Materiały źródłowe

• #1

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/jet-lag-disorder

  Jet lag disorder Last Updated on November 15, 2023 Overview Jet lag, also called jet lag disorder, is a temporary sleep problem that can affect anyone who quickly travels across several time zones. […] Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag is temporary. But if you travel often and experience jet lag, you may benefit from seeing a sleep specialist. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] Jet lag is temporary and usually doesn’t need treatment. Symptoms often improve within a few days, though they sometimes last longer. […] If you’re a frequent traveler bothered by jet lag, your health care provider may prescribe light therapy or medicines.

• #2 Jet lag disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/jet-lag/symptoms-causes/syc-20374027

  Jet lag, also called jet lag disorder, is a temporary sleep problem that can affect anyone who quickly travels across several time zones. […] Jet lag occurs because your body’s internal clock is synced to your original time zone. It hasn’t changed to the time zone of where you’ve traveled. The more time zones crossed, the more likely you are to experience jet lag. […] Jet lag is temporary. But if you travel often and experience jet lag, you may benefit from seeing a sleep specialist. […] Jet lag can occur anytime you cross two or more time zones. Crossing multiple time zones puts your internal clock out of sync with the time in your new locale. Your internal clock, also called circadian rhythms, regulates your sleep-wake cycle. […] Factors that increase the likelihood you’ll experience jet lag include: The more time zones you cross, the more likely you are to feel jet lag.

• #3 Jet lag and sleep phase disorders – Symptoms, diagnosis and treatment | BMJ Best Practice US

  https://bestpractice.bmj.com/topics/en-us/1017

  Jet lag disorder is a temporary desynchronization between endogenous body rhythms and exogenous environmental rhythms, caused by rapid transmeridian travel across different time zones, leading to sleep disturbance, reduced alertness, general malaise, and gastrointestinal symptoms. […] Key diagnostic factors include history of jet travel across at least 2 time zones, difficulty initiating or maintaining sleep, reduction of total sleep time, daytime sleepiness, and reduced daytime alertness. […] Other diagnostic factors include nausea, abdominal distension, constipation, general malaise, and muscle cramps. […] Diagnostic tests indicate no initial test is required.

• #4 Jet lag and sleep phase disorders – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-us/1017?locale=no

  Jet lag disorder is a temporary desynchronisation between endogenous body rhythms and exogenous environmental rhythms, caused by rapid transmeridian travel across different time zones, leading to sleep disturbance, reduced alertness, general malaise, and gastrointestinal symptoms. […] Key diagnostic factors include history of jet travel across at least 2 time zones, difficulty initiating or maintaining sleep, reduction of total sleep time, daytime sleepiness, and reduced daytime alertness. […] Other diagnostic factors include nausea, abdominal distension, constipation, general malaise, and muscle cramps. […] Diagnostic investigations indicate that there are no initial tests required.

• #5 Circadian Rhythm Disorders: Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/12115-circadian-rhythm-disorders

  Jet lag disorder. You’ve recently traveled to a different time zone, which takes you out of sync with the day/night schedule you’re used to. […] To receive a diagnosis of a circadian rhythm disorder, you must have the symptoms for at least three months (the only exception is jet lag disorder, which has no time requirement). […] Jet lag is common and expected for travelers flying to a destination with at least a two-hour time difference. […] Travel. Jet lag is a key circadian rhythm disorder that happens entirely due to advances in modern technology. We can travel faster than our bodies know how to adjust.

• #6 Jet lag: Heuristics and therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6069654/

  Jet lag is a clinical diagnosis. The International Classification of Sleep Disorders, Third Edition, lists the following criteria for diagnosis: […] Jet lag is often mistaken for travel fatigue. The travel fatigue syndrome involves generalized fatigue, occasional headache, and mental weariness as a result of distorted sleep routine. This occurs due to stress of travel. An important distinction is that travel fatigue does not depend on number of time zones traversed. It can occur after northbound or southbound travel. Restful sleep generally abolishes the symptoms of travel fatigue. […] Jet lag is a common and underdiagnosed medical problem that can have varying effects on motor and cognitive performance. With international travel becoming increasingly common among professionals, jet lag warrants significant medical attention. Few treatment strategies exist to counter the deleterious effects of jet lag on the normal circadian cycle. More research trials need to be performed in order to establish concrete treatment recommendations.

