Night shift work at specific age ranges and chronic disease risk factors
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OBJECTIVES: We examined the association of night shift work history and age when night shift work was performed with cancer and cardiovascular disease risk factors among 54 724 women in the Nurses' Health Study (NHS) II. METHODS: We calculated age-adjusted and socioeconomic status-adjusted means and percentages for cancer and cardiovascular risk factors in 2009 across categories of night shift work history. We used multivariable-adjusted logistic regression to estimate odds ratios (ORs) and 95% CIs for key risk factors among 54 724 participants (72% ever shift workers). We further examined these associations by age (20-25, 26-35, 36-45 and 46+ years) at which shift work was performed. RESULTS: Ever night shift workers had increased odds of obesity (body mass index ≥30 kg/m(2); OR=1.37, 95% CI 1.31 to 1.43); higher caffeine intake (≥131 mg/day; OR=1.16, 95% CI 1.12 to 1.22) and total calorie intake (≥1715 kcal/day; OR=1.09, 95% CI 1.04 to 1.13); current smoking (OR=1.30, 95% CI 1.19 to 1.42); and shorter sleep durations (≤7 h of sleep/day; OR=1.19, 95% CI 1.15 to 1.24) compared to never night shift workers. These estimates varied depending on age at which night work was performed, with a suggestion that night shift work before age 25 was associated with fewer risk factors compared to night shift work at older ages. CONCLUSIONS: Our results indicate that night shift work may contribute to an adverse chronic disease risk profile, and that risk factors may vary depending on the age at which night shift work was performed.
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Chronic shift-workers are vulnerable to various diseases, including psychiatric disorders such as depression.
“For example, chronic shift-workers (workers with rotating schedules or consistent night shifts) are vulnerable to various diseases13,14, including psychiatric disorders such as depression15–19.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [14]
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- Authors
- Ramin, C., Devore, E. E., Wang, W., Pierre-Paul, J., Wegrzyn, L. R., & Schernhammer, E. S.
- Affiliations
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Massachusetts College of Pharmacy and Health Sciences (US)
- Corresponding author
- Schernhammer, Eva S
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2014-09-26
- Volume
- 72
- Issue
- 2
- Pages
- 100-107
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- PMC
- PMC4289641
- OpenAlex
- W2140732231
- Cited by
- 228
- References
- 46
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 13 · 2023: 12 · 2022: 22 · 2021: 20 · 2020: 29 · 2019: 25 · 2018: 21 · 2017: 24 · 2016: 20 · 2015: 13
- FWCI
- 26.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (UM1CA176726, R25CA098566)
- National Institute for Occupational Safety and Health (5R01OH009803, R01OH009803)
- 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 › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- night shift work, shift work, cancer risk factors, cardiovascular risk factors, obesity, caffeine consumption, smoking, sleep duration, dietary intake, women, Nurses' Health Study II
- MeSH terms
- Adult, Age Factors, Caffeine, Energy Intake, Cardiovascular Diseases, Chronic Disease, Female, Humans, Middle Aged, Neoplasms, Nurses, Obesity, Occupational Diseases, Risk Factors, Sleep, Smoking, Work Schedule Tolerance, Body Mass Index, Odds Ratio, Occupational Exposure, Young Adult
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