Sea Sickness in Seafarers: Associated Factors and Preventive Strategies

Main Article Content

Leelawadee Pengsut
Pornchai Sithisarankul

Abstract

            Sea sickness is a common health problem that significantly affects seafarers in the commercial shipping industry worldwide. This review aimed to synthesize the knowledge on sea sickness in seafarers, covering key issues such as prevalence, associated factors, impacts and prevention strategies.
            The prevalence of sea sickness in seafarers varied depending on the situation. In calm seas, the incidence was approximately 25 to 30 percent, and increased to 50 to 90 percent in rough seas. In addition, a study of Icelandic seafarers found the incidence to be as high as 80 percent. The etiology is attributed to the sensory conflict hypothesis, which posits a discrepancy between the body's perceived movement and environmental, arising from conflicting signals received by the eyes, inner ears, and proprioceptive system. Factors related to sea sickness included personal factors, work factors, and environmental factors. The effects of sea sickness affected crew members both physically and mentally, as well as their work efficiency. It was found that more than 50 percent were unable to work to their full potential. Sea sickness is a major problem that affects the quality of life and productivity of seafarers. However, it can be prevented or alleviated through a variety of measures, from basic preventive measures, appropriate medication, diet, to physical training. Understanding and implementing these preventive measures correctly can help reduce sea sickness and improve seafarers’ performance on board.

Article Details

Section
Academic Article

References

UNCTAD. Review of Maritime Transport 2021 [Internet]: UN Trade and Development (UNCTAD); [cited 2024 Jul 19]. Available from: https://unctad.org/publication/review-maritime-transport-2021.

Krungsriresearch. Business/industry trends 2023-2025: maritime freight forwarding business. [Internet]. [cited 2024 Jul 22]. Available from: https://www.krungsri.com/th/research/industry/industry-outlook/logistics/sea-freight-transportation/io/Sea-Freight-Transport-2023-2025. (in Thai).

Bos J, Damala D, Lewis C, Ganguly A, Turan O. Susceptibility to seasickness. Ergonomics 2007;50(6):890-901.

Sharma K, Aparna. Prevalence and correlates of susceptibility to motion sickness. Acta Genet Med Gemellol (Roma) 1997;46(2):105-21.

Chan G, Moochhala SM, Zhao B, Tan D, Wong J. A comparison of motion sickness prevalence between seafarers and non-seafarers onboard naval platforms. Int Marit Health 2006;57(1-4):56-65.

Arnardottir NY, Jonsdottir SS, Petersen H. Seasickness among Icelandic seamen. PLoS One 2022;17(8):e0273477.

Gupta AK, Kumar BV, Rajguru R, Parate KD. Assessment of sea sickness in naval personnel: incidence and management. Indian J Occup Environ Med 2021;25(2):119-24.

Golding JF. Motion sickness. Handb Clin Neurol 2016;137:371-90.

Bos JE, MacKinnon SN, Patterson A. Motion sickness symptoms in a ship motion simulator: effects of inside, outside, and no view. Aviat Space Environ Med 2005;76(12):1111-8.

Jepsen JR, Zhao Z, van Leeuwen WM. Seafarer fatigue: a review of risk factors, consequences for seafarers’ health and safety and options for mitigation. Int Marit Health 2015;66(2):106-17.

Zhang LL, Wang JQ, Qi RR, Pan LL, Li M, Cai YL. Motion Sickness: Current Knowledge and Recent Advance. CNS Neurosci Ther 2016;22(1):15-24.

Cha Y-H, Golding JF, Keshavarz B, Furman J, Kim J-S, Lopez-Escamez JA, et al. Motion sickness diagnostic criteria: consensus document of the classification Committee of the Bárány Society. J Vestib Res 2021;31(5):327-44.

Saha K, Cha YH. Mal de Debarquement syndrome. Semin Neurol 2020;40(1):160-4.

Besnard S, Bois J, Hitier M, Vogt J, Laforet P, Golding JF. Motion sickness lessons from the southern ocean. Aerosp Med Hum Perform 2021;92(9):720-7.

Golding JF. Motion sickness. Handb Clin Neurol 2016;137:371-90.

Golding JF. Predicting individual differences in motion sickness susceptibility by questionnaire. Personality and Individual Differences 2006;41(2):237-48.

Golding JF, Gresty MA. Pathophysiology and treatment of motion sickness. Curr Opin Neurol 2015;28(1):83-8.

Huppert D, Grill E, Brandt T. Survey of motion sickness susceptibility in children and adolescents aged 3 months to 18 years. J Neurol 2019;266(Suppl 1):65-73.

Henriques IF, Douglas de Oliveira DW, Oliveira-Ferreira F, Andrade PM. Motion sickness prevalence in school children. Eur J Pediatr 2014;173(11):1473-82.

Paillard AC, Quarck G, Paolino F, Denise P, Paolino M, Golding JF, et al. Motion sickness susceptibility in healthy subjects and vestibular patients: effects of gender, age and trait-anxiety. J Vestib Res 2013;23(4-5):203-9.

Lawther A, Griffin MJ. A survey of the occurrence of motion sickness amongst passengers at sea. Aviat Space Environ Med 1988;59(5):399-406.

Matchock RL, Levine ME, Gianaros PJ, Stern RM. Susceptibility to nausea and motion sickness as a function of the menstrual cycle. Womens Health Issues 2008;18(4):328-35.

Murdin L, Chamberlain F, Cheema S, Arshad Q, Gresty MA, Golding JF, et al. Motion sickness in migraine and vestibular disorders. J Neurol Neurosurg Psychiatr 2015;86(5):585-7.

Peddareddygari LR, Kramer PD, Hanna PA, Levenstien MA, Grewal RP. Genetic analysis of a large family with migraine, vertigo, and motion sickness. Can J Neurol Sci 2019;46(5):512-7.

Cohen B, Dai M, Yakushin SB, Raphan T. Baclofen, motion sickness susceptibility and the neural basis for velocity storage. Prog Brain Res 2008;171:543-53.

Graybiel A, Cramer DB, Wood CD. Antimotion-sickness efficacy of scopolamine 12 and 72 hours after transdermal administration. Aviat Space Environ Med 1982;53(8):770-2.

Kim D-B, Kim B-G, Rim G-S, Kim H-R, Kim C-S. A study on the Sea-sickness susceptibility of seafarer at the wheel house and engine room. Journal of the Korean Society of Marine Environment and Safety 2014;20(1):42-8.

Forsell K, Eriksson H, Järvholm B, Lundh M, Andersson E, Nilsson R. Work environment and safety climate in the Swedish merchant fleet. Int Arch Occup Environ Health 2017;90:161-8.

Bos JE, Bles W, Groen EL. A theory on visually induced motion sickness. Displays 2008;29(2):47-57.

Lucas D, Mehaneze M, Loddé B, Jegaden D. การ. Int Marit Health 2020;71(3):160-5.

McCarthy A, Plourde P, Salzman J, Birnbaum R, Cobb L, Marchessault V, et al. An Advisory Committee Statement (ACS) Committee to advise on Tropical Medicine and Travel (CATMAT)* statement on motion sickness. CCDR 2003;29.

Rahimzadeh G, Tay A, Travica N, Lacy K, Mohamed S, Nahavandi D, et al. Nutritional and behavioral countermeasures as medication approaches to relieve motion sickness: a comprehensive review. Nutrients 2023;15(6):1320.

Łokucijewski B. Physical training in the prevention of sea sickness. Polish Hyperbaric Research 2024;83(2):45-52.