Night shift work and stomach cancer risk in the MCC-Spain study
Open accessAbstract
OBJECTIVES: Night shift work has been classified as a probable human carcinogen by the International Agency for Research on Cancer, based on experimental studies and limited evidence on human breast cancer risk. Evidence at other cancer sites is scarce. We evaluated the association between night shift work and stomach cancer risk in a population-based case-control study. METHODS: A total of 374 incident stomach adenocarcinoma cases and 2481 population controls were included from the MCC-Spain study. Detailed data on lifetime night shift work were collected including permanent and rotating shifts, and their cumulative duration (years). Adjusted unconditional logistic regression models were used in analysis. RESULTS: A total of 25.7% of cases and 22.5% of controls reported ever being a night shift worker. There was a weak positive, non-significant association between ever having had worked for at least 1 year in permanent night shifts and stomach cancer risk compared to never having worked night shifts (OR=1.2, 95% CI 0.9 to 1.8). However, there was an inverse 'U' shaped relationship with cumulative duration of permanent night shