Shift work and occupational medicine: an overview
Abstract
In modern society, more and more people work during 'non-standard' working hours, including shift and night work, which are recognized risk factors for health, safety and social well-being. Suitable preventive and protective measures are required to mitigate the adverse effects and ensure that the worker can cope satisfactorily. These are based mainly on the organization of shift schedules according to ergonomic criteria and on specific medical surveillance. Occupational medicine has to consider very carefully the several factors (psycho-physiological, pathological and social) that can influence tolerance and/or maladaptation.
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The human body was exposed to continuous stress from attempts to adjust as quickly as possible to varying working hours, but was frustrated by continuous shift rotation.
“In most cases, the human body was exposed to continuous stress from attempts to adjust as quickly as possible to the varying working hours, but at the same time was frustrated by the continuous shift rotation.31”
From Shift work and diabetes mellitus: a meta-analysis of observational studies (2015) · cites this paper as [31]
Health-related selection could lead to an underestimate of the association between rotating night shift work and diabetes.
“On the other hand, health-related selection could also lead to an underestimate of the association [29],[30].”
From Rotating Night Shift Work and Risk of Type 2 Diabetes: Two Prospective Cohort Studies in Women (2011) · cites this paper as [30]
It is possible that some rotating night shift workers who remained on night shift schedules were healthier than those who worked daytime schedules or switched back to day routines or withdrew from work for health reasons, and thus were less likely to accumulate a longer duration of rotating night shift work.
“It is possible that some rotating night shift workers who remained on night shift schedules were healthier than those who worked on daytime schedules or switched back to day routines or withdrew from work for health reasons [29],[30] and thus were less likely to accumulate a longer duration of rotating night shift work.”
From Rotating Night Shift Work and Risk of Type 2 Diabetes: Two Prospective Cohort Studies in Women (2011) · cites this paper as [30]
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- Authors
- Costa, G.
- Affiliations
- University of Verona (IT)
- Corresponding author
- Costa, G.
- Venue
- Occupational Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-03-01
- Volume
- 53
- Issue
- 2
- Pages
- 83-88
- ISSN
- 0962-7480 (ISSN-L)
- 1471-8405
- OpenAlex
- W2152126657
- Cited by
- 556
- References
- 31
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 18 · 2023: 27 · 2022: 29 · 2021: 23 · 2020: 26 · 2019: 30 · 2018: 21 · 2017: 38 · 2016: 38 · 2015: 25 · 2014: 31 · 2013: 39 · 2012: 32
- FWCI
- 12.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Occupational Medicine (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- shift work, night work, irregular working hours, occupational health, occupational safety, medical surveillance, shift scheduling, human factors, worker adaptation, psychophysiological factors, social well-being
- MeSH terms
- Adult, Age Factors, Circadian Rhythm, Family, Female, Health Surveys, Humans, Ergonomics, Interpersonal Relations, Male, Middle Aged, Occupational Diseases, Personality, Risk Factors, Work Schedule Tolerance, Occupational Health
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