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ShiftWork and Impaired Glucose Metabolism: A 14-Year Cohort Study on 7104 Male Workers
Abstract
The aim of this study was to assess the effect of shiftwork on hemoglobin A1c (HbA1c) level, as an index of glucose metabolism. A 14 yr prospective cohort study was conducted on day (n = 4219) and alternating shiftworkers (n = 2885) who received annual health checkups between 1991 and 2005 at a Japanese steel company. The endpoints were either a 10%, 15%, 20%, 25%, or 30% increase in HbA1c during the period of observation, compared to HbA1c at entry to the study. The association between the type of job schedule and increase in HbA1c was investigated after adjusting for age, body mass index, mean arterial pressure, total serum cholesterol, creatinine, alanine aminotransferase, gamma-glutamyl transpeptidase, uric acid, drinking habit, smoking habit, and habitual exercise using multivariate pooled logistic regression analyses. Shiftwork was significantly associated with the various HbA1c endpoints (> or =10% HbA1c increase, odds ratio 1.35 [95% confidence interval 1.26-1.44]; > or =15% HbA1c increase, odds ratio 1.29 [95% confidence interval, 1.19-1.40]; > or =20% HbA1c increase, odds ratio 1.23 [95% confidence interval 1.11-1.37]; and > or =25% HbA1c increase, odds ratio 1.19 [95% confidence interval 1.03-1.36]). Age, body mass index, alanine aminotransferase, and gamma-glutamyl transpeptidase were associated positively with all five HbA1c endpoints. Uric acid was associated negatively with all five HbA1c endpoints. Our study on male Japanese workers revealed alternating shiftwork (in addition to other established factors, such as age and body mass index) was a consistent risk factor for impaired glucose metabolism.
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“Different forms of shift work are reported to induce multiple forms of circadian misalignment, which are believed to underlie the observed raised postprandial glucose (120) and insulin concentrations in shift workers (121), as well as the increased risk of impaired glucose tolerance (122) and type 2 diabetes observed in epidemiologic studies (81).”
From Chronotype: Implications for Epidemiologic Studies on Chrono-Nutrition and Cardiometabolic Health (2019) · cites this paper as [122]
In the citing paper
“the strongest evidence linking circadian disruption and type 2 diabetes, comes from epidemiological studies consistently showing an increased risk for type 2 diabetes in shift workers [138–140].”
From Circadian control of glucose metabolism (2014) · cites this paper as [139]
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Rotating Night Shift Work and Risk of Type 2 Diabetes: Two Prospective Cohort Studies in Women
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BackgroundShift Work and Health: Current Problems and Preventive Actions
Costa, G. (2010) · Safety and Health at Work · doi:10.5491/shaw.2010.1.2.112 · Cited by 443
“With regards to the risk of diabetes, some studies reported an impairment of glucose tolerance in shift workers, with increased insulin resistance at night [52,53] and a higher (almost double) prevalence of type 2 diabetes in relation to rotating shift work [54], which appears to increase with years spent doing shift…”
BackgroundCircadian system, sleep and endocrinology
Morris, C. J., Aeschbach, D., & Scheer, F. A. J. L. (2012) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2011.09.003 · Cited by 403
“This high prevalence of night-work is of considerable significance for public health considering that shift-work (relative to day-work) has been shown to be a risk factor for health problems such as cardiovascular disease, impaired glucose metabolism and obesity (Tenkanen et al., 1997; Morikawa et al., 2005; Suwazono…”
BackgroundCircadian System and Glucose Metabolism: Implications for Physiology and Disease
Qian, J., & Scheer, F. A. J. L. (2016) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2016.03.005 · Cited by 370
“[11, 12], late meal timing [6], late chronotype [13, 14], social jet lag [15], and sleep loss [16] are associated with increased risks of T2D.”
BackgroundCircadian control of glucose metabolism
Kalsbeek, A., la Fleur, S., & Fliers, E. (2014) · Molecular Metabolism · doi:10.1016/j.molmet.2014.03.002 · Cited by 338
Chronotype: Implications for Epidemiologic Studies on Chrono-Nutrition and Cardiometabolic Health
Almoosawi, S., Vingeliene, S., Gachon, F., Voortman, T., Palla, L., Johnston, J. D., Van Dam, R. M., Darimont, C., & Karagounis, L. G. (2019) · Advances in Nutrition · doi:10.1093/advances/nmy070 · Cited by 247
“Different forms of shift work are reported to induce multiple forms of circadian misalignment, which are believed to underlie the observed raised postprandial glucose (120) and insulin concentrations in shift workers (121), aswell as the increased risk of impaired glucose tolerance (122) and type 2 diabetes observed i…”
BackgroundSkeletal muscle mitochondria as a target to prevent or treat type 2 diabetes mellitus
Hesselink, M. K. C., Schrauwen-Hinderling, V., & Schrauwen, P. (2016) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2016.104 · Cited by 242
The Relationship Between Shift Work and Metabolic Risk Factors
Proper, K. I., van de Langenberg, D., Rodenburg, W., Vermeulen, R. C. H., van der Beek, A. J., STEEG, H. V., & van Kerkhof, L. W. M. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.11.013 · Cited by 210
“Nine studies 18,19,22,24,28,38,41,42,47,49,53,54 examined the relation between shift work and glucose metabolism.”
Circadian Etiology of Type 2 Diabetes Mellitus
Javeed, N., & Matveyenko, A. V. (2018) · Physiology · doi:10.1152/physiol.00003.2018 · Cited by 219
“This produces the state often characterized as circadian misalignment or disruption (26, 59, 113), a condition strongly associated with metabolic dysfunction and development of obesity and T2DM (11, 21, 64, 65, 74, 75, 95, 99, 111, 119, 135, 141, 154).”
BackgroundLombardi, D. A., Folkard, S., Willetts, J. L., & Smith, G. S. (2010) · Chronobiology International · doi:10.3109/07420528.2010.489466 · Cited by 193
“Likewise, long working hours and demanding work schedules are associated with various adverse impacts on worker safety and health (Biggi et al., 2008; Dembe et al., 2005; Esquirol et al., 2009; Hanecke et al., 1998; Lin et al., 2009; Suwazono et al., 2009).”
BackgroundDemographic factors, fatigue, and driving accidents: An examination of the published literature
Milia, L. V. D., Smolensky, M. H., Costa, G., Howarth, H. D., Ohayon, M. M., & Philip, P. (2010) · Accident Analysis & Prevention · doi:10.1016/j.aap.2009.12.018 · Cited by 206
Circadian metabolism in the light of evolution
Gerhart-Hines, Z., & Lazar, M. A. (2015) · Endocrine Reviews · doi:10.1210/er.2015-1007 · Cited by 178
Shift work and cardiovascular risk factors: New knowledge from the past decade
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Shift work and metabolic syndrome, diabetes mellitus and ischaemic heart disease
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DEPRESSED MOOD IN THE WORKING POPULATION: ASSOCIATIONS WITH WORK SCHEDULES AND WORKING HOURS
Driesen, K., Jansen, N., Kant, I., Mohren, D. C. L., & van Amelsvoort, L. G. P. M. (2010) · Chronobiology International · doi:10.3109/07420528.2010.489877 · Cited by 123
“…as cardiovascular diseases (Knutsson, 2003; van Amelsvoort et al., 2001), gastrointestinal diseases (Harrington, 2001), fatigue (Jansen et al., 2003a), sleep disorders (Harma et al., 1998), and metabolic syndromes (Biggi et al., 2008; Esquirol et al., 2009; Lin et al., 2009; Suwazono et al., 2009).”
BackgroundGlucose metabolism during rotational shift-work in healthcare workers
Sharma, A. R., LAURENTI, M. C., Man, C. D., Varghese, R. T., Cobelli, C., Rizza, R. A., Matveyenko, A. V., & Vella, A. V. (2017) · Diabetologia · doi:10.1007/s00125-017-4317-0 · Cited by 120
“a lack of synchrony between the endogenous circadian rhythm and the behavioural/ environmental cycle) has been associated with an increased risk of type 2 diabetes and obesity [1, 2].”
