{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T02:53:15Z","timestamp":1781837595508,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF\u2010 2022R1F1A1066498"],"award-info":[{"award-number":["NRF\u2010 2022R1F1A1066498"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study aimed to investigate the impact of comorbid insomnia and sleep apnea (COMISA) on work ability (WA) in the Korean workforce using data from a nationwide panel study. Data were derived from the Korean Work, Sleep, and Health Study (KWSHS), conducted from 2022 to 2024. Participants included 10,086 workers aged 19\u201370\u2009years, with repeated measures collected across three survey waves. COMISA was defined using the Berlin Questionnaire for high\u2010risk sleep apnea and the Insomnia Severity Index for clinical insomnia. WA was assessed using the Work Ability Index (WAI). Generalised estimating equation models analysed the association between COMISA and WA, adjusting for age, gender, and occupation. Subgroup analyses examined gender, age, and occupational variations. COMISA was strongly associated with reduced WA. Compared to the normal group, the odds ratio (OR) for poor WA in the high\u2010risk for COMISA group was 5.742 (95% CI, 4.715\u20136.993) after adjusting for confounders. COMISA exhibited a more significant impact on individuals below 60\u2009years, white\u2010collar, and daytime workers. Mean WA scores in the COMISA group were 4.377 points lower (95% CI, 4.161\u20134.593) than in the normal group. Subgroup analyses revealed demographic\u2010specific vulnerabilities, underscoring the compounded effects of COMISA. COMISA is significantly associated with poor WA, with pronounced effects among certain demographic groups. These findings suggest that targeted workplace interventions, integrated treatment strategies, and routine screening may help mitigate COMISA's potential impact on worker productivity and well\u2010being.<\/jats:p>","DOI":"10.1111\/jsr.70096","type":"journal-article","created":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T23:48:20Z","timestamp":1748821700000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Comorbid Insomnia and Sleep Apnea (\n                    <scp>COMISA<\/scp>\n                    ) on Work Ability: Results From Population\u2010Based Panel Data in Korea"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7293-2101","authenticated-orcid":false,"given":"Heejoo","family":"Ko","sequence":"first","affiliation":[{"name":"College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1875-1377","authenticated-orcid":false,"given":"Seong\u2010Sik","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine, College of Medicine Dong\u2010A University  Busan Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4023-3269","authenticated-orcid":false,"given":"Dong\u2010Wook","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Inha University Hospital  Incheon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7183-4542","authenticated-orcid":false,"given":"Jaesung","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Global Economics Sungkyunkwan University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6575-9833","authenticated-orcid":false,"given":"Min\u2010Seok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine H Plus Yangji Hospital  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1682-865X","authenticated-orcid":false,"given":"Mo\u2010Yeol","family":"Kang","sequence":"additional","affiliation":[{"name":"College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1389\u20109457(00)00065\u20104"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010009\u20109462\u20106"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.35371\/aoem.2025.37.e3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.04.005"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137117"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/life13061379"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2018.03.003"},{"key":"e_1_2_10_9_1","unstructured":"Forouzesh F.2023.Physical Activity Levels and Diurnal Patterns in COMISA Versus Age\u2010and Sex\u2010MatchedInsomniacs and Good SleepersConcordia 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