Cited by 1,195Sleep and Work-Related FatigueCircadian rhythm and melatoninWorkplace Health and Well-being

The DOI matches its Crossref record; 128 of the 129 references it cites were found in a registry or an index.

Health consequences of shift work and insufficient sleep

Kecklund, Göran, Axelsson, John·2016·BMJ

Open this paper in CoChat — free account

Abstract

This review summarises the literature on shift work and its relation to insufficient sleep, chronic diseases, and accidents. It is based on 38 meta-analyses and 24 systematic reviews, with additional narrative reviews and articles used for outlining possible mechanisms by which shift work may cause accidents and adverse health. Evidence shows that the effect of shift work on sleep mainly concerns acute sleep loss in connection with night shifts and early morning shifts. A link also exists between shift work and accidents, type 2 diabetes (relative risk range 1.09-1.40), weight gain, coronary heart disease (relative risk 1.23), stroke (relative risk 1.05), and cancer (relative risk range 1.01-1.32), although the original studies showed mixed results. The relations of shift work to cardiometabolic diseases and accidents mimic those with insufficient sleep. Laboratory studies indicate that cardiometabolic stress and cognitive impairments are increased by shift work, as well as by sleep loss. Given that the health and safety consequences of shift work and insufficient sleep are very similar, they are likely to share common mechanisms. However, additional research is needed to determine whether insufficient sleep is a causal pathway for the adverse health effects associated with shift work.

Integrity signals

Registry

Crossref · 10.1136/bmj.i5210

Cites

128 of 128 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies
Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., Lombardo, C., & Riemann, D. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.01.011 · Cited by 2,779
Sleep Health: Can We Define It? Does It Matter?
Buysse, D. J. (2014) · SLEEP · doi:10.5665/sleep.3298 · Cited by 2,768
International Classification of Sleep Disorders
Thorpy, M. (2017) · Sleep Disorders Medicine · doi:10.1007/978-1-4939-6578-6_27 · Cited by 2,505
Sleep and the price of plasticity: from synaptic and cellular homeostasis to memory consolidation and integration
Tononi, G., & Cirelli, C. (2014) · Neuron · doi:10.1016/j.neuron.2013.12.025 · Cited by 2,356
Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Sleep · doi:10.1093/sleep/33.5.585 · Cited by 2,224
Neurocognitive consequences of sleep deprivation
Goel, N., Rao, H., Durmer, J., & Dinges, D. (2009) · Seminars in Neurology · doi:10.1055/s-0029-1237117 · Cited by 2,154
Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies
Cappuccio, F. P., Cooper, D., D'Elia, L., Strazzullo, P., & Miller, M. A. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr007 · Cited by 2,146
Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041406 · Cited by 1,760
Quantity and Quality of Sleep and Incidence of Type 2 Diabetes
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Diabetes Care · doi:10.2337/dc09-1124 · Cited by 1,670
Effects of Sleep Deprivation on Performance: A Meta-Analysis
Pilcher, J. J., & Huffcutt, A. I. (1996) · Sleep · doi:10.1093/sleep/19.4.318 · Cited by 1,549

Flagged first, then by citations

Show all 129 references

1 of the 129 references couldn’t be matched to a known paper.

