2-3):229-35. doi: 10.1016/j.physbeh.2006.09.015
Shields GS, Sazma MA, Yonelinas AP. The effects of acute stress on core executive functions: A meta-analysis and comparison with cortisol. Neurosci Biobehav Rev 2016;68:651-68. doi: 10.3389/fpsyg.2017.01711
Ribas VR, Martins HAL, Amorim GG, Ribas RMG, de Almeida CAV, Ribas VR et al. Air traffic control activity increases attention capacity in air traffic controllers. Dement Neuropsychol 2010;4(3):250-5. doi: 10.1590/S1980-57642010DN40300015
Ribas VR, Martins HAdL, Viana MT, Fraga SdN, Carneiro SMO, Galvão BHA et al. Hematological and immunological effects of stress of air traffic controllers in northeastern Brazil. Rev Bras Hematol Hemoter 2011;33(3):195-201. doi: 10.5581/1516-8484.20110053
Freitas ÂM, Portuguez MW, Russomano T, Freitas M, Silvello SLS, Costa JC. Effects of an alternating work shift on air traffic controllers and the relationship with excessive daytime sleepiness and stress. Arq Neuro-psiquiatr 2017;75(10):711-7. doi: 10.1590/0004-282x20170123
Ribas VR, Almeida CÂV, Martins HAL, Alves CFO, Alves MJPC, Carneiro SMO, et al. Brazilian air traffic controllers exhibit excessive sleepiness. Dement Neuropsychol 2011;5(3):209-15. doi: 10.1590/s1980-57642011dn05030009
Deng N, Kohn TP, Lipshultz LI, Pastuszak AW. The relationship between shift work and men’s health. Sex Med Rev 2018;6(3):446-56. doi: 10.1016/j.sxmr.2017.11.009
Ganesan S, Magee M, Stone JE, Mulhall MD, Collins A, Howard ME et al. The impact of shift work on sleep, alertness and performance in healthcare workers. Sci Rep 2019;9(1):4635. doi: 10.1038/s41598-019-40914-x
Kervezee L, Kosmadopoulos A, Boivin DB. Metabolic and cardiovascular consequences of shift work: The role of circadian disruption and sleep disturbances. Eur J Neurosci 2018. doi: 10.1111/ejn.14216
Souza RV, Sarmento RA, de Almeida JC, Canuto R. The effect of shift work on eating habits: a systematic review. Scand J Work Environ Health 2019;45(1):7-21. doi: 10.5271/sjweh.3759
Atkinson G, Fullick S, Grindey C, Maclaren D. Exercise, energy balance and the shift worker. Sports Med 2008;38(8):671-85. doi: 10.2165/00007256-200838080-00005
Harma MI, Ilmarinen J, Knauth P, Rutenfranz J, Hanninen O. Physical training intervention in female shift workers: I. The effects of intervention on fitness, fatigue, sleep, and psychosomatic symptoms. Ergonomics 1988;31(1):39-50. doi: 10.1080/00140138808966647
Harma MI, Ilmarinen J, Knauth P, Rutenfranz J, Hanninen O. Physical training intervention in female shift workers: II. The effects of intervention on the circadian rhythms of alertness, short-term memory, and body temperature. Ergonomics 1988;31(1):51-63. doi: 10.1080/00140138808966648
Atlantis E, Chow C-M, Kirby A, Singh MAF. Worksite intervention effects on sleep quality: A randomized controlled trial. J Occup Health Psychol 2006;11(4):291. doi: 10.1037/1076-8998.11.4.291
Kalmbach DA, Fang Y, Arnedt JT, Cochran AL, Deldin PJ, Kaplin AI et al. Effects of sleep, physical activity, and shift work on daily mood: a prospective mobile monitoring study of medical interns. J Gen Intern Med 2018;33(6):914-20. doi: 10.1007/s11606-018-4373-2
Jordan J, Montgomery I, Trinder J. The effect of afternoon body heating on body temperature and slow wave sleep. Psychophysiol 1990;27(5):560-6. doi: 10.1111/j.1469-8986.1990.tb01976.x
Horne J, Shackell B. Slow wave sleep elevations after body heating: proximity to sleep and effects of aspirin. Sleep 1987;10(4):383-92. doi: 10.1093/sleep/10.4.383