• #7 Jet lag disorder | MedLink Neurology

  https://www.medlink.com/articles/jet-lag-disorder

  Jet lag disorder is a clinical diagnosis. Objective laboratory testing such as actigraphy, polysomnography, or measurement of circadian phase markers are not routinely indicated. […] There are several questionnaires available for evaluation of jet lag disorder and its symptoms, including the Stanford Sleepiness Scale, Columbia Jet Lag Scale, the Liverpool Jet Lag Questionnaire, and the Charite Jet Lag Scale. The Columbia Jet Lag Scale is currently the only questionnaire that has been validated to assess the presence and severity of jet lag.

• #8 Jet lag disorder | MedLink Neurology

  https://www.medlink.com/articles/jet-lag-disorder

  Jet lag disorder may be partially preventable or treatable by understanding the basics of circadian rhythm physiology and its intimate interactions with the sleep-wake cycle. […] The diagnostic criteria established by the American Academy of Sleep Medicine in the International Classification of Sleep Disorders, 3rd edition, text revision state that criteria A through C must be met in order for a diagnosis of jet lag disorder to be made: (A) There is a complaint of insomnia or excessive daytime sleepiness, accompanied by reduction of total sleep time, associated with transmeridian jet travel across at least two time zones. (B) There is associated impairment of daytime function, general malaise, or somatic symptoms (eg, gastrointestinal disturbance) within 1 to 2 days after travel. (C) The sleep disturbance is not better explained by another current sleep disorder, medical or neurologic disorder, mental disorder, medication use, or substance use disorder.

• #9 Jet Lag: Causes, Symptoms, Treatment, and Management

  https://www.everydayhealth.com/sleep/jet-lag/guide/

  The ICSD-3 lists the following three criteria. If you have all three, you can be diagnosed as having jet lag disorder: 1. You experience insomnia or daytime sleepiness following travel across at least two time zones. 2. You experience problems thinking or concentrating, malaise, or physical symptoms such as GI discomfort within one to two days after travel. 3. Your sleep disturbance is not better explained by another current sleep disorder, medical or neurologic disorder, mental disorder, medication use, or substance use disorder. […] He says most people who experience jet lag, including those who meet all the criteria for a disorder, dont need treatment and will get better on their own after a few days or, at the very most, two weeks.

• #10

  https://journals.lww.com/jfmpc/fulltext/2018/07030/jet_lag__heuristics_and_therapeutics.6.aspx

  Jet lag is a clinical diagnosis. The International Classification of Sleep Disorders, Third Edition, lists the following criteria for diagnosis: Excessive daytime sleepiness or distortion of sleep cycle along with decreased total sleep time that coincides with jet travel across at least two time zones (east to west or west to east) […] Jet lag is often mistaken for travel fatigue. The travel fatigue syndrome involves generalized fatigue, occasional headache, and mental weariness as a result of distorted sleep routine. This occurs due to stress of travel. An important distinction is that travel fatigue does not depend on number of time zones traversed. It can occur after northbound or southbound travel. Restful sleep generally abolishes the symptoms of travel fatigue.

• #11 Sleeplessness and Circadian Rhythm Disorder Clinical Presentation: History, Physical Examination, Complications

  https://emedicine.medscape.com/article/1188944-clinical

  Daytime sleepiness is seen in all circadian rhythm disorders, although the severity may vary from individual to individual and from day to day. Assess for the presence of consequences of daytime sleepiness, which include poor concentration, impaired performance (including a decrease in cognitive skills), and poor psychomotor coordination. […] Psychophysiological insomnia, depressive disorders, and other psychiatric disorders may present with symptom profiles similar to those of circadian rhythm disorders. Assess patients for these disorders.