Sorted by citations

Items 701–800 of 1,000

Health Effects of Shift Work and Night Shift Work
Guénel, P., & Léger, D. (2023) · Handbook series in occupational health sciences · doi:10.1007/978-3-031-30492-7_19 · Cited by 4
A conserved role for frizzled in sleep architecture
Gessner, N. R., Peiravi, M., Zhang, F., Yimam, S., Springer, D., & Harbison, S. T. (2023) · SLEEP Advances · doi:10.1093/sleepadvances/zpad045 · Cited by 4
Changes in work schedule affect headache frequency among Norwegian nurses: a 3-year-follow-up study
Kristoffersen, E. S., Waage, S., Pallesen, S., & Bjorvatn, B. (2024) · Occupational and Environmental Medicine · doi:10.1136/oemed-2023-109164 · Cited by 4
Shift work effects on incident neuropsychiatric disorders and shift work tolerance
Liu, Y., Gan, Y., He, X., Deng, Y., Zhang, W., You, J., Kuo, K., Zhang, Y., Huang, S., Wu, B., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.07.003 · Cited by 4
Association and interaction effect of shift work and the risk for obstructive sleep apnea on diabetes mellitus in middle-aged Korean workers
Kim, K., Kim, H.-J., Lee, S., & Lee, W. (2024) · Sleep And Breathing · doi:10.1007/s11325-024-03160-8 · Cited by 4
Personalized sleep and nutritional strategies to combat adverse effects of night shift work: a controlled intervention protocol
van der Rhee, M., Oosterman, J. E., Wopereis, S., van der Horst, G. T. J., Chaves, I., Dollé, M. E. T., Burdorf, A., van Kerkhof, L. W. M., & der Holst, H. M. L. (2024) · BMC Public Health · doi:10.1186/s12889-024-20022-w · Cited by 4
Sleep, dietary intake and physical activity changes with onset of shift work in intern paramedics
Crowther, M. E., Ferguson, S. A., Adams, R., & Reynolds, A. C. (2024) · Paramedicine · doi:10.1177/27536386241288304 · Cited by 4
The effect of paternal REM sleep deprivation on the mood state and memory performance in both fathers and offspring rats
Payamani, M., Mehrizi, A. A., Kazemi, A.-S., & Yekta, B. G. (2025) · Discover Medicine · doi:10.1007/s44337-025-00236-6 · Cited by 4
The impact of dynamic lighting at nurses' stations on shift work performance, nurses' sleep and well-being
Wang, T., Rong, X., Hu, D., Xu, J., Wang, Z., Shao, R., Liu, W., Lan, D., Wu, H., Hao, L., et al. (2025) · Journal of Building Engineering · doi:10.1016/j.jobe.2025.112575 · Cited by 5
Involvement of circadian clock protein PER2 in controlling sleep deprivation induced HMGB1 up-regulation by targeting p300 in the cortex
Zhang, M., Ma, Z., Cui, H., Miao, Y., Yu, Y., Wen, Q., Liu, Z., Huang, X. H., Xing, C., Liu, K., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-96931-6 · Cited by 4
Relationships Between Self-Reported Sleep Quality, Quantity and Timing on Workdays vs Work-Free Days and Lifestyle Factors in Healthy Adults
Aslamyar, D., Pilz, L. K., & von Gall, C. (2025) · Nature and Science of Sleep · doi:10.2147/nss.s537593 · Cited by 4
Gastrointestinal Symptoms and the Assessment of Diet in Shift Workers: A Systematic Scoping Review
AlYami, S. H., Lomer, M. C. E., & Gibson, R. (2025) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.70114 · Cited by 5
CIRCADIAN LIGHT EXPOSURES OF SHIFT WORKING NURSES
Price, L., Udovičić, L., & Khazova, M. (2019) · Quadrennial Session of the International Commission on Illumination (CIE Session) · doi:10.25039/x46.2019.pp30 · Cited by 4
Associations of cumulative violence and structural vulnerability with restless sleep among female sex workers in Baltimore, Maryland
Urquhart, G. J., Sisson, L. N., Spira, A. P., Rojo‐Wissar, D. M., Park, J. N., White, R. H., & Sherman, S. G. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.10.004 · Cited by 4
Inflammatory 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
Cardiovascular and Self-Reported Recovery in Two-Shift Systems
Stieler, L., Hunger, B., & Seibt, R. (2021) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000284 · Cited by 4
Autonomic nervous system activity under rotational shift programs: effects of shift period and gender
Çakan, P., & Yıldız, S. (2021) · Industrial Health · doi:10.2486/indhealth.2021-0029 · Cited by 4