OBESITY AND HIGH BLOOD PRESSURE OF 12-HOUR NIGHT SHIFT FEMALE CLEAN-ROOM WORKERS
Chen, J., Lin, Y.-C., & Hsiao, S.-T. (2010) · Chronobiology International · doi:10.3109/07420520903502242 · Cited by 105
“…central obesity in shiftworkers (Di Lorenzo et al., 2003; Karlsson et al., 2001; Morikawa et al., 2007; Nagaya et al., 2002; Sookoian et al., 2007; Suwazono et al., 2008b; van Amelsvoort et al., 1999), most of these examined men working rotating shifts; very few studies investigated 12 h…”
BackgroundThe circadian system and the balance of the autonomic nervous system
Buijs, R. M., Escobar, C., & Swaab, D. F. (2013) · Handbook of clinical neurology · doi:10.1016/b978-0-444-53491-0.00015-8 · Cited by 101
“However, taking into consideration that night shift workers, who by definition violate the signals of the biological clock, have a much bigger chance of developing chronic diseases (Karlsson et al., 2005; Suwazono et al., 2009), we hypothesize that diseases featuring a disbalance of the ANS, such as hypertension or ty…”
BackgroundAt the Interface of Lifestyle, Behavior, and Circadian Rhythms: Metabolic Implications
Bae, S.-A., Fang, M., Rustgi, V. K., Zarbl, H., & Androulakis, I. P. (2019) · Frontiers in Nutrition · doi:10.3389/fnut.2019.00132 · Cited by 103
“In addition to factors contributing to metabolic syndrome such as obesity and high triglycerides, shift work is also correlated to abnormal glucose levels, likely indicating that alternating shift work increases the risk of impaired glucose metabolism (121).”
BackgroundDutheil, F., Baker, J. S., Mermillod, M., Cesare, M. D., Vidal, A., Moustafa, F., Pereira, B., & Navel, V. (2020) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2020.08.015 · Cited by 102
The Krüppel-Like Factors and Control of Energy Homeostasis
Hsieh, P. N., Fan, L., Sweet, D. R., & Jain, M. K. (2018) · Endocrine Reviews · doi:10.1210/er.2018-00151 · Cited by 85
Rodent models to study the metabolic effects of shiftwork in humans
Opperhuizen, A., van Kerkhof, L. W. M., Proper, K. I., Rodenburg, W., & Kalsbeek, A. (2015) · Frontiers in Pharmacology · doi:10.3389/fphar.2015.00050 · Cited by 85
PERSPECTIVES ON THE CHRONOTHERAPY OF HYPERTENSION BASED ON THE RESULTS OF THE MAPEC STUDY
Portaluppi, F., & Smolensky, M. H. (2010) · Chronobiology International · doi:10.3109/07420528.2010.510788 · Cited by 79
“This is the situation in spite of the fact that the field of chronobiology has contributed significantly to the understanding of the pathophysiologic mechanisms of disease, diagnostics, and effective and safer treatment through chronotherapeutics—the timing according to circadian or other biological rhythms of pharmac…”
Potential Roles of Dec and Bmal1 Genes in Interconnecting Circadian Clock and Energy Metabolism
Sato, F., Kohsaka, A., BHAWAL, U. K., & Muragaki, Y. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19030781 · Cited by 85
Rakshit, K., Hsu, T. W., & Matveyenko, A. V. (2016) · Diabetologia · doi:10.1007/s00125-015-3859-2 · Cited by 79
Exposure to shift work as a risk factor for diabetes
Monk, T. H., & Buysse, D. J. (2013) · Journal of Biological Rhythms · doi:10.1177/0748730413506557 · Cited by 77
“, 2002), impaired glucose metabolism (Suwazono et al., 2009), and the likelihood that those with impaired fasting glucose would become diabetic (Toshihiro et al.”
BackgroundDisruption of Daily Rhythms by High-Fat Diet Is Reversible
Branecky, K. L., Niswender, K. D., & Pendergast, J. S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0137970 · Cited by 77
“Likewise, shift workers are at increased risk of obesity, the metabolic syndrome, and cardio-vascular disease [6 – 10].”
METABOLIC RESPONSES ON THE EARLY SHIFT
Padilha, H. G., Crispim, C. A., Zimberg, I. Z., Folkard, S., Tufik, S., & de Mello, M. T. (2010) · Chronobiology International · doi:10.3109/07420528.2010.489883 · Cited by 77
“Moreover, some studies have described significant impairment in glucose levels in shiftworkers (Di Lorenzo et al., 2003; Karlsson et al., 2003; Suwazono et al., 2009).”
