TY - JOUR
T1 - Optimizing Sleep in the Military
T2 - Challenges and Opportunities
AU - Capaldi, Vincent F.
AU - Balkin, Thomas J.
AU - Mysliwiec, Vincent
N1 - Funding Information:
Author contributions: V. F. C. and T. J. B. collaborated on those sections of the present article that describe the history and background of sleep research in normal military and civilian personnel, and on those sections describing the efforts to develop a comprehensive sleep/alertness management system for the US military. V. M. provided the sections on military sleep medicine, with input from V. F. C. All authors contributed to Table 2, in which future research directions are suggested. Financial/nonfinancial disclosures: None declared. Other contributions: The material has been reviewed by the Walter Reed Army Institute of Research. There is no objection to its presentation and/or publication. The opinions or assertions contained herein are the private views of the authors, and are not to be construed as official, or as reflecting the views of the Department of the Army or the Department of Defense. The investigators have adhered to the policies for protection of human subjects as prescribed in AR 70-25.
Publisher Copyright:
© 2018
PY - 2019/1
Y1 - 2019/1
N2 - Historically, scientific knowledge gaps—including a lack of information regarding the minimum amount of sleep needed to sustain nominally adequate, militarily relevant performance, and nescience of the potential impact of chronic sleep restriction on health and psychological well-being—have hindered decision-making vis-à-vis sleep/alertness management in operational environments. However, against a backdrop of increasing awareness of the importance of sleep for sustaining both performance and health, military researchers are currently doing the following: (1) developing a comprehensive, individualized sleep/alertness management system to optimize the general effectiveness of military personnel (ie, without regard to the potential relationship between sleep and specific aspects of military performance, thus sidestepping what has historically been an impediment to development of such a system); and (2) investigating the prevalence, potentially unique etiology (eg, resulting from the interaction of long-term exposure to combat-related stressors and sleep restriction), and treatment of sleep disorders and comorbidities in the military population.
AB - Historically, scientific knowledge gaps—including a lack of information regarding the minimum amount of sleep needed to sustain nominally adequate, militarily relevant performance, and nescience of the potential impact of chronic sleep restriction on health and psychological well-being—have hindered decision-making vis-à-vis sleep/alertness management in operational environments. However, against a backdrop of increasing awareness of the importance of sleep for sustaining both performance and health, military researchers are currently doing the following: (1) developing a comprehensive, individualized sleep/alertness management system to optimize the general effectiveness of military personnel (ie, without regard to the potential relationship between sleep and specific aspects of military performance, thus sidestepping what has historically been an impediment to development of such a system); and (2) investigating the prevalence, potentially unique etiology (eg, resulting from the interaction of long-term exposure to combat-related stressors and sleep restriction), and treatment of sleep disorders and comorbidities in the military population.
KW - military performance
KW - sleep disorders
KW - sleep loss
KW - sleep/alertness management
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U2 - 10.1016/j.chest.2018.08.1061
DO - 10.1016/j.chest.2018.08.1061
M3 - Review article
C2 - 30218649
AN - SCOPUS:85057463063
VL - 155
SP - 215
EP - 226
JO - Diseases of the chest
JF - Diseases of the chest
SN - 0012-3692
IS - 1
ER -