Cited by 226Gastrointestinal motility and disordersSleep and Work-Related FatigueInflammatory Bowel Disease

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The Impact of Rotating Shift Work on the Prevalence of Irritable Bowel Syndrome in Nurses

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Nojkov, Borko, Rubenstein, Joel H, Chey, William D, Hoogerwerf, Willemijntje A·2010·American Journal of Gastroenterology

DOI 10.1038/ajg.2010.48PMC PMC2887235

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Abstract

OBJECTIVES: Shift work has been associated with gastrointestinal symptoms such as abdominal pain, constipation, and diarrhea. These symptoms overlap with those reported by patients with functional bowel disorders. Because shift work will lead to misalignment between the endogenous circadian timing system and the external 24 h environment, we hypothesized that nurses participating in shift work will have a higher prevalence of functional bowel disorders when compared with nurses participating in day shifts. METHODS: Nurses engaged in patient care were invited to complete Rome III, irritable bowel syndrome-quality of life measure (IBS-QOL) and modified Sleep-50 questionnaires. Respondents were classified as working day, night, or rotating shifts. The prevalence of IBS, functional constipation, functional diarrhea, and individual gastrointestinal symptoms was determined. RESULTS: Data were available for 399 nurses (214 day shift, 110 night shift, and 75 rotating shift workers). Rotating shift nurses had a significantly higher prevalence of IBS compared to day shift nurses (48% vs. 31%, P<0.01). Multivariable logistic regression correcting for age, gender, and sleep quality proved this association robust. IBS-QOL scores among groups were similar. Prevalence of functional constipation and functional diarrhea was similar between groups. Rotating shift nurses had a significantly higher prevalence of abdominal pain compared to day shift (81% vs. 54%, P<0.0001) and night shift workers (61%, P=0.003). CONCLUSIONS: Participation in shift work, especially rotating shift work, is associated with the development of IBS and abdominal pain that is independent of sleep quality. Circadian rhythm disturbances may have a function in the pathogenesis of IBS and abdominal pain.

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Authors: Nojkov, B., Rubenstein, J. H., Chey, W. D., & Hoogerwerf, W. A.
Affiliations: University of Michigan (US)
Corresponding author: Hoogerwerf, Willemijntje A
ORCID: Nojkov, Borko
Rubenstein, Joel H
Chey, William D
Venue: American Journal of Gastroenterology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-04
Volume: 105
Issue: 4
Pages: 842-847
ISSN: 0002-9270 (ISSN-L)
DOI: 10.1038/ajg.2010.48
PMC: PMC2887235
OpenAlex: W2152771831
Cited by: 226
References: 24
Citations by year: 2026: 13 · 2025: 21 · 2024: 16 · 2023: 18 · 2022: 20 · 2021: 17 · 2020: 13 · 2019: 10 · 2018: 14 · 2017: 9 · 2016: 19 · 2015: 11 · 2014: 16 · 2013: 10 · 2012: 13
FWCI: 9.54
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (unspecified)
Locations: The American Journal of Gastroenterology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r21dk074477-02)
National Institute of Diabetes and Digestive and Kidney Diseases (R21 DK-074477, K23DK079291)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
Keywords: irritable bowel syndrome, rotating shifts, shift work, nurses, circadian rhythm disruption, abdominal pain, functional constipation, functional diarrhea, sleep quality, IBS quality of life, night shift work
MeSH terms: Adult, Female, Humans, Male, Middle Aged, Nurses, Quality of Life, Surveys and Questionnaires, Sleep Wake Disorders, Work Schedule Tolerance, Prevalence, Chi-Square Distribution, Logistic Models, Irritable Bowel Syndrome

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The Impact of Rotating Shift Work on the Prevalence of Irritable Bowel Syndrome in Nurses

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