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Metabolic impact of shift work
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“In particular, over the longer term there is a higher propensity to develop metabolic and nutritional disorders, such as obesity [3,4], altered nutritional metabolism [5-10], insulin resistance [11], diabetes [7,12-16], dyslipidemias [17,18], metabolic syndrome [6,8,12,19-21], and gastrointestinal disorders [22].”
BackgroundEPIGENETIC EFFECTS OF SHIFTWORK ON BLOOD DNA METHYLATION
Bollati, V., Baccarelli, A., Sartori, S., Tarantini, L., Motta, V., Rota, F., & Costa, G. (2010) · Chronobiology International · doi:10.3109/07420528.2010.490065 · Cited by 68
“…the most reported long-term effects are chronic sleep, gastrointestinal, neuropsychological, metabolic, and cardiovascular disorders, as well as negative interference on pregnancy (Akerstedt, 1998; Knutsson, 2003; Biggi et al., 2008; Esquirol et al., 2009; Lin et al., 2009; Suwazono et al., 2009).”
Kim, S., Jang, E.-C., Kwon, S.-C., Han, W., Kang, M.-S., Nam, Y.-H., & Lee, Y.-J. (2016) · Annals of Occupational and Environmental Medicine · doi:10.1186/s40557-016-0135-y · Cited by 61
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ResultCircadian Rhythms, the Gut Microbiome, and Metabolic Disorders
Zhao, E. H., Tait, C., Minacapelli, C. D., Catalano, C., & Rustgi, V. K. (2022) · Gastro Hep Advances · doi:10.1016/j.gastha.2021.10.008 · Cited by 63
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Palmisano, B. T., Stafford, J. M., & Pendergast, J. S. (2017) · Frontiers in Endocrinology · doi:10.3389/fendo.2017.00044 · Cited by 54
Mohebbi, I., Shateri, K., & Seyedmohammadzad, M. (2012) · International Journal of Occupational Medicine and Environmental Health · doi:10.2478/s13382-012-0051-5 · Cited by 50
Targeting of the circadian clock via CK1δ/ε to improve glucose homeostasis in obesity
Cunningham, P. S., Ahern, S. A., Smith, L. C., Santos, C. S. D. S., Wager, T. T., & Bechtold, D. A. (2016) · Scientific Reports · doi:10.1038/srep29983 · Cited by 42
Does Disruption of Circadian Rhythms Contribute to Beta-Cell Failure in Type 2 Diabetes?
Rakshit, K., Thomas, A. P., & Matveyenko, A. V. (2014) · Current Diabetes Reports · doi:10.1007/s11892-014-0474-4 · Cited by 42
Silva‐Costa, A., Rotenberg, L., Nobre, A. A., Schmidt, M. I., Chor, D., & Griep, R. H. (2015) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3520 · Cited by 38
“Among Japanese workers, rotating night shift work was also associated with raised glycated hemoglobin levels, revealing itself to be an independent risk factor for impaired glucose metabolism (19).”
BackgroundPlasticity of circadian clocks and consequences for metabolism
Coomans, C. P., Lucassen, E. A., Kooijman, S., Fifel, K., Deboer, T., Rensen, P. C. N., Michel, S. H., & Meijer, J. H. (2015) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12513 · Cited by 37
“For example, shift workers have an increased risk of developing obesity and/or type 2 diabetes, as reported consistently by large cross-sectional [2] and prospective studies [3,4] in both men [4] and women [2,3].”
BackgroundChoi, S. J., Song, P., Suh, S. A., Joo, E. Y., & Lee, S. I. (2020) · Journal of Clinical Neurology · doi:10.3988/jcn.2020.16.1.108 · Cited by 40
Teratani, T., Morimoto, H., Sakata, K., Oishi, M., Tanaka, K., Nakada, S., Nogawa, K., & Suwazono, Y. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.03.002 · Cited by 34
“…was also a sigificant risk factor for the development of diabetes mellitus and ncreased glycated hemoglobin A1c (HbA1c) in Japanese workers. nalysis of lifestyles in that study showed that drinking every ay decreased the risk of either a 20%, 25% or 30% increase in bA1c (Suwazono et al., 2009).”
