288 Chronotype-dependent impact of napping on sleep behavior in rotating shift workers
Abstract Introduction Rotating shift work is known to adversely impact sleep. Napping is one of the strategies that workers can use to mitigate the effect of shift work on their sleep. In this study, we investigated the effect of chronotype on napping behavior in police officers involved in rotating shift work. Methods Actigraphy-based sleep measures and chronotype information was available from 74 police officers (20 women and 54 men; age [mean ± SD]: 32 ± 5.4 years) that participated in a 35-day field study during which they worked morning, evening, and night shifts. A generalized linear mixed model was used to assess the effect of shift type, chronotype, and their interaction on the likelihood to take a nap, adjusted for relevant covariates. In addition, linear mixed models were used to determine the effect of shift type, chronotype, and their interaction on sleep duration with and without taking into account napping duration. Results The likelihood to take a nap was influenced by an interaction between shift type and chronotype (χ2(2) = 11.2, p = 0.004). Earlier chronotype was linked to a lower likelihood to take naps during days with morning shifts and a higher likelihood during days with night shifts. Napping modulated the effect of shift type and chronotype on daily sleep duration, most notably during night shifts: while chronotype was associated with the duration of the main sleep period during night shifts, with the main sleep period being 1.7 h [95% C.I.: 0.6 – 2.8] shorter in the earliest chronotypes compared to the latest chronotypes, this effect was attenuated and no longer significant when napping duration was taken into account (difference in total sleep duration in latest chronotypes vs earliest chronotypes during nights shifts: 0.9 [−0.1 to 1.9] h). Conclusion Napping attenuates the chronotype-dependent effect of atypical work schedules on sleep duration in this population of shift-working police officers. These findings highlight the need to take into account chronotype when assessing the effect of shift work on sleep behavior. Support (if any) The Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRRST) and Fonds de Recherche du Québec–Santé (FRQS).