• #12 Jet lag Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/jet-lag.html

  There are no tests for jet lag, although the cause usually is obvious. If you have typical symptoms, you do not need to seek medical attention. […] If you have symptoms of jet lag lasting longer than two weeks, it is possible that something else is triggering your sleep difficulty. Your doctor may suggest an evaluation to check for other disorders.

• #13 Jet Lag – Harvard Health

  https://www.health.harvard.edu/a_to_z/jet-lag-a-to-z

  Jet lag is a type of sleep disorder that is a reaction to traveling between time zones. […] There are no tests for jet lag, although the cause usually is obvious. If you have typical symptoms, you do not need to seek medical attention. […] If you have symptoms of jet lag lasting longer than two weeks, it is possible that something else is triggering your sleep difficulty. Your doctor may suggest an evaluation to check for other disorders. […] Usually, it is not necessary to call a doctor to treat jet lag. However, you should call a health care professional if symptoms have not cleared up within two weeks.

• #14

  https://www.namcp.org/sleepdisorders/html/disorders/jetlag/diagnosis.html

  Information regarding the diagnosis of jet lag can be accessed through the links below. […] Typically, the patient’s primary care doctor will evaluate any symptoms that could be related to jet lag. In rare situations, if the symptoms are severe and frequent enough, the doctor will recommend for the patient to see a sleep specialist. These doctors specialize in diagnosing patients suffering from sleep disorders and will be responsible for the treating of the patient. […] In many cases, people with jet lag can identify the symptoms themselves when traveling. The questionnaire below can help a person determine whether or not they may be experiencing jet lag. […] If your answer was yes to the three questions listed above, then it is possible that you have jet lag.

• #15 Sleeplessness and Circadian Rhythm Disorder Clinical Presentation: History, Physical Examination, Complications

  https://emedicine.medscape.com/article/1188944-clinical

  The diagnosis of circadian rhythm disorders is primarily based on a thorough history. Differentiation of transient disorders from chronic disorders and primary disorders from secondary disorders influences the direction of evaluation and treatment plans. […] Jet lag is a form of transient circadian rhythm disturbance. It results from an inability to synchronize one’s normal rhythm to rapidly changing time shifts of environmental cues. […] Although many of the symptoms have been associated with high-altitude flight in general, the distinguishing factor seems to be the length of symptoms. Symptoms related to flight generally last less than 24 hours, whereas those of jet lag may persist for days. The duration of the flight is the primary determinant of the intensity and duration of the jet lag. In general, jet lag is most likely to be experienced if three or more time zones are crossed. The likelihood of sleep disturbance during travel across time zones increases with aging.

• #16 Jet Lag: What It Is, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12781-jet-lag

  Jet lag is a common but short-lived sleep problem you can get after traveling across more than three time zones. […] Jet lag is a type of circadian rhythm sleep disorder. […] Jet lag can happen to anyone, but certain factors make getting it more likely. […] Most people who experience jet lag have minor symptoms. They generally don’t seek medical care. Symptoms usually go away on their own within a few days. […] Call a healthcare provider if you’re concerned about your symptoms or feel like your body isn’t adjusting to a new location as it should. If your sleep problems don’t go away or affect your quality of life, your provider may recommend a sleep study. Providers perform this test while you’re sleeping. It evaluates whether your symptoms may be due to a sleep disorder.

• #17 Sleep Awareness | AAO-HNS Bulletin

  https://bulletin.entnet.org/clinical-patient-care/article/22711343/sleep-awareness

  Jet lag is a circadian rhythm sleep disorder that occurs when your internal clocks schedule does not align with the local wake-sleep cycle. […] Jet lag typically occurs with long-distance air travel, when crossing three time zones. […] The severity of jet lag depends on how many time zones you cross and in which direction. […] Jet lag is a temporary condition and resolves when the internal clock adjusts to the new time zone. […] According to the American Academy of Sleep Medicine, if you answer yes: to the following questions, then you may have jet lag. Have you traveled by air across at least two time zones? […] Do you have trouble sleeping, or are you very sleepy during the day? […] Do you have difficulty functioning normally or have a feeling of mild sickness or stomach problems within one to two days after travel?