BackgroundResultInfluentialSelf-citationThe islet circadian clock: entrainment mechanisms, function and role in glucose homeostasis
Rakshit, K. P., Qian, J., Colwell, C. S., & Matveyenko, A. V. (2015) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12523 · Cited by 36
Esquirol, Y., Bongard, V., Ferrières, J., Verdier, H., & Perret, B. (2012) · Chronobiology International · doi:10.3109/07420528.2012.719959 · Cited by 30
Shift work and the risk of cardiovascular disease among workers in cocoa processing company, Tema
Asare‐Anane, H., Abdul-Latif, A., Ofori, E. K., Abdul‐Rahman, M., & Amanquah, S. D. (2015) · BMC Research Notes · doi:10.1186/s13104-015-1750-3 · Cited by 29
“The high BMI associated with shift workers may be due to adoption of unhealthy lifestyles such as eating at night during night shift work which has been reported to expose people to weight gain [15].”
BackgroundIntroduction to Problems of Shift Work
Costa, G. (2016) · Springer eBooks · doi:10.1007/978-3-319-42286-2_2 · Cited by 29
“Several epidemiological studies have recently reported a higher prevalence of nutritional and metabolic disturbances in shift workers, such as metabolic syndrome and diabetes, emphasizing their role in the pathogenesis of coronary heart disease (Karlsson et al. 2003; Biggi et al. 2008; De Bacquer et al. 2009; Suwazono…”
BackgroundCross-species physiological interactions of endocrine disrupting chemicals with the circadian clock
Bottalico, L. N., & Weljie, A. M. (2020) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2020.113650 · Cited by 30
Circadian de(regulation) in physiology: implications for disease and treatmentPreprint
de Assis, L. V. M., & Kramer, A. (2024) · Genes & Development · doi:10.1101/gad.352180.124 · Cited by 31
Silva‐Costa, A., Rotenberg, L., Coeli, C. M., Nobre, A. A., & Griep, R. H. (2016) · Chronobiology International · doi:10.3109/07420528.2015.1115765 · Cited by 24
“Significant association between shiftwork and increased glycated hemoglobin was observed by Suwazono et al. (2009) in a prospective cohort of male Japanese workers.”
BackgroundParadoxical post-exercise responses of acylated ghrelin and leptin during a simulated night shift
Morris, C. J., Fullick, S., Gregson, W., Clarke, N., Doran, D., MacLaren, D., & Atkinson, G. (2010) · Chronobiology International · doi:10.3109/07420521003663819 · Cited by 21
“…for weight gain (Suwazono et al., 2008), metabolic syndrome (e,g., Biggi et al., 2008; Yolande et al., 2009), and impaired glucose regulation (e.g., Suwazono et al., 2009), which is probably explained by behavior- and biology-based disruption of factors involved in energy balance (Atkinson et al.,…”
BackgroundVardiyalı Çalışma Bozukluğu ve Vardiyalı Çalışmanın Ruhsal ve Bedensel Etkileri
Özdemir, P. G., Ökmen, A. C., & Yılmaz, O. (2017) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.336513 · Cited by 20
Iavicoli, I., Gambelunghe, A., Magrini, A., Mosconi, G., Soleo, L., Vigna, L., Trevisan, R., Bruno, A., Chiambretti, A., Scarpitta, A. M., et al. (2018) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2018.10.012 · Cited by 20
Impact of heart-specific disruption of the circadian clock on systemic glucose metabolism in mice
Nakao, T., Kohsaka, A., Otsuka, T., Thein, Z. L., Le, H. T., Waki, H., Gouraud, S. S., Ihara, H., Nakanishi, M., Sato, F., et al. (2017) · Chronobiology International · doi:10.1080/07420528.2017.1415922 · Cited by 17
“…these circadian disorders are associated with the dysregulation of systemic glucose metabolism (Anothaisintawee et al., 2016; Pan et al. 2011; Suwazono et al. 2009; Suwazono et al. 2010; Touma and Pannain 2011), less is known about how alterations in central and peripheral clock functions…”
BackgroundKwak, J., Jang, K.-A., Kim, H.-R., Kang, M., Lee, K. W., & Shin, D. (2023) · Nutrients · doi:10.3390/nu15061385 · Cited by 19
Morimoto, H., Sakata, K., Oishi, M., Tanaka, K., Nakada, S., Nogawa, K., & Suwazono, Y. (2012) · Diabetes & Metabolism · doi:10.1016/j.diabet.2012.03.004 · Cited by 16
Self-citationSuwazono, Y., Uetani, M., Oishi, M., Tanaka, K., Morimoto, H., & Sakata, K. (2010) · Occupational and Environmental Medicine · doi:10.1136/oem.2009.050971 · Cited by 16
“In our previous report, we described pooled logistic regression analysis in detail.(11) Each examination interval of 1 year was treated as a mini follow-up study and therefore the method included the concept of person-years.”