Atkinson G, Drust B, Reilly T, Waterhouse J. The relevance of melatonin to sports medicine and science. Sports Med 2003;33(11):809-31. doi: 10.2165/00007256-200333110-00003
Lim ST, Min SK, Kwon YC, Park SK, Park H. Effects of intermittent exercise on biomarkers of cardiovascular risk in night shift workers. Atherosclerosis 2015;242(1):186-90. doi: 10.1016/j.atherosclerosis.2015.06.017
Kim J-S, Lee D-J, Lee Y-S, Lee B-K. A study of abdominal ultrasound therapy combined with complex exercise for effective obesity management among shift work employees. J Phys Ther Sci 2015;27(1):231-3. doi: 10.1589/jpts.27.231
Matsugaki R, Kuhara S, Saeki S, Jiang Y, Michishita R, Ohta M et al. Effectiveness of workplace exercise supervised by a physical therapist among nurses conducting shift work: a randomized controlled trial. J Occup Health 2017:16-0125-OA. doi: 10.1539/joh.16-0125-oa
Demou E, MacLean A, Cheripelli LJ, Hunt K, Gray CM. Group-based healthy lifestyle workplace interventions for shift-workers: a systematic review. Scand J Work Environ Health 2018;44(6):568-84. doi: 10.5271/sjweh.3763
Neil-Sztramko S, Gotay C, Sabiston C, Demers P, Campbell K. Feasibility of a telephone and web-based physical activity intervention for women shift workers. Transl Behav Med 2017;7(2):268-76. doi: 10.1007/s13142-017-0522-0
Schafer C, Mayr B, Muller EE, Augner C, Hannemann J, Boger RH et al. Exercise training prior to night shift work improves physical work capacity and arterial stiffness. Eur J Prev Cardiol 2019. doi: 10.1177/2047487319848196
Fullick S, Morris C, Jones H, Atkinson G. Prior exercise lowers blood pressure during simulated night-work with different meal schedules. Am J Hypertens 2009;22(8):835-41. doi: 10.1038/ajh.2009.91
Morris CJ, Fullick S, Gregson W, Clarke N, Doran D, MacLaren D, et al. Paradoxical post-exercise responses of acylated ghrelin and leptin during a simulated night shift. Chronobiol Int 2010;27(3):590-605. doi: 10.3109/07420521003663819
Song B, Yang Y, Bai W, Li Z, Wan J, Teng X et al. Effect of physical exercise on young anesthesiologists with on-call-related fatigue. Psychol Health Med 2019:1-8. doi: 10.1080/13548506.2019.1595681
Ludyga S, Gerber M, Brand S, Holsboer-Trachsler E, Pühse U. Acute effects of moderate aerobic exercise on specific aspects of executive function in different age and fitness groups: A meta analysis. Psychophysiol 2016;53(11):1611-26. doi: 10.1111/psyp.12736
Brown HE, Pearson N, Braithwaite RE, Brown WJ, Biddle SJ. Physical activity interventions and depression in children and adolescents. Sports Med 2013;43(3):195-206. doi: 10.1007/s40279-012-0015-8
Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci 2003;14(2):125-30. doi: 10.1111/1467-9280.t01-1-01430
Chen C, Nakagawa S, An Y, Ito K, Kitaichi Y, Kusumi I. The exercise-glucocorticoid paradox: How exercise is beneficial to cognition, mood, and the brain while increasing glucocorticoid levels. Frontiers Neuroendocrinol 2017;44:83-102. doi: 10.1016/j.yfrne.2016.12.001
Szuhany KL, Bugatti M, Otto MW. A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor. J Psychiatric Res 2015;60:56-64. doi: 10.1016/j.jpsychires.2014.10.003
de Vries JD, van Hooff ML, Geurts SA, Kompier MA. Efficacy of an exercise intervention for employees with work-related fatigue: study protocol of a two-arm randomized controlled trial. BMC Public Health 2015;15(1):1117. doi: 10.1186/s12889-015-2434-6
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