Dysregulated light/dark cycle impairs sleep and delays the recovery of patients in intensive care units: A call for action for COVID-19 treatment
Golombek, D. A., Pandi-Perumal, S. R., Rosenstein, R. E., Lundmark, P. O., Spence, D. W., Cardinali, D. P., Reiter, R. J., & Brown, G. M. (2022) · Chronobiology International · doi:10.1080/07420528.2022.2056477 · Cited by 4
Relationship Between Poor Sleep Quality and Injury Experience in Korea
Kim, S.-K., & Yong, S. Y. (2022) · Asia Pacific Journal of Public Health · doi:10.1177/10105395221088619 · Cited by 4
Hunt for mammalian sleep-regulating genes
Funato, H., & Yanagisawa, M. (2022) · Brain Science Advances · doi:10.26599/bsa.2022.9050012 · Cited by 4
Comprehensive detrimental effects of a simulated frequently shifting schedule on diurnal rhythms and vigilance
Ma, X., Tian, Z., Li, Y., Gan, X., Li, S., Zhang, Y., Chen, S., Liu, S., Huang, Y. M., Yang, Y., et al. (2022) · Chronobiology International · doi:10.1080/07420528.2022.2101371 · Cited by 4
Sleep Disturbances in Neurological Disease: A Target for Intervention
Khambadkone, S. G., & Benjamin, S. E. (2022) · Seminars in Neurology · doi:10.1055/a-1958-0710 · Cited by 5
The Effectiveness of Blue-Light-Emitting Glasses in Security Guards Exposed to Night Shift Work on Work-Related and General Fatigue: A Randomised Controlled Cross-Over Study
Helmhout, P. H., Timmerman, S., van Drongelen, A., & Bakker, E. W. P. (2022) · Clocks & Sleep · doi:10.3390/clockssleep4040051 · Cited by 5
A scoping review of the evidence for the impact of pharmacological and non-pharmacological interventions on shift work related sleep disturbance in an occupational setting
Conway-Jones, R., Dunlop, E., Kyle, S. D., Ray, D. W., Roberts, N. W., & Farmer, A. A. (2023) · Wellcome Open Research · doi:10.12688/wellcomeopenres.17002.2 · Cited by 4
The association between work interval regularity and sleep regularity: a 2-week observational study in daytime employees
Ikeda, H., & Kubo, T. (2024) · Journal of Occupational Health · doi:10.1093/joccuh/uiae009 · Cited by 5
Are there effects of light exposure on daytime sleep for rotating shift nurses after night shift?: an EEG power analysis
Yook, S., Choi, S. J., Zang, C., Joo, E. Y., & Kim, H. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1306070 · Cited by 6
Sleep health as an issue of public safety
Weaver, M. D., & Barger, L. K. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815373-4.00037-x · Cited by 4
Impact of Reduced Working Hours and Night Work Hours on Metabolic Syndrome: A Quasi-Experimental Study
Lee, H., & Kawachi, I. I. (2022) · Safety and Health at Work · doi:10.1016/j.shaw.2022.11.001 · Cited by 4
Estimation of Bedtimes of Reddit Users: Integrated Analysis of Time Stamps and Surveys
Meyerson, W. U., Fineberg, S. K., Song, Y. K., Faber, A., Ash, G. I., Andrade, F. C., Corlett, P. R., Gerstein, M., & Hoyle, R. H. (2023) · JMIR Formative Research · doi:10.2196/38112 · Cited by 4
Is outsourced and shift work associated with an increased risk of COVID-19? Findings from a study about mining workers
de Menezes-Júnior, L. A. A., Parajára, M. D. C., da Silva, J. I., Friche, A. A. D. L., Andrade, A. C. D. S., Silva, L. S., Machado, E. L., de Freitas, S. N., Caiaffa, W. T., & Meireles, A. L. (2023) · Revista Brasileira de Saúde Ocupacional · doi:10.1590/2317-6369/34822en2023v48edepi14 · Cited by 4
Análise do estilo de vida dos profissionais de saúde da oncologia
Fernandes, I. N. M., Almeida, K. R. D., Rocha, F. C., Neto, G. R. D. A., Guedes, M. D. S., Gonçalves, F. F., Rocha, M. F. O., & Barbosa, H. A. (2018) · Revista de Enfermagem UFPE on line · doi:10.5205/1981-8963-v12i10a237209p2583-2589-2018 · Cited by 4
Associations Among Sleep and Cancer Risk Behaviors: a Scoping Review of Experimental Studies in Healthy Adult Populations
Taber, J. M., Cribbet, M. R., Cadmus‐Bertram, L., Mays, D. M., Smith, M. E. B., Rana, B. K., & Paljärvi, T. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09892-7 · Cited by 4
Study on safety health of construction workers at workplace: a sustainable perspective approach
Singh, A. K., Aljohani, A., Shakor, P., Awuzie, B. O., Uddin, S. M. J., & Shivendra, B. T. (2024) · Frontiers in Built Environment · doi:10.3389/fbuil.2024.1451727 · Cited by 6