BackgroundMethodInfluentialSelf-citationShift work, job strain, and metabolic syndrome: Cross‐sectional analysis of ELSA‐Brasil
dos Santos, A. E., Araújo, L. F., Griep, R. H., Moreno, C. R. D. C., Chor, D., Barreto, S. M., & Giatti, L. (2018) · American Journal of Industrial Medicine · doi:10.1002/ajim.22910 · Cited by 14
Solymanzadeh, F., Rokhafroz, D., Asadizaker, M., & Dastoorpoor, M. (2022) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2021.2024403 · Cited by 13
“The elevated BMI associated with shift workers may be attributed to the adoption of unhealthy behaviours such as consumption of food at night during the night shiftwork,whichhas been reported to exposepersons to weight gain [44].”
BackgroundThe sweet tooth of the circadian clock
Fu, M., & Yang, X. (2017) · Biochemical Society Transactions · doi:10.1042/bst20160183 · Cited by 11
Which Shiftwork Pattern Is the Strongest Predictor for Poor Sleep Quality in Nurses?
Wangsan, K., Chaiear, N., Sawanyawisuth, K., Klainin‐Yobas, P., Simajareuk, K., & Boonsawat, W. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192113986 · Cited by 11
Brøns, C., Saltbæk, P. N., Friedrichsen, M. H., Chen, Y., & Vaag, A. A. (2016) · European Journal of Endocrinology · doi:10.1530/eje-16-0177 · Cited by 9
Recent advances in the study of circadian rhythm disorders that induce diabetic retinopathy
Liu, W., Chen, J., Niu, S.-R., Zheng, Y.-S., Lin, S., & Hong, Y. H. (2023) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2023.115368 · Cited by 9
Costa, G., Tommasi, E., Giovannini, L., & Mucci, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-59403-9_29 · Cited by 7
Costa, G., & Milia, L. V. D. (2010) · Chronobiology International · doi:10.3109/07420528.2010.488606 · Cited by 8
“The problem of metabolic disorders and working time arrangement was noted in the previous WTS issue (Biggi et al., 2008) and thereafter in regular issues (Esquirol et al., 2009; Lin et al., 2009; Suwazono et al., 2009) of the Journal.”
BackgroundMetal concentrations and KIM-1 levels in school-aged children: a cross-sectional study
Mendoza‐Cano, O., Ríos‐Silva, M., Gonzalez-Curiel, I. E., Camacho-delaCruz, A. A., Romo-García, M. F., Cuevas-Arellano, H. B., Quintanilla‐Montoya, A. L., Martínez-Preciado, M. A., Rincón-Avalos, P., Hilerio-López, Á. G., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-62320-8 · Cited by 6
Pan, A., Devore, E. E., & Schernhammer, E. S. (2015) · Wiley eBooks · doi:10.1002/9781118467831.ch13 · Cited by 6
The role of circadian rhythm disruptions in the diabetes pathogenesis
Karadeniz, A. (2025) · Endocrine Regulations · doi:10.2478/enr-2025-0024 · Cited by 5
“Moreover, controlled randomized trials in shift work populations remain insufficient (Suwazono et al. 2009; Pan et al. 2011).”
