About two-thirds of travellers report having jetlag. Symptoms of jet-lag include daytime tiredness, difficulty initiating sleep at night (after eastward flight) or early awakening (after westward flight), disturbed night-time sleep, impaired daytime alertness and performance, gastrointestinal problems, loss of appetite, and inappropriate timing of defecation and urination.
Such symptoms can seriously impair a person’s performance and ability to function, in part because of the reduction in sleep quality and quantity, and because performance and alertness rhythms will take several days to resynchronise. In the long-term (eg, after 4 years), chronic disruption of circadian rhythms from regular transmeridian travel might result in cognitive deficits (decreased short-term memory, slower reaction time) and changed physiological parameters (such as cortisol concentrations).
Because of their rapidly changing and conflicting light-dark exposure and activity-rest behaviour, shiftworkers can have symptoms similar to those of jetlag. Although travellers normally adapt to the new time zone, shift-workers usually live out of phase with local time cues.

