Work-Related Mental Fatigue, Physical Activity and Risk of Insomnia Symptoms: Longitudinal Data from the Norwegian HUNT Study

ABSTRACT

Objective/Background

To examine the prospective association between work-related mental fatigue and risk of insomnia symptoms, and if leisure time physical activity modifies this association.

Participants

A total of 8,464 women and 7,480 men who participated in two consecutive surveys of the Norwegian HUNT study.

Methods

The study comprises longitudinal data on persons who were vocationally active and without insomnia symptoms at baseline in 1995–1997. We used a modified Poisson regression model to calculate adjusted risk ratios (RRs) with a 95% confidence interval (CI) for insomnia symptoms at follow-up in 2006–2008 associated with work-related mental fatigue and leisure time physical activity at baseline.

Results

Women and men who always experienced mental fatigue after a workday had RRs of insomnia symptoms of 2.55 (95% CI 1.91–3.40) and 2.61 (95% CI 1.80–3.78), respectively, compared to workers who never or seldom had this experience. There was no strong modifying effect of leisure time physical activity on this association, but workers who always experienced mental fatigue had a RR of insomnia symptoms of 3.17 (95% CI 2.28–4.40) if they reported low physical activity and a RR of 2.52 (95% 1.89–3.39) if they reported high physical activity.

Conclusion

This study shows that work-related mental fatigue, caused by high cognitive workload, is a strong risk factor for insomnia symptoms. There was no clear modifying effect of leisure time physical activity but workers who experienced excessive work-related fatigue accompanied by low physical activity had the highest risk of insomnia symptoms.

Acknowledgments

The Nord-Trøndelag Health Study (HUNT) is a collaboration between the HUNT Research Centre (Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology), the Nord-Trøndelag County Council and the Norwegian Institute of Public Health. This work was supported by a grant to Eivind Schjelderup Skarpsno from the Liaison Committee between the Central Norway Regional Health Authority (RHA) and the Norwegian University of Science and Technology (NTNU) (project number: 46056929).

Author Contributions

Study concept and design: All authors. Drafting of the manuscript: ESS. Critical revision of the manuscript: All authors. Statistical analysis: ESS. Interpretation of data: All authors. Critical revision: All authors. Final approval: All authors.

Disclosure statement

No potential conflict of interest was reported by the authors.

Supplementary material

Supplemental data for this article can be accessed here.

Additional information

Funding

This work was supported by the The Liaison Committee between the Central Norway Regional Health Authority (RHA) and the Norwegian University of Science and Technology (NTNU) [46056929].