Slebe, R., Splinter, J. J., Schoonmade, L. J., Blondin, D. P., Campbell, D. J. T., Carpentier, A. C., Després, J., Joris Hoeks, J., Kalsbeek, A., Raina, P. S., et al. (2024) · Diabetes Obesity and Metabolism · doi:10.1111/dom.16104 · Cited by 5
Shaker, D. A.-H., Samir, A. M., Zyada, F., Elsharkawy, M., & Ekladious, S. (2018) · Middle East Current Psychiatry · doi:10.1097/01.xme.0000526694.65550.93 · Cited by 5
Structural equation modeling of associations between night work and glycemic levels
Silva‐Costa, A., Rotenberg, L., Baltar, V. T., Coeli, C. M., da Fonseca, M. D. J. M., Melo, E. C. P., & Griep, R. H. (2019) · Archives of Endocrinology and Metabolism · doi:10.20945/2359-3997000000147 · Cited by 5
“S everal epidemiological studies have suggested exposure to night work as a risk factor for type 2 diabetes (1-4).”
BackgroundInflammatory Status and Cardio-metabolic Risk Stratification of Rotational Shift Work
Collins, B. E. G., Hartmann, T. E., Marino, F. E., & Skein, M. (2021) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxab043 · Cited by 4
Introduction to Mammalian Circadian Clock System
Zhao, M., Lu, D., Chen, M., & Wu, B. (2020) · Springer eBooks · doi:10.1007/978-981-15-8807-5_1 · Cited by 4
Imeglimin profoundly affects the circadian clock in mouse embryonic fibroblasts
Miura, K., Morishige, J., Abe, J., Xu, P., Shi, Y., Jing, Z., Nagata, N., Miyazaki, R., Sakane, N., Mieda, M., et al. (2023) · Journal of Pharmacological Sciences · doi:10.1016/j.jphs.2023.10.001 · Cited by 3
Pye, C., Parr, E. B., Flint, S. A., & Devlin, B. L. (2024) · Clinical Obesity · doi:10.1111/cob.12671 · Cited by 3
Poulsen, K., & Andersen, L. L. (2016) · Scandinavian Journal of Public Health · doi:10.1177/1403494816629533 · Cited by 3
“Shift work has also been suggested as a risk factor for diabetes because of the diurnal negative effect on the cortisol balance [24].”
BackgroundSeibt, R., Kreuzfeld, S., & Hunger, B. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1616810 · Cited by 3
Relevance of Chronobiology to the Research and Clinical Practice of Neurorehabilitation
Portaluppi, F., Smolensky, M. H., Haus, E. L., & Fabbian, F. (2012) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2012.08.005 · Cited by 2
Figueroa, A. L. C. (2015) · Acta Endocrinologica (Bucharest) · doi:10.4183/aeb.2015.489 · Cited by 2
“In modern society, the human biological clock is commonly altered by changes in sleep patterns, nocturnal work shifts and exposure to artificial light at night, leading to metabolic anomalies associated with the etiology of obesity and type 2 diabetes (20, 21).”
BackgroundThe Relationship of Stroke and Sleep-A Review
Batum, M., Ak, A. K., & Yılmaz, H. (2018) · Journal of Turkish Sleep Medicine · doi:10.4274/jtsm.47955 · Cited by 2
Hamran, S., Altrmanini, O., Rahhal, M. O., Alsheikh, R. A., Amro, I., Babu, G. R., Khan, M., Farooqui, H. H., Chivese, T., & Khaled, S. (2025) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s503143 · Cited by 1
Portaluppi, F. (2011) · Biological Rhythm Research · doi:10.1080/09291016.2011.613619 · Cited by 1
“…et al. 2009; Minana-Solis et al. 2009; Monk et al. 2009; Morris et al. 2009; Piccione et al. 2009; Rosenberg et al. 2009; Smith VM et al. 2009; Suwazono et al. 2009; Terrien et al. 2009; van der Leest et al. 2009; Vera et al. 2009; Werner et al. 2009; Wu et al. 2009; Ayala and Hermida 2010;…”
BackgroundGhazawy, E. R., Sm, K., Gamal El-Deen, H. M., & Ewis, A. A. (2014) · Egyptian Journal of Occupational Medicine · doi:10.21608/ejom.2014.798 · Cited by 1
“Some studies reported an impairment of glucose tolerance in shift workers, with increased insulin resistance at night (Nagaya et al., 2002; Suwazono et al., 2009) and a higher (almost double) prevalence of type 2 diabetes in relation to rotating shift work (Morikawa et al., 2005).”
