Long-Term Longitudinal Study on the Relationship Between Alternating Shift Work and the Onset of Diabetes Mellitus in Male Japanese Workers
Abstract
OBJECTIVE: This study investigated the effect of alternating shift work (ASW) on the onset of diabetes mellitus in Japanese workers compared with onset in day-shift work (DSW). METHODS: A longitudinal study was carried out on a DSW group (n = 3203) and ASW group (n = 2426) of a steel company who received their annual health checkups over a 10-year period between 1991 and 2001. The association between job schedule type and onset of diabetes mellitus (glycated hemoglobin A1c > or =6.0% or medication) was investigated by multivariate pooled logistic regression analyses. RESULTS: The odds ratio (95% confidence interval) for the development of diabetes mellitus in the ASW group compared with the DSW group was 1.35 (1.05-1.75). CONCLUSIONS: Our study revealed that the ASW is an independent risk factor for the onset of diabetes mellitus.
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The increased risk of diabetes and cardiovascular disease documented in epidemiologic studies of shift work is unlikely to be solely due to sleep loss and would not be fully mitigated by strategies designed to preserve sleep duration.
“The increased risk of diabetes and cardiovascular disease documented in epidemiologic studies of shift work (4–9) is thus unlikely to be solely due to sleep loss and would not be fully mitigated by strategies designed to preserve sleep duration.”
From Circadian Misalignment Augments Markers of Insulin Resistance and Inflammation, Independently of Sleep Loss (2014) · cites this paper as [4]
Shift work is associated with an increased risk of type 2 diabetes and cardiovascular disease.
“Prospective epidemiologic studies indicate that shift work is associated with an increased risk of type 2 diabetes and cardiovascular disease (4–9).”
From Circadian Misalignment Augments Markers of Insulin Resistance and Inflammation, Independently of Sleep Loss (2014) · cites this paper as [4]
Increased diabetes risk in shift workers may be amplified by unhealthy lifestyle changes such as smoking, alcohol consumption, and lack of exercise.
“The increased diabetes risk may be further amplified by unhealthy changes in lifestyle associated with shift work (e.g., smoking, alcohol consumption, and lack of exercise) [33].”
From Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being (2017) · cites this paper as [33]
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References 32 · Cited by 129
- Authors
- Suwazono, Y., Sakata, K., Okubo, Y., Harada, H., Oishi, M., Kobayashi, E., Uetani, M., Kido, T., & Nogawa, K.
- Affiliations
- Chiba University (JP)
- Kanazawa University (JP)
- Corresponding author
- Suwazono, Yasushi
- Venue
- Journal of Occupational and Environmental Medicine
- Published
- 2006-05
- Volume
- 48
- Issue
- 5
- Pages
- 455-461
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W1998342078
- Cited by
- 129
- References
- 32
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 7 · 2016: 9 · 2015: 13 · 2014: 13 · 2013: 3 · 2012: 15
- FWCI
- 7.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- day shift work, shift work, occupational health, steelworkers, HbA1c, diabetes risk factors, Japanese workers
- MeSH terms
- Adult, Diabetes Mellitus, Humans, Japan, Longitudinal Studies, Male, Middle Aged, Risk Factors, Work Schedule Tolerance, Odds Ratio
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