• #18 Jet Lag Disorder | Thoracic Key

  https://thoracickey.com/jet-lag-disorder/

  Jet lag disorder is a circadian rhythm sleep disorder (CRSD) that results from the misalignment between the internal circadian clock and the external environment when traveling across at least two times zones (1). […] Individuals with jet lag disorder complain of difficulty sleeping and excessive daytime sleepiness that impairs waking function associated with transmeridian travels over at least two time zones (1). […] A thorough history and physical should be performed to rule out other conditions that may explain the symptoms. Polysomnography is not required unless another sleep disorder, such as sleep apnea, is suspected. […] According to ICSD-2 criteria jet lag is associated with a complaint of insomnia or excessive daytime sleepiness following transmeridian jet travel over at least two time zones. These complaints are associated with impaired daytime function, and the sleep disturbance is not better explained by another disorder (1).

• #19 Sleeplessness and Circadian Rhythm Disorder Workup: Approach Considerations, Diagnostic Criteria, Sleep Tests

  https://emedicine.medscape.com/article/1188944-workup

  When assessing sleeplessness, a sleep log is often used. […] Guidelines from the American Academy of Sleep Medicine recommend the use of sleep logs in the evaluation of the following sleep disorders: Jet lag. […] According to the International Classification of Sleep Disorders, Third Edition, Text Revision (ICSD-3-TR), all circadian rhythm sleep-wake disorders must meet three key criteria: Disrupted sleep-wake rhythm: A persistent or recurrent disturbance in the sleep-wake cycle caused by an alteration in the body’s internal circadian timing system, its entrainment mechanisms, or a misalignment between the circadian rhythm and external demands (eg, work, social, or environmental schedules). […] The MSLT allows for objective measurement of sleepiness.

• #20 Circadian Rhythm Sleep Disorders – Brain, Spinal Cord, and Nerve Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/sleep-disorders/circadian-rhythm-sleep-disorders

  Doctors base the diagnosis on symptoms, sometimes using information from a sleep log and sleep laboratory testing. […] Jet lag disorder is caused by rapid travel across more than 2 time zones. […] Doctors suspect the diagnosis based on symptoms. People are usually asked to keep a sleep log and to record their sleep and wake times for several weeks. Testing in a sleep laboratory is rarely needed.

• #21 Jet lag disorder | ABC Medical Center

  https://centromedicoabc.com/en/padecimientos/jet-lag-disorder/

  Jet lag disorder is a condition that lasts a few days, since normally your body adapts to the new schedule without the need for treatment, although sometimes it can last longer. […] If you are used to flying periodically and experience severe symptoms on each trip, we recommend that you see your doctor so that they can prescribe the optimal treatment for you, which could include: […] Your doctor will determine which medication is appropriate for your specific case.

• #22 Coping With Jet Lag and Sleepiness

  https://www.webmd.com/sleep-disorders/features/jet-lag-remedies

  Jet lag is a temporary sleep disorder, but not temporary enough for many travelers. […] Jet lag happens because rapid travel throws off our circadian rhythm — the biological clock that helps control when we wake and fall asleep. […] If you fly frequently and jet lag is a problem, consider seeing a sleep specialist — a physician or psychologist who has specialized training in sleep medicine. There are a number of ways that sleep specialists can help with shifting your body’s circadian rhythm toward your new time zone, such as with light therapy, melatonin, or prescription medication that can help with jet lag symptoms, Siebern says.

• #23 Circadian Rhythm Sleep Disorders | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/sleep-services/circadian-rhythm-sleep-disorders

  A temporary sleep problem that can affect anyone who quickly travels across multiple time zones causing sleep disruption while adjusting to a new time zone. […] A consultation with one of our board-certified sleep physicians is the first step in diagnosing a circadian rhythm sleep disorder. […] Your doctor will thoroughly review your medical history; ask about your symptoms, sleep patterns, and environment; perform a physical exam; and may order diagnostic tests. […] Other sleep disorders, like obstructive sleep apnea, have similar symptoms, so your physician may also order a sleep study to ensure that you are receiving the correct diagnosis.