BackgroundDo Sleep Disorders Predispose to the Development of Type 2 Diabetes Mellitus?
Sharma, S., & Jha, S. (2022) · The Indian Journal of Chest Diseases and Allied Sciences · doi:10.5005/ijcdas-57-2-77 · Cited by 1
Qian, J. (2015) · eScholarship (California Digital Library)
Disruption of Circadian Rhythms and Development of Type 2 Diabetes Mellitus
Matveyenko, A. V. (2015) · Wiley eBooks · doi:10.1002/9781118467831.ch11
Pa, T. M. (2011) · Tijdschrift voor bedrijfs- en verzekeringsgeneeskunde · doi:10.1007/s12498-011-0228-z
Biological Clocks: Nature, Organization and Interactions
Wiernsperger, N. F., & Rapin, J. R. (2011) · Journal of Endocrinology and Metabolism · doi:10.4021/jem.v1i4.44
“At least two major observations support this concept: fi rst, the health problems expressed by shift workers both in metabolic [1, 2] and cardiovascular aspects [3, 4].”
Silva‐Costa, A. (2015) · Americanae (AECID Library)
Shift work and cardiovascular risk factors : Prevention among airline employees
Viitasalo, K. (2016) · Työväentutkimus Vuosikirja
Association of Alcohol Consumption with Glucose Homeostasis: A Systematic Review and Meta-analysis
Taghdiri, S. (2017) · TSpace (University of Toronto)
Mind your clocks! The role of the biological clock in human metabolic health
Hansen (2017) · doi:10.26481/dis.20171115jh
“Further, epidemiological studies indicate that the recent lifestyle changes contribute to a disruption of day-night rhythm, which has been associated with negative consequences for metabolic health [3, 6, 10, 11].”
BackgroundSleep Disorders and Risk of Ischemic Stroke.
Abdellatif, M. G., Morad, O., Amin, A., & Arafa, A. (2019) · Sohag Medical Journal · doi:10.21608/smj.2019.17822.1065
Lippert, J., Duss, S. B., & Bassetti, C. L. (2020) · Elsevier eBooks · doi:10.1016/b978-3-437-21321-2.00055-7
Research Progress of Animal Models of Type II Diabetes
成, 婷. (2023) · Hans Journal of Biomedicine · doi:10.12677/hjbm.2023.133037
Mendoza‐Cano, O., Ríos‐Silva, M., Gonzalez-Curiel, I. E., Camacho-delaCruz, A. A., Romo-García, M. F., Cuevas-Arellano, H. B., Quintanilla‐Montoya, A. L., Martínez-Preciado, M. A., Rincón-Avalos, P., Hilerio-López, Á. G., et al. (2024) · SSRN Electronic Journal · doi:10.2139/ssrn.4756460
Metadata
- Authors
- Suwazono, Y., Dochi, M., Oishi, M., Tanaka, K., Kobayashi, E., & Sakata, K.
- Affiliations
- Chiba University (JP)
- Corresponding author
- Suwazono, Yasushi
- Venue
- Chronobiology International
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 26
- Issue
- 5
- Pages
- 926-941
- ISSN
- 0742-0528 (ISSN-L)
- 1525-6073
- OpenAlex
- W2124194978
- Cited by
- 104
- References
- 44
- Citations by year
- 2025: 5 · 2024: 7 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 13 · 2014: 4 · 2013: 2 · 2012: 8
- FWCI
- 11.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronobiology International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fondation pour la Recherche Médicale
- Japan Diabetes Society
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- shift work, impaired glucose metabolism, HbA1c, diabetes risk, male workers, steelworkers, uric acid, alanine aminotransferase, gamma-glutamyl transferase, body mass index, occupational health
- MeSH terms
- Adult, Diabetes Mellitus, Glucose, Glycated Hemoglobin, Humans, Male, Prospective Studies, Regression Analysis, Risk, Risk Factors, Time Factors, Work Schedule Tolerance, Models, Statistical, Cohort Studies, Odds Ratio
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