Open research questions in Sleep and Work-Related Fatigue
298 gap statements mined from Sleep and Work-Related Fatigue papers in our 7.9M-paper local library, which holds 1,438 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The study highlights the need to examine the multifactorial phenomenon of fatigue in the context of informal industries.
Cross-Sectional Associations of Work Fatigue with Repetitive-Task Risk, Sleep Quality, and Body Mass Index among Informal Fish-Smoking Workers · 2026 · DOIThe study notes that truck drivers are exposed to extended working hours, strict delivery deadlines, inadequate rest opportunities, and limited rest areas. The study highlights the challenge of ensuring the health and safety of truck drivers while they are travelling on the road.
Exploring the occupational health and safety risks of truck drivers in the South African context · 2026 · DOIShift work is associated with insulin resistance, dyslipidaemia and metabolic syndrome, but how consecutive meals at the same clock times differentially shape postprandial metabolism in day- and night-shifts remains unclear.
Diurnal Variation and Impairment of Postprandial Glucose‐Insulin Responses and Lipid Rhythms in Simulated Shift Work · 2026 · DOIYet, the biological and behavioural mechanisms underlying these associations are not fully understood.
Investigating the Risk of Obesity in European Night Shift Workers: A Study Protocol for Cross-Sectional and Mechanistic Studies in the SHIFT2HEALTH Project · 2026 · DOIPrior studies have evaluated night work as probably carcinogenic to humans, but the relationship between night work and inflammation is not well understood.
Body mass index links night work intensity with higher low-grade systemic inflammation: results from a field study in humans · 2026 · DOITaxi drivers face elevated risks of fatigue-related aberrant driving behaviours (ADBs), exacerbated by sleep-related factors, yet predictive models incorporating these factors remain underexplored.
Predicting fatigue-related aberrant driving behaviours in taxi drivers: a multi-modal approach using physiological, sleep, and demographic data · 2026 · DOILongitudinal and objective studies are warranted to confirm causality and guide interventions.
Sleep environment is associated with sleep control in fly-in, fly-out mining shift workers · 2025 · DOIHowever, the impact of their sleep environment on perceived sleep control in this population remains underexplored.
Sleep environment is associated with sleep control in fly-in, fly-out mining shift workers · 2025 · DOIDespite convergent studies on cognitive aging, the differential alterations in brain network topology between the elderly and young individuals during vigilance decline remain unclear.
Brain Network Analysis Reveals Age-Related Differences in Topological Reorganization During Vigilance Decline · 2025 · DOIWhile positive emotions are known to boost cognition and behavior, their potential role in fatigue recovery and the underlying neural mechanisms remain underexplored.
Limited studies have explored the impact of different variables such as night work durations, intensities and chronotype on cardiometabolic risk.
Elevated cardiometabolic risk markers in evening chronotype shift workers: a case–control study in male workers · 2025 · DOIWhile the impact of travel on physical performance has been studied, its effect on cognitive performance remains unexplored.
Immediate Effects of Overnight Long-Haul Travel on Physical and Cognitive Performance and Sleep in Professional Male Rugby Union Players (a 2-Part Study) · 2025 · DOIAlthough experimental studies suggest that melatonin inhibits intestinal tumor proliferation, epidemiological evidence for a relationship between night shift work and colorectal cancer (CRC) risk is lacking.
Night shift work and risk of colorectal cancer: a prospective cohort study among 56 477 female nurses in the Netherlands · 2025 · DOIThis study identified that there is insufficient training regarding sleep and shift work management strategies, potentially leading to occupational health and safety concerns.
Sleep and fatigue management strategies: How nurses, midwives and paramedics cope with their shift work schedules—a qualitative study · 2024 · DOIFuture research is needed to explore how to equip healthcare shift workers with the skills to successfully manage their schedules to mitigate the negative impact that poor sleep and fatigue has on the health and safety of themselves and their patients.
Sleep and fatigue management strategies: How nurses, midwives and paramedics cope with their shift work schedules—a qualitative study · 2024 · DOIHowever, there are a lack of nutritional intervention studies conducted amongst night workers, subsequently contributing to a lack of evidence-based guidelines for night workers.
Understanding perceptions about the health effects of night working and the barriers and enablers to taking part in nutritional research: A qualitative study among night workers in England · 2024 · DOIGiven the importance of inhibitory control in everyday behaviour, future research should investigate the neural and neurophysiological mechanisms underlying this relationship and explore its impact in clinical populations.
Data standardization remains challenging, and the clinical application of emerging technologies is limited by challenges related to data accuracy, interoperability, user acceptance, and ecological validity.
Injury prevention in fatigue-prone nursing environments: a comprehensive review of strategies centered on work design, human factors engineering, and safety culture · 2026 · DOIImplementation is constrained by resource limitations, alarm burden, and deficiencies in safety culture. Data standardization remains challenging, and evaluation commonly relies on injury incidence, near-miss reporting, sleep quality, and workforce retention.