Enhancing the psychological well-being and sleep quality of healthcare providers with a multimodal psychological support program: a randomized controlled trial
Gao, Q., Yao, Y., Wang, R., Zhang, X., Gudenkauf, L. M., Xu, G., Harrison, S., Zheng, L., Wang, J., Chen, G., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1455174 · Cited by 3
Social jetlag alters markers of exercise-induced mitochondrial adaptations in the heart
Dial, M. B., Malek, E. M., Cooper, A. R., Neblina, G. A., Vasileva, N. I., & McGinnis, G. R. (2025) · npj Biological Timing and Sleep · doi:10.1038/s44323-024-00019-9 · Cited by 3
Circadian phase inversion causes insulin resistance in a rat model of night work and jet lag
Wang, A., Foppen, E., Rumanova, V. S., Kool, T., Kalsbeek, A., & Stenvers, D. J. (2025) · Scientific Reports · doi:10.1038/s41598-025-91485-z · Cited by 5
Health as a rich people’s game through the lens of work and income
Han, W.-J., Scott, M. A., & Tang, N. (2025) · BMC Public Health · doi:10.1186/s12889-025-23320-z · Cited by 2
Additive interactions of sleep disorders, insufficient sleep, and shift work on road and workplace safety incidents: A sufficient cause approach with overlap weights
Sansom, K., Mittinty, M., Dunbar, C., Vakulin, A., Adams, R. J., McArdle, N., Eastwood, P. R., & Reynolds, A. C. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106699 · Cited by 3
Night shift work and sleep duration among middle and older age adults: The role of individual, social, and environmental moderators
Ding, X., Akimova, E. T., Zhao, B., & Mills, M. C. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.118443 · Cited by 3
Night shifts and sleep among Chinese nursing students on internship
Shen, H., Cui, N., Guo, C., Ma, A., & Bian, J. (2025) · Occupational Medicine · doi:10.1093/occmed/kqaf084 · Cited by 3
Associations between shift work arrangements, sleep characteristics, urinary cortisol and melatonin levels among nurses in Hong Kong
Li, B., Li, W., Lee, P. M. Y., Qiu, S., Huss, A., Ma, Y. T. J., Chan, J. W. Y., Ho, A. W.-Y., Ho, C. S., Kim, J. H., et al. (2025) · Occupational and Environmental Medicine · doi:10.1136/oemed-2025-110334 · Cited by 5
Unexplored dimension of shift work: the effects of late-early shifts on nurses and their wellbeing — a qualitative study
Karki, U., & Dafny, H. A. (2025) · BMC Nursing · doi:10.1186/s12912-025-04173-8 · Cited by 4
Interconnected associations of occupational burnout, anxiety, and sleep quality in oilfield workers
Guo, Z., Yu, X., Liu, H., Li, Q., Yang, L., Wang, X., Amhare, A. F., Dong, G., & Han, J. R. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1723075 · Cited by 3
Circadian rhythms, endogenous glucocorticoids and skeletal health
Macfarlane, E., Zhou, H., & Seibel, M. J. (2026) · European Journal of Endocrinology · doi:10.1093/ejendo/lvag012 · Cited by 3
GLP-1 Receptor Agonists at the Crossroads of Circadian Biology, Sleep, and Metabolic Disease
Gandhi, A., Phyu, E. M., Koom‐Dadzie, K., Dickson, K. B., & Halm, J. K. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27062853 · Cited by 3
Night-shift intensity, duration, cardiovascular susceptibility and incident cardiovascular disease: UK Biobank study
Lim, Y. (2026) · The American Journal of Medicine · doi:10.1016/j.amjmed.2026.06.016 · Cited by 3
A scoping review of the evidence for the impact of pharmacological and non-pharmacological interventions on shift work related sleep disturbance in an occupational setting
Conway-Jones, R., Dunlop, E., Kyle, S. D., Ray, D. W., Roberts, N. W., & Farmer, A. A. (2021) · Wellcome Open Research · doi:10.12688/wellcomeopenres.17002.1 · Cited by 7
Workers’ Lifestyle, Occupational Workload and Their Relation to Work Fatigue: A Short Review
Rosado, A. S., Baptista, J. S., & Guedes, J. C. (2021) · Studies in systems, decision and control · doi:10.1007/978-3-030-89617-1_57 · Cited by 3
Migrant Health
Giuntella, O., & Lonsky, J. (2022) · Springer eBooks · doi:10.1007/978-3-319-57365-6_98-1 · Cited by 3
Concurrent trajectories of self-rated health and working hour patterns in health care shift workers: A longitudinal analysis with 8-year follow-up
