Evidence map›Paper›PMID 41063116›Full record

ArticleBMC public health2025

Time worked in shifts and occurrence of drowsiness events while driving: attenuating effect of physical activity.

Luiz Antônio Alves de Menezes-Júnior, Fernando Luiz Pereira de Oliveira, George Luiz Lins Machado-Coelho, Fausto Aloisio Pedrosa Pimenta, Raimundo Marques do Nascimento Neto, Sílvia Nascimento de Freitas

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Luiz Antônio Alves de Menezes-JúniorSchool of Nutrition, Federal University of Ouro Preto. Ouro Preto, R. Diogo de Vasconcelos, 122, Ouro Preto, MG, Brazil. luiz.menezes@ufop.edu.br.ORCID http://orcid.org/0000-0002-4497-5358
Fernando Luiz Pereira de OliveiraStatistics Department, Federal University of Ouro Preto, Ouro Preto, MG, Brazil.ORCID http://orcid.org/0000-0001-6513-3339
George Luiz Lins Machado-CoelhoSchool of Nutrition, Federal University of Ouro Preto. Ouro Preto, R. Diogo de Vasconcelos, 122, Ouro Preto, MG, Brazil.ORCID http://orcid.org/0000-0002-9806-9721
Fausto Aloisio Pedrosa PimentaStatistics Department, Federal University of Ouro Preto, Ouro Preto, MG, Brazil.ORCID http://orcid.org/0000-0002-9169-0443
Raimundo Marques do Nascimento NetoStatistics Department, Federal University of Ouro Preto, Ouro Preto, MG, Brazil.ORCID http://orcid.org/0000-0003-2038-5203
Sílvia Nascimento de FreitasSchool of Nutrition, Federal University of Ouro Preto. Ouro Preto, R. Diogo de Vasconcelos, 122, Ouro Preto, MG, Brazil.ORCID http://orcid.org/0000-0002-4119-0352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShift work disrupts circadian rhythms and is associated with adverse sleep outcomes, such as daytime sleepiness and drowsiness while driving. This study aimed to investigate the relationship between history of shift work, drowsiness events during driving, and the potential moderating effect of physical activity.

methodsA cross-sectional investigation involved 1,413 male shift workers in an iron ore mining firm. Heavy machinery essential to the mining process was operated. A specific question from the Berlin Questionnaire was used to evaluate drowsiness while driving, asking whether participants had ever felt drowsy or fallen asleep while driving, regardless of whether the episode occurred during work-related or leisure-time driving. The main explanatory variable was the shift in working hours. The levels of physical activity were classified as low, moderate, and high using the IPAQ. Multivariate and descriptive logistic regression analyses were conducted.

resultsThe majority of workers were aged 20 to 34 (45.1%), self-identified as non-white (77.2%), and had completed high school (76.0%). The average history of shift work time was 9.56 years (95% CI: 9.23-9.90), with 76% working for five years or more. Drowsiness events while driving were reported by 17.3% of workers. Multivariate analysis showed a significant association between history of shift work and drowsiness events, indicating a dose-response relationship, where longer history of shift work time increased the likelihood of drowsiness events (OR: 2.93 for 10-15 years; OR: 4.34 for > 15 years). However, physical activity acted as a moderating factor, demonstrating a dose-response effect in reducing this chance, with a reduction of 27.6% and 30.9% for moderate and high levels, respectively, compared to participants with a low level of activity.

conclusionA longer history of shift work time increases the chance of drowsiness events during driving, but higher physical activity levels mitigate them.

Indexed as

Automobile DrivingExerciseShift Work ScheduleSleep StagesWork Schedule ToleranceAdultCross-Sectional StudiesHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultCircadian rhythmOccupational risksPhysical activitySedentary behaviorsSleep

Identifiers

PMID41063116
PMCPMC12505689

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.