Injury prevention in fatigue-prone nursing environments: a comprehensive review of strategies centered on work design, human factors engineering, and safety culture · 2026 · DOIThere is a need for reliable, real-time driver monitoring solutions that can detect drowsiness at an early stage. Traditional driver drowsiness detection methods have limitations.
An Explainable Real-Time Driver Drowsiness Detection System Using Vision Transformers and Behavioral Fatigue Indicators · 2026 · DOIThe United States and China were leading contributors, but international collaboration was sparse.
From Occupational Hazard to Public Health Concern: A Bibliometric and Knowledge‐Mapping Analysis of Sleep Disorders Among Nurses Worldwide (1985–2025) · 2026 · DOIWhile both work and nonwork factors are known to influence sleep and fatigue, few studies have examined their simultaneous and multiple mediating effects on health in night shift nurses.
Exploring Pathways Linking Work and Nonwork Factors to Sleep, Fatigue, and Health in Night Shift Nurses: A Structural Equation Modeling Analysis · 2025 · DOILongitudinal studies to examine the causal relationships between repetitive-task risk, body mass index, and fatigue, - Studies to investigate the effects of interventions aimed at reducing fatigue and improving occupational health in informal…
Cross-Sectional Associations of Work Fatigue with Repetitive-Task Risk, Sleep Quality, and Body Mass Index among Informal Fish-Smoking Workers · 2026 · DOIFurther studies can investigate the impact of OHS risks on truck drivers' job security, - Research can explore the effectiveness of interventions to mitigate OHS risks in the trucking…
Exploring the occupational health and safety risks of truck drivers in the South African context · 2026 · DOIInvestigate other shift schedule characteristics, - Assess temporality between exposure and potential mediators, - Examine the effects of night work on other health…
Body mass index links night work intensity with higher low-grade systemic inflammation: results from a field study in humans · 2026 · DOI
Most-cited papers in Sleep and Work-Related Fatigue
- Vigilance Requires Hard Mental Work and Is Stressful · Human Factors The Journal of the Human Factors and Ergonomics Society · 2008 · 997 citations
- Psychometric qualities of a brief self-rated fatigue measure · Journal of Psychosomatic Research · 2003 · 714 citations
- The assessment of fatigue · Journal of Psychosomatic Research · 2004 · 667 citations
- The link between fatigue and safety · Accident Analysis & Prevention · 2010 · 645 citations
- Beginning the workday yet already depleted? Consequences of late-night smartphone use and sleep · Organizational Behavior and Human Decision Processes · 2014 · 592 citations
- Monotony of road environment and driver fatigue: a simulator study · Accident Analysis & Prevention · 2003 · 543 citations
- Driver fatigue: Electroencephalography and psychological assessment · Psychophysiology · 2002 · 447 citations
- Fatigue: a concept analysis · International Journal of Nursing Studies · 1996 · 415 citations
- Electroencephalogram and electrocardiograph assessment of mental fatigue in a driving simulator · Accident Analysis & Prevention · 2011 · 408 citations
- Blinks and saccades as indicators of fatigue in sleepiness warnings: looking tired? · Ergonomics · 2008 · 398 citations
Most recent work
- Entropy-informed deep residual network for nonlinear EEG dynamics in fine-grained driver state recognition · Applied Soft Computing · 2026
- An uncertainty-aware stacking framework with RFE-SFFS feature selection strategy for fatigue detection using PPG and GSR in real-world driving · Biomedical Signal Processing and Control · 2026
- Intelligent driver monitoring systems: a survey of drowsiness detection technologies for road safety · Artificial Intelligence Review · 2026
- To assure aviation safety: the pilot fatigue detection based on short-term multimodal physiological signals · Frontiers in Human Neuroscience · 2026
- Chronic sleep loss and A1 adenosine receptors in the human brain · SLEEP · 2026
- Effects of task duration on mental fatigue: A multimodal analysis based on subjective, behavioral, and electrophysiological measures · International Journal of Psychophysiology · 2026
- Associations Between Night Shifts and Comorbid Depressive–Anxiety Symptoms Among Chinese Nurses: Indirect Associations via Sleep Quality and Duration · Journal of Nursing Management · 2026
- Fatigue as a sociocultural problem in paramedicine: A qualitative study of attitudes and behaviours related to fatigue in Australian paramedics · Safety Science · 2026
- Effects of Night Shifts on Sleep, Cognitive Performance, and Anxiety in Emergency Nurses: An Observational Within‐Subject Study · Journal of Nursing Management · 2026
- High Prevalence of Disorders of Irritable Bowel Syndrome and Functional Dyspepsia in Night Shift Workers: A Cross-Sectional Study in Australia and the United Kingdom · Clinical Gastroenterology and Hepatology · 2026
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