Ervasti, J. M., Peutere, L., Virtanen, M., Krutova, O., Koskinen, A., Härmä, M., Mika Kivimaki, B., & Ropponen, A. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.926057 · Cited by 3
A nomogram for predicting lung-related diseases among construction workers in Wuhan, China
Chen, X., Yin, W., Wu, J., Luo, Y., Wu, J., Li, G., Jiang, J., Yao, Y., Wan, S., Yi, G., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1032188 · Cited by 3
“Mars Bar and a Tin of Red Bull Kept Me and My Patients Alive”: Exploring Barriers to Healthy Eating through Facebook Comments of Shiftworkers
McIntosh, E., Ferguson, S. A., Dorrian, J., Coates, A. M., Leung, G. K. W., & Gupta, C. C. (2023) · Nutrients · doi:10.3390/nu15040959 · Cited by 4
Physiological and Physical Effects of Sleep Disorder among Shift Work Nurses
Rahimpoor, R. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.110417 · Cited by 4
Mendelian randomization analysis reveals the impact of physical and occupational activities on the risk of gastroesophageal reflux disease and Barrett’s esophagus
Wan, L., Zuo, H., & Li, D. (2023) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365521.2023.2287416 · Cited by 3
Adverse Associations of Long-Term Exposure to PM2.5 and Its Components with Platelet Traits among Subway Shift-Workers without Air Purifier Use
Liu, J., Wang, P., Shang, L., Ye, F., Liu, L., & He, Z. (2024) · Toxics · doi:10.3390/toxics12080529 · Cited by 3
Sustainable development goals and sleep: an integrative review of sleep health disparities and social, economic, and environmental sustainability
de Andrade, M. J. O. (2024) · Research Directions Sleep Psychology · doi:10.1017/slp.2024.3 · Cited by 3
Multi‐Wearable Approach for Monitoring Diurnal Light Exposure and Body Rhythms in Nightshift Workers
Hartmeyer, S. L., Phillips, N. E., Jassil, F. C., Joris, C., Dibner, C., Collet, T., & Andersen, M. (2025) · Acta Physiologica · doi:10.1111/apha.70069 · Cited by 3
Validation of the Norwegian version of the Munich ChronoType Questionnaire for shift workers (MCTQ Shift )
Moen, L. V., Rysstad, T. L., Lie, J.-A. S., Haugen, F., & Matre, D. (2025) · Chronobiology International · doi:10.1080/07420528.2025.2523514 · Cited by 3
Circadian Rhythms in Ischemic Stroke: From Molecular Pathways to Chronotherapeutic Strategies
Deb, S., Mondal, R., Sarkar, V., Shome, G., Mete, R., Sarkar, S., Das, S., Roy, J., & Benito‐León, J. (2025) · European Neurology · doi:10.1159/000548456 · Cited by 3
Lifestyle Factors in the Association of Shift Work With Kidney Stone Events
He, M., Dou, X., Su, Y., Zhang, Z., Lin, H., & Yang, Y. (2025) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2025.03.032 · Cited by 3
Sleep problem but not chronotype is associated with retirement from shift work: a cross-sectional retrospective study
Kitamura, S., Takahashi, M., & Mishima, K. (2019) · Sleep and Biological Rhythms · doi:10.1007/s41105-019-00221-4 · Cited by 3
Trajectories of mobility limitations over 24 years and their characterization by shift work and leisure-time physical activity in midlife
Prakash, K. C., Neupane, S., Leino‐Arjas, P., Härmä, M., von Bonsdorff, M. B., Rantanen, T., von Bonsdorff, M. E., Hinrichs, T., Seitsamo, J. T., Ilmarinen, J., et al. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz069 · Cited by 3
Network‐Like Organization of the Circadian System Regulates Metabolic Homeostasis
Heyde, I., & Oster, H. (2020) · Obesity · doi:10.1002/oby.22773 · Cited by 3
Trabalho noturno e pressão arterial: um estudo com foco nas doses de exposição
Silva‐Costa, A., Braz, B. P., Griep, R. H., & Rotenberg, L. (2021) · Revista Brasileira de Saúde Ocupacional · doi:10.1590/2317-6369000023319 · Cited by 3
Bone Turnover Markers After Six Nights of Insufficient Sleep and Subsequent Recovery Sleep in Healthy Men
Swanson, C. M., Shanbhag, P., Tussey, E. J., Rynders, C. A., Wright, K. P., & Kohrt, W. M. (2022) · Calcified Tissue International · doi:10.1007/s00223-022-00950-8 · Cited by 3
Comparison of Sleep, Perceived Health, and Job Stress According to Symptoms of Shift Work Disorder in Shift Nurses
