精神医学63巻9号

2021年09月発行

特集 産業精神保健の現状と課題

睡眠・生活習慣とジョブストレス・プレゼンティーイズム

著者： 志村哲祥¹²

所属機関： ¹東京医科大学精神医学分野 ²株式会社こどもみらい

ページ範囲：P.1373 - P.1381

抄録　人間は仕事のストレスなどの心理的ストレッサーのみによってメンタルヘルスの問題を生じるわけではなく，睡眠や食生活をはじめとする生活習慣もまた影響する。睡眠・生活習慣の問題はジョブストレスにおける心身のストレス反応と強く関連するのみならず，不調による労働生産性の低下であるプレゼンティーイズムをも引き起こす。睡眠・生活習慣はセルフケアが可能な要素でもあり，職域において，ただちに職務環境を変革できないような場合であっても，個人の裁量によって改善できる重要な因子であると考えられる。

参考文献

1)厚生労働省：平成29年度「過労死等の労災補償状況」．2018　https://www.mhlw.go.jp/content/11402000/H29_no2.pdf(2021年8月1日閲覧)

2)独立行政法人労働政策研究・研修機構：メンタルヘルス，私傷病などの治療と職業生活の両立支援に関する調査．2013　https://www.jil.go.jp/institute/research/2013/112.html(2021年8月1日閲覧)

3)Ford MT, Cerasoli CP, Higgins JA, et al：Relationships between psychological, physical, and behavioural health and work performance：a review and meta-analysis. Work ＆ Stress 25：185-204, 2011

4)Takahashi Y, Kipnis D, Daughaday W：Growth hormone secretion during sleep. J Clin Invest 47：2079-2090, 1968

5)Sassin JF, Parker DC, Mace JW, et al：Human growth hormone release：relation to slow-wave sleep and sleep-waking cycles. Science 165：513-515, 1969

6)Zada D, Bronshtein I, Lerer-Goldstein T, et al：Sleep increases chromosome dynamics to enable reduction of accumulating DNA damage in single neurons. Nat Commun 10：895, 2019

7)Bellesi M, de Vivo L, Chini M, et al：Sleep loss promotes astrocytic phagocytosis and microglial activation in mouse cerebral cortex. J Neurosci 37：5263-5273, 2017

8)Fernandes C, Rocha NBF, Rocha S, et al：Detrimental role of prolonged sleep deprivation on adult neurogenesis. Front Cell Neurosci 9：140, 2015

9)Fernandez-Mendoza J, Vgontzas AN, Liao D, et al：Insomnia with objective short sleep duration and incident hypertension：the Penn State Cohort. Hypertension 60：929-935, 2012

10)Vozoris NT：Insomnia symptom frequency and hypertension risk：a population-based study. J Clin Psychiatry 75：616-623, 2014

11)Watanabe M, Kikuchi H, Tanaka K, et al：Association of short sleep duration with weight gain and obesity at 1-year follow-up：a large-scale prospective study. Sleep 33：161-167, 2010

12)Knutson KL, Ryden AM, Mander BA, et al：Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Arch Intern Med 166：1768-1774, 2006

13)LeBlanc ES, Smith NX, Nichols GA, et al：Insomnia is associated with an increased risk of type 2 diabetes in the clinical setting. BMJ Open Diabetes Res Care 6：e000604.2018

14)Bertisch SM, Pollock BD, Mittleman MA, et al：Insomnia with objective short sleep duration and risk of incident cardiovascular disease and all-cause mortality：Sleep Heart Health Study. Sleep 41：zsy047, 2018

15)Markwald RR, Melanson EL, Smith MR, et al：Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proc Natl Acad Sci U S A 110：5695-5700, 2013

16)Yadav D, Cho KH：Total sleep duration and risk of type 2 diabetes：evidence-based on clinical and epidemiological studies. Curr Drug Metab 19：979-985, 2018

17)Lo K, Woo B, Wong M, et al：Subjective sleep quality, blood pressure, and hypertension：a meta-analysis. J Clin Hypertens(Greenwich)20：592-605, 2018

18)Yin J, Jin X, Shan Z, et al：Relationship of sleep duration with all-cause mortality and cardiovascular events：a systematic review and dose-response meta-analysis of prospective cohort studies. J Am Heart Assoc 6：e005947, 2017

19)Covassin N, Singh P：Sleep duration and cardiovascular disease risk：epidemiologic and experimental evidence. Sleep Med Clin 11：81-89, 2016

20)Okajima I, Komada Y, Nomutra T, et al：Insomnia as a risk for depression：a longitudinal epidemiologic study on a Japanese rural cohort. J Clin Psychiatry 73：377-383, 2012

21)Baglioni C, Battagliese G, Feige B, et al：Insomnia as a predictor of depression：a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord 135(1-3)：10-19, 2011

22)Gillin J：Are sleep disturbances risk factors for anxiety, depressive and addictive disorders? Acta Psychiatrica Scand 98(supple)：39-43, 1998

23)Li Y, Wu Y, Zhai L, et al：Longitudinal association of sleep duration with depressive symptoms among middle-aged and older Chinese. Sci Rep 7：11794, 2017

24)Zhai LH, Zhang H, Zhang D：Sleep duration and depression among adults：a meta-analysis of prospective studies. Depress Anxiety 32：664-670, 2015

25)Sarsour K, Kalsekar A, Swindle R, et al：The association between insomnia severity and healthcare and productivity costs in a health plan sample. Sleep 34：443-450, 2011

26)Hafner M, Stepanek M, Taylor J, et al：Why sleep matters-the economic costs of insufficient sleep：a cross-country comparative analysis. Rand Health Q 6：11, 2017

27)Ishibashi Y, Shimura A：Association between work productivity and sleep health：a cross-sectional study in Japan. Sleep Health 6：270-276, 2020

28)Nakata A, Haratani T, Takahashi M, et al：Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers. Soc Sci Med 59：1719-1730, 2004

29)Kalimo R, Tenkanen L, Härmä M, et al：Job stress and sleep disorders：findings from the Helsinki Heart Study. Stress Med 16：65-75, 2000

30)Knudsen H, Ducharme LJ, Roman PM：Job stress and poor sleep quality：data from an American sample of full-time workers. Soc Sci Med 64：1997-2007, 2007

31)Shimura A, Tanaka T, Misaki S, et al：Assessment of the effect of sleep disturbance and occupational stress on the stress response. J Clin Psychiatry 60：783-791, 2018

32)Finkel SE：Causal Analysis with Panel Data. Sage, Los Angeles, 1995

33)Shimura A, Sugiura K, Inoue M, et al：Which sleep hygiene factors are important? comprehensive assessment of lifestyle habits and job environment on sleep among office workers. Sleep Health 6：288-298, 2020

34)Liu X, Uchiyama M, Kim K, et al：Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry Res 93：1-11, 2000

35)Doi Y, Minowa M, Tango T：Impact and correlates of poor sleep quality in Japanese white-collar employees. Sleep 26：467-471, 2003

36)Roehrs T, Roth T：Caffeine：sleep and daytime sleepiness. Sleep Med Rev 12：153-162, 2008

37)Drake C, Roehrs T, Shambroom J, et al：Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. J Clin Sleep Med 9：1195-1200, 2013

38)Katagiri R, Asakura K, Kobayashi S, et al：Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health 56：359-368, 2014

39)Hayashida T, et al：Psychosomatic stress responses and sleep disturbance mediate the effects of irregular mealtimes on presenteeism. Neuropsychiatr Dis Treat 17：315-321, 2021

40)Lemola S, Perkinson-Gloor N, Brand S, et al：Adolescents' electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age. J Youth Adolesc 44：405-418, 2015

41)Bruni O, Sette S, Fontanesi L, et al：Technology use and sleep quality in preadolescence and adolescence. J Clin Sleep Med 11：1433-1441, 2015

42)Chang AM, Aeschbach D, Duffy JF, et al：Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proc Natl Acad Sci U S A 112：1232-1237, 2015

43)Stein MD, Friedmann PD：Disturbed sleep and its relationship to alcohol use. Subst Abus 26：1-13, 2005

44)Arnedt JT, Rohsenow DJ, Almeida AB, et al：Sleep following alcohol intoxication in healthy, young adults：effects of sex and family history of alcoholism. Alcohol Clin Exp Res 35：870-878, 2011

45)Lohsoonthorn V, Khidir H, Casillas G, et al：Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep Breath 17：1017-1028, 2013

46)Kelley GA, Kelley KS：Exercise and sleep：a systematic review of previous meta-analyses. J Evid Based Med 10：26-36, 2017

47)Hsieh SD, Muto T, Murase T, et al：Association of short sleep duration with obesity, diabetes, fatty liver and behavioral factors in Japanese men. Intern Med 50：2499-2502, 2011

48)Wakasugi M, Kazama JJ, Narita I, et al：Association between combined lifestyle factors and non-restorative sleep in Japan：a cross-sectional study based on a Japanese health database. PLoS One 9：e108718.2014

49)Matsumoto Y, Uchimura N, Ishida T, et al：The relationship of sleep complaints risk factors with sleep phase, quality, and quantity in Japanese workers. Sleep Biol Rhythms 15：291-297, 2017

50)Grandner MA, Jackson NJ, Izci-Balserak B, et al：Social and behavioral determinants of perceived insufficient sleep. Front Neurol 6：112, 2015

51)Dimitriou D, le Cornu Knight F, Milton P：The role of environmental factors on sleep patterns and school performance in adolescents. Front Psychol 6：1717, 2015

52)Yen CF, Ko CH, Yen JY, et al：The multidimensional correlates associated with short nocturnal sleep duration and subjective insomnia among Taiwanese adolescents. Sleep 31：1515-1525, 2008

53)Vollmer C, Michel U, Randler C：Outdoor light at night(LAN)is correlated with eveningness in adolescents. Chronobiol Int 29：502-508, 2012

54)Nanri A, Mizoue T, Poudel-Tandukar K, et al：Dietary patterns and suicide in Japanese adults：the Japan Public Health Center-based Prospective Study. Br J Psychiatry 203：422-427, 2013

55)Neumark-Sztainer D, Story M, Resnick MD, et al：Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med 25：497-505, 1996

56)Liu X, Yan Y, Li F, et al：Fruit and vegetable consumption and the risk of depression：a meta-analysis. Nutrition 32：296-302, 2016

57)Li F, Liu X, Zhang D：Fish consumption and risk of depression：a meta-analysis. J Epidemiol Community Health 70：299-304, 2016

58)Li Y, Lv MR, Wei YJ, et al：Dietary patterns and depression risk：a meta-analysis. Psychiatry Res 253：373-382, 2017

59)Lassale C, Batty GD, Baghdadli A, et al：Healthy dietary indices and risk of depressive outcomes：a systematic review and meta-analysis of observational studies. Mol Psychiatry 24：965-986, 2019

60)Nicolaou M, Colpo M, Vermeulen E, et al：Association of a priori dietary patterns with depressive symptoms：a harmonised meta-analysis of observational studies. Psychol Med 50：1872-1883, 2020

61)Almeida OP, Ford AH, Flicker L：Systematic review and meta-analysis of randomized placebo-controlled trials of folate and vitamin B12 for depression. Int Psychogeriatr 27：727-737, 2015

62)Bender A, Hagan KE, Kingston N：The association of folate and depression：a meta-analysis. J Psychiatr Res 95：9-18, 2017

63)Hosseinpour-Niazi S, Mirmiran P, Mirzaei S, et al：Cereal, fruit and vegetable fibre intake and the risk of the metabolic syndrome：a prospective study in the Tehran Lipid and Glucose Study. J Hum Nutr Diet 28：236-245, 2015

64)Söderberg M, Edlund C, Kristensson K, et al：Fatty acid composition of brain phospholipids in aging and in Alzheimer's disease. Lipids 26：421-425, 1991

65)Mocking R, Harmsen I, Assies J, et al：Meta-analysis and meta-regression of omega-3 polyunsaturated fatty acid supplementation for major depressive disorder. Transl Psychiatry 6：e756, 2016

66)大平哲也，中村知佳子，今野弘規，他：心理的健康の維持・増進のための望ましい生活習慣についての疫学研究．日本公衆衛生雑誌 54：226-235，2007

67)Yamajuku D, Inagaki T, Haruma T, et al：Real-time monitoring in three-dimensional hepatocytes reveals that insulin acts as a synchronizer for liver clock. Sci Rep 2：439, 2012

68)Tahara Y, Shibata S：Chronobiology and nutrition. Neuroscience 253：78-88, 2013

69)Pot GK, Almoosawi S, Stephen AM：Meal irregularity and cardiometabolic consequences：results from observational and intervention studies. Proc Nutr Soc 75：475-486, 2016

70)Schuch FB, Vancampfort D, Richards J, et al：Exercise as a treatment for depression：a meta-analysis adjusting for publication bias. J Psychiatric Res 77：42-51, 2016

71)Vancampfort D, Hallgren M, Firth J, et al：Physical activity and suicidal ideation：a systematic review and meta-analysis. J Affect Disord 225：438-448, 2018

72)Davidson CL, Babson KA, Bonn-Miller MO, et al：The impact of exercise on suicide risk：examining pathways through depression, PTSD, and sleep in an inpatient sample of veterans. Suicide Life Threat Behav 43：279-289, 2013

73)Smits JA, Berry AC, Rosenfield D, et al：Reducing anxiety sensitivity with exercise. Depress Anxiety 25：689-699, 2008

74)Broman-Fulks JJ, Berman ME, Rabian BA, et al：Effects of aerobic exercise on anxiety sensitivity. Behav Res Ther 42：125-136, 2004

75)de Souza Moura AM, Lamego MK, Paes F, et al：Effects of aerobic exercise on anxiety disorders：a systematic review. CNS Neurol Disord Drug Targets 14：1184-1193, 2015

76)Harvey SB, Overland S, Hatch SL, et al：Exercise and the prevention of depression：results of the HUNT cohort study. Am J Psychiatry 175：28-36, 2018

77)Kreher JB. Schwartz JB：Overtraining syndrome：a practical guide. Sports Health 4：128-138, 2012

78)Armstrong LE, Vanheest JL：The unknown mechanism of the overtraining syndrome. Sports Med 32：185-209, 2002