• #24 2025 ICD-10-CM Diagnosis Code G47.25: Circadian rhythm sleep disorder, jet lag type

  https://www.icd10data.com/ICD10CM/Codes/G00-G99/G40-G47/G47-/G47.25

  G47.25 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. […] A subtype of circadian rhythm sleep disorder in which the individual exhibits an endogenous pattern of sleep and wakefulness that comes into conflict with the pattern of sleep and wakefulness required by a new time zone. […] jet lag type G47.25.

• #25

  http://www.icd9data.com/2014/Volume1/320-389/320-327/327/327.35.htm

  2014 ICD-9-CM Diagnosis Code 327.35 Circadian rhythm sleep disorder, jet lag type […] ICD-9-CM 327.35 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 327.35 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). […] 327.35 converts directly to: 2015/16 ICD-10-CM G47.25 Circadian rhythm sleep disorder, jet lag type […] Approximate Synonyms: Jet lag, Sleep disorder, circadian rhythm, jet lag type […] Rapid time-zone change syndrome 327.35 […] Syndrome – see also Disease jet lag 327.35 […] rapid time-zone change 327.35 […] time-zone (rapid) 327.35.

• #26 Jet Lag Symptoms, Causes & Prevention | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/jet-lag

  Jet lag is a sleep disorder caused by rapid travel across time zones (jet, or airplane, rather than car or train travel). […] If you travel regularly and are troubled by jet lag, contact a primary care physician or sleep specialist at Baptist Health. […] Jet lag discriminates by age: older persons tend to feel symptoms more acutely than the young. Also, traveling east magnifies the impact of jet lag more than traveling west. […] However, physicians will sometimes prescribe treatment for persons who travel frequently and regularly experience jet lag: […] The most common prescription medication for jet lag is soporifics or sleeping pills. […] Light therapy is a second method for supporting a normal pattern of sleep. […] Though jet lag is classified as a type of sleep disorder, it isnt particularly harmful.

• #27 Fighting Jet Lag May Help Cephalon Extend Patent on Nuvigil – The New York Times

  https://www.nytimes.com/2010/01/07/business/07jetlag.html

  It seemed like the offer of a lifetime — earn $2,500 by flying to France aboard a private luxury jet. […] That drug, Nuvigil from Cephalon, could become the first medicine specifically approved by the Food and Drug Administration to combat jet lag. […] But sleep specialists, who call the affliction “jet lag disorder,” say that while not exactly a disease, it is a condition that can be dangerous — as when someone tries to drive a car right after arriving in a distant time zone. […] For jet lag, Nuvigil would be approved to treat only the sleepiness associated with jet lag disorder — not to shift the body’s clock to the new time zone. […] “It’s something that can help you overcome the symptoms, but not the cause of the problem,” said Charmane I. Eastman, director of the biological rhythms research laboratory at Rush University Medical Center in Chicago, who was not involved in Cephalon’s trial.

• #28 Jet Lag: Causes, Symptoms, and Recovery

  https://patient.info/travel-and-vaccinations/health-advice-for-travel-abroad/jet-lag

  Jet lag occurs after travelling rapidly across several time zones, because the body’s internal clock has not adjusted to the required sleep-wake cycle in the new time zone. […] Jet lag is a group of symptoms caused by disruption to the natural rhythms of the body, called circadian rhythm, by moving quickly across the world’s time zones. It results from a temporary mismatch between the body’s internal clock and the destination sleep/wake schedule. […] If you are not recovering from jet lag and your symptoms are causing problems (such as sleep disturbance, disrupted appetite or altered mood – anxiety and depression), you should see your doctor. They can assess your symptoms and suggest how to manage them. […] People who travel frequently, particularly airline pilots and crew, are most likely to have problems with jet lag.

• #29 Jet Lag Disorder | Thoracic Key

  https://thoracickey.com/jet-lag-disorder/

  Other sleep, physical, and mental disorders should be excluded. For example, symptoms of jet lag can also include gastrointestinal complaints and may be related to an underlying medical condition. If symptoms of insomnia persist for more than 2 weeks after travel, psychophysiological insomnia may be the cause (1), particularly if poor sleep habits are perpetuating the problems.

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