Choi, S. J., Ha, Y. K., & Joo, E. Y. (2022) · Journal of Sleep Medicine · doi:10.13078/jsm.220003 · Cited by 3
Night Work and Sustainable Working Life—A Prospective Trajectory Analysis of Swedish Twins
Ropponen, A., Wang, M., Raza, A., Narusyte, J., & Svedberg, P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710857 · Cited by 3
Physical and psychological health in intern paramedics commencing shift work: Protocol for an exploratory longitudinal study
Crowther, M. E., Ferguson, S. A., Adams, R., Kovac, K., Paterson, J. L., & Reynolds, A. C. (2022) · PLoS ONE · doi:10.1371/journal.pone.0273113 · Cited by 3
Improving performance on night shift: a study of resident sleep strategies
Cushman, P., Scheuller, H. S., Cushman, J., & Markert, R. J. (2023) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10480 · Cited by 3
Multigenerational mistimed feeding drives circadian reprogramming with an impaired unfolded protein response
Huang, K., Zhang, T., Zhang, W., Gu, Y., Pan, Y., Sun, L., Liu, Z., Wang, T., & Xu, Y. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1157165 · Cited by 3
Implication of Sleep and Food Intake Pattern on the Depressive Status of the Female Shift Workers Engaged in Two-Shift System
Majumdar, P., Adán, A., & Sahu, S. (2023) · Sleep and Vigilance · doi:10.1007/s41782-023-00246-3 · Cited by 4
Antibiotic exposure associated with nighttime sleep duration and daytime sleepiness in newlyweds
Gu, L., Ni, Y., Wang, B., Kong, L., Yu, S., Tang, Y., Zhu, P., Shao, S., Tao, F., & Liu, K. (2023) · Environmental Science and Pollution Research · doi:10.1007/s11356-023-31475-8 · Cited by 3
Prevalence of hypertension and associated factors among healthcare workers: A cross-sectional study
Sirinara, P. (2019) · Chulalongkorn Medical Journal · doi:10.58837/chula.cmj.63.3.8 · Cited by 3
Neuronal reprogramming of mouse and human fibroblasts using transcription factors involved in suprachiasmatic nucleus development
Hirayama, M., Mure, L. S., Le, H. D., & Panda, S. (2024) · iScience · doi:10.1016/j.isci.2024.109051 · Cited by 3
Simulated quick returns in a laboratory context and effects on sleep and pre-sleep arousal between shifts: a crossover controlled trial
Holmelid, Ø., Pallesen, S., Bjorvatn, B., Sunde, E., Waage, S., Vedaa, Ø., Nielsen, M. B., Djupedal, I. L. R., & Harris, A. (2024) · Ergonomics · doi:10.1080/00140139.2024.2335545 · Cited by 4
Association between workplace health promotion service utilisation and depressive symptoms among workers: a nationwide survey
Yang, X., Zhang, X. Y., Liu, Y. H., Liu, F., Lin, H. X., Chang, C. J., & Cao, W. (2024) · Public Health · doi:10.1016/j.puhe.2024.03.001 · Cited by 5
Factors facilitating and hindering the implementation of digital sleep coaching for bus drivers
Järnefelt, H., Anttilainen, J., Karhula, K., Hublin, C., Pehkonen, I., & Sallinen, M. (2024) · Applied Ergonomics · doi:10.1016/j.apergo.2024.104356 · Cited by 4
An integrated multi-omics analysis identifies novel regulators of circadian rhythm and sleep disruptions under unique light environment in Antarctica
Liu, S., Wang, J., Tian, X., Zhang, Z., Wang, L., Xiong, Y., Liu, X., Xie, Y., Wu, X., & Xu, C. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02844-7 · Cited by 4
The effect of sleep and shift work on the primary immune response to messenger RNA ‐based COVID ‐19 vaccination
Brouwers, T. M. J., Çobanoğlu, Ü. G., Geers, D., Rietdijk, W. J. R., Gommers, L., Bogers, S., Lammers, G. J., van der Horst, G. T. J., Chaves, I., GeurtsvanKessel, C. H., et al. (2024) · Journal of Sleep Research · doi:10.1111/jsr.14431 · Cited by 3
Commuting time and musculoskeletal pain in the relationship with working time: a cross-sectional study
Ryu, H., Cho, S., Kim, J.-I., Choi, S.-H., & Kim, N. I. (2025) · Annals of Occupational and Environmental Medicine · doi:10.35371/aoem.2025.37.e4 · Cited by 3
Association between sleep-related worry and trait mindfulness among shift nurses: a cross-sectional study
Hu, Y.-L., Sun, X., Yuan, Y., & Wang, H. (2025) · BMC Nursing · doi:10.1186/s12912-025-03357-6 · Cited by 4
Blood Pressure and Prevention of Stroke
Dakay, K. B., & Silver, B. (2017) · Seminars in Neurology · doi:10.1055/s-0037-1603501 · Cited by 3
