Highlights & Basics
- Jet lag and sleep phase disorders affect millions of travelers worldwide.
- Rapid change in time zone produces a constellation of symptoms called jet lag disorder.
- Symptoms include difficulty initiating and maintaining sleep, reduced daytime alertness, general malaise, and gastrointestinal symptoms.
- Severity of symptoms depends on the number of time zones crossed, times of travel, quality of sleep in flight, circadian time cues at the place of travel, individual propensity, and direction of travel.
- A temporary condition; symptoms are self-limited. Treatments include melatonin and alteration of light exposure.
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Citations
American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual (ICSD-3). 3rd ed. Westchester, IL: American Academy of Sleep Medicine; 2023.
Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. Sleep. 2007 Nov;30(11):1445-59.[Abstract][Full Text]
Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 8: Travel by air, land & sea - jet lag. May 2023 [internet publication].[Full Text]
Herxheimer A, Petrie KJ. Melatonin for the prevention and treatment of jet lag. Cochrane Database Syst Rev. 2002;(2):CD001520.[Abstract][Full Text]
1. American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual (ICSD-3). 3rd ed. Westchester, IL: American Academy of Sleep Medicine; 2023.
2. Vosko AM, Colwell CS, Avidan AY. Jet lag syndrome: circadian organization, pathophysiology, and management strategies. Nat Sci Sleep. 2010;2:187-98.[Abstract][Full Text]
3. Stephan FK. The "other" circadian system: food as a Zeitgeber. J Biol Rhythms. 2002 Aug;17(4):284-92.[Abstract]
4. Waterhouse J, Reilly T, Atkinson G, et al. Jet lag: trends and coping strategies. Lancet. 2007;369:1117-1129.[Abstract]
5. Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. Sleep. 2007 Nov;30(11):1445-59.[Abstract][Full Text]
6. Sack RL. Clinical practice: jet lag. N Engl J Med. 2010 Feb 4;362(5):440-7. [Abstract]
7. Daan S, Beersma DG, Borbely AA. Timing of human sleep: recovery process gated by a circadian pacemaker. Am J Physiol. 1984;246:R161-R183.[Abstract]
8. Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 8: Travel by air, land & sea - jet lag. May 2023 [internet publication].[Full Text]
9. Boulos Z, Macchi MM, Stürchler MP, et al. Light visor treatment for jet lag after westward travel across six time zones. Aviat Space Environ Med. 2002;73:953-963.[Abstract]
10. Herxheimer A, Petrie KJ. Melatonin for the prevention and treatment of jet lag. Cochrane Database Syst Rev. 2002;(2):CD001520.[Abstract][Full Text]
11. Herxheimer A. Jet lag. BMJ Clin Evid. 2014 Apr 29;2014:2303[Abstract][Full Text]
12. Deacon S, Arendt J. Adapting to phase shifts, II: effects of melatonin and conflicting light treatment. Physiol Behav. 1996;59:675-682.[Abstract]
13. Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders: an American Academy of Sleep Medicine review. Sleep. 2007 Nov;30(11):1460-83.[Abstract][Full Text]
14. Auger RR, Burgess HJ, Emens JS, et al. Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders: advanced sleep wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleep-wake rhythm disorder (N24SWD), and irregular sleep-wake rhythm disorder (ISWRD). An update for 2015. J Clin Sleep Med. 2015 Oct 15;11(10):1199-236.[Abstract][Full Text]
15. Suhner A, Schlagenhauf P, Johnson R, et al. Comparative study to determine the optimal melatonin dosage form for the alleviation of jet lag. Chronobiol Int. 1998;15:655-666.[Abstract]
16. Melatonin for jet lag. Drug Ther Bull. 2020 Feb;58(2):21-4.[Abstract][Full Text]
17. Stone BM, Turner C. Promoting sleep in shiftworkers and intercontinental travelers. Chronobiol Int. 1997;14:133-143.[Abstract]
18. Jamieson AO, Zammit GK, Rosenberg RS, et al. Zolpidem reduces the sleep disturbance of jet lag. Sleep Med. 2001 Sep;2(5):423-30.[Abstract]
19. Donaldson E, Kennaway DJ. Effects of temazepam on sleep, performance, and rhythmic 6-sulphatoxymelatonin and cortisol excretion after transmeridian travel. Aviat Space Environ Med. 1991 Jul;62(7):654-60.[Abstract]
20. Zee PC, Wang-Weigand S, Wright KP Jr, et al. Effects of ramelteon on insomnia symptoms induced by rapid, eastward travel. Sleep Med. 2010 Jun;11(6):525-33.[Abstract][Full Text]
21. Rosenberg RP, Bogan RK, Tiller JM, et al. A phase 3, double-blind, randomized, placebo-controlled study of armodafinil for excessive sleepiness associated with jet lag disorder. Mayo Clin Proc. 2010;85:630-638.[Abstract][Full Text]
22. Burgess HJ, Crowley SJ, Gazda CJ, at al. Preflight adjustment to eastward travel: 3 days of advancing sleep with and without morning bright light. J Biol Rhythms. 2003 Aug;18(4):318-28.[Abstract][Full Text]
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