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Jet lag and sleep phase disorders

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  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 28 Nov 2025
Last updated: 21 May 2024

Summary

Definição

História e exame físico

Principais fatores diagnósticos

  • history of jet travel across at least 2 time zones
  • difficulty initiating or maintaining sleep
  • reduction of total sleep time
  • daytime sleepiness
  • reduced daytime alertness
Detalhes completos

Outros fatores diagnósticos

  • nausea, abdominal distension, constipation
  • general malaise
  • muscle cramps
Detalhes completos

Fatores de risco

  • multiple time zones crossed and rapidity of travel
  • sleep deprivation
  • individual susceptibility to time zone shifts
  • excessive alcohol or caffeine consumption
  • stress
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • no initial test
Detalhes completos

Algoritmo de tratamento

AGUDA

short stay in the new time zone (≤2 days)

long stay in new time zone (>2 days)

Colaboradores

Autores

Ashish Adlakha, MD

Assistant Clinical Professor

Neurology and Sleep Medicine

UConn School of Medicine

VA Connecticut Healthcare

West Haven

CT

Declarações

AA declares that he has no competing interests.

Agradecimentos

Dr Ashish Adlakha would like to gratefully acknowledge Dr Sudhansu Chokroverty, a previous contributor to this topic.

Declarações

SC declares that he has no competing interests.

Revisores

David N. Neubauer, MD

Associate Director

Johns Hopkins Sleep Disorders Center

Baltimore

MD

Declarações

DNN has received consulting fees and honoraria for speaking programs from Sanofi-Aventis and Takeda Pharmaceuticals. These companies manufacture medications mentioned in this topic.

Créditos aos pareceristas

Os tópicos do BMJ Best Practice são constantemente atualizados, seguindo os desenvolvimentos das evidências e das diretrizes. Os pareceristas aqui listados revisaram o conteúdo pelo menos uma vez durante a história do tópico.

Declarações

As afiliações e declarações dos pareceristas referem--se ao momento da revisão.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

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.Texto completo  Resumo

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].Texto completo

Herxheimer A, Petrie KJ. Melatonin for the prevention and treatment of jet lag. Cochrane Database Syst Rev. 2002;(2):CD001520.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

  • Diagnósticos diferenciais

    • Travel-related fatigue
    • Short-term insomnia disorder
    • Chronic insomnia disorder
    Mais Diagnósticos diferenciais

  • Diretrizes

    • International classification of sleep disorders, 3rd edition, text revision (ICSD-3-TR)
    • CDC Yellow Book: health information for international travel - jet lag
    Mais Diretrizes

  • Patient information

    Jet lag

    More Patient information
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