A Nationwide Survey of Shift Schedules for Sleep Technicians in Korea
Lee, S., Choi, S. J., Suh, S. A., Song, P., Joo, E. Y., & Shift Work Disorder Study Group (2018) · Journal of Sleep Medicine · doi:10.13078/jsm.18007 · Cited by 3
On-shift naps are associated with systolic and diastolic blood pressure level among night working nursing professionals
Rotenberg, L., Silva‐Costa, A., & Griep, R. H. (2020) · Chronobiology International · doi:10.1080/07420528.2020.1819114 · Cited by 3
Off-Peak Delivery as a Cornerstone for Sustainable Urban Logistics: Insights from Germany
Stütz, S., & Kirsch, D. (2020) · Springer eBooks · doi:10.1007/978-3-662-60806-7_4 · Cited by 3
Evaluation of a Novel Ambient Light Survey Question in the Cancer Prevention Study-3
Diver, W. R., Figueiro, M. G., Rea, M. S., Hodge, J. M., Flanders, W. D., Zhong, C., Patel, A. V., & Gapstur, S. M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043658 · Cited by 3
Good Sleep Quality and Progressive Increments in Vigilance During Extended Night Shifts
Lavigne, A.-A., Hébert, M., Auclair, J., & Laberge, L. (2020) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000002056 · Cited by 3
Is a “gut full” of bad bugs driving metabolic disease in shift workers?
Phillips, C. L., & Comas, M. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.02.003 · Cited by 3
Shift workers, fatigued driving and the impact on road safety - An investigation involving police service employees
Taylor, Y. (2020) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York) · Cited by 3
CBT‐I Protocols for Insomnia Co‐morbid with Somatic Disorders
Bjorvatn, B. (2022) · Wiley eBooks · doi:10.1002/9781119891192.ch14 · Cited by 2
How Early Morning Classes Change Academic Trajectories: Evidence from a Natural ExperimentPreprint
Yim, A. L. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4618616 · Cited by 3
Bergen Vardiyalı Çalışanlarda Uyku Ölçeği’nin Türkçe Geçerlik ve Güvenirlik Çalışması
Bütün, A., Aslan, S., Şanlı, M. E., Dinç, M., & İnci, R. (2024) · İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi · doi:10.38079/igusabder.1336836 · Cited by 2
Climate Change, Sleep, and Mental Health
Wallace, D. A., & Johnson, D. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-56736-0_7 · Cited by 2
Bridging the gap: examining circadian biology and fatigue alongside work schedules
Fedele, M. L. M., Casiraghi, L. P., Plano, S. A., Bellone, G., Golombek, D. A., & Vigo, D. E. (2024) · npj Biological Timing and Sleep · doi:10.1038/s44323-024-00011-3 · Cited by 2
Epigenetic markers of adverse lifestyle identified among evening and night shift workers in two UK population-based studies: Generation Scotland and Understanding Society
Hulls, P. M., McCartney, D. L., Bao, Y., Walker, R. M., de Vocht, F., Martin, R. M., Relton, C. L., Evans, K. L., Meena Kumari, B., Marioni, R. E., et al. (2025) · Chronobiology International · doi:10.1080/07420528.2025.2493208 · Cited by 2
Housing Cost Burden, Housing Price Growth, and Migrant Health in Urban China
Cheng, J., & Huang, Y. (2025) · Population Research and Policy Review · doi:10.1007/s11113-025-09959-x · Cited by 3
Associations Between Shift Work, Sociodemographic and Lifestyle Characteristics, Body Measurements, and MASLD
Tosoratto, J., López, P. J. T., López‐González, Á. A., Busquets-Cortés, C., de Hevia, J. O., & Ramírez‐Manent, J. I. (2025) · Life · doi:10.3390/life15060961 · Cited by 2
A qualitative study of the unique challenges faced by female police officers in Sweden
Degerstedt, F., Akpinar, S., Fältman, K., & Valmari, E. G. (2025) · BMC Public Health · doi:10.1186/s12889-025-23839-1 · Cited by 8
Sleep quality among clinical postgraduate students: a cross-sectional study in Kerala, India
Gopika, G. B., Mini, G., Ameera, A., Parvathi, R., Malavika, George, R., Swarnam, K., & Marthanda Pillai, A. (2025) · BMC Public Health · doi:10.1186/s12889-025-23719-8 · Cited by 3
Effects of a 12-hour shift system on sleep and cardiovascular health of male machine and plant operators – a longitudinal study over four years
Seibt, R., Kreuzfeld, S., & Hunger, B. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1616810 · Cited by 3

Authors: Kecklund, G., & Axelsson, J.
Affiliations: Radboud University Nijmegen (NL)
Karolinska Institutet (SE)
Corresponding author: Kecklund, Göran
ORCID: Kecklund, Göran
Axelsson, John
Venue: BMJ
Publisher: BMJ
Published: 2016-11-01
Volume: 355
Pages: i5210
ISSN: 1756-1833 (ISSN-L)
DOI: 10.1136/bmj.i5210
OpenAlex: W2547412109
Semantic Scholar: 8bb9ca2cf097d0c38064bebd0cbbc2fb40418fb9
Cited by: 1,195
References: 129
Citations by year: 2026: 130 · 2025: 162 · 2024: 159 · 2023: 129 · 2022: 147 · 2021: 138 · 2020: 129 · 2019: 94 · 2018: 64 · 2017: 39 · 2016: 2
FWCI: 94.41
Type: journal article
Language: en
Open access: closed
Licence: www.bmj.org/licenses/tdm/1.0/terms-and-conditions.html (tdm)
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Funders: NordForsk (74809)
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, insufficient sleep, sleep deprivation, night shift work, type 2 diabetes, coronary artery disease, stroke, cancer, cardiometabolic disease, weight gain, accidents, cognitive impairment, circadian rhythm disruption
MeSH terms: Accidents, Chronic Disease, Circadian Rhythm, Humans, Risk, Risk Factors, Sleep Deprivation, Work Schedule Tolerance

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Health consequences of shift work and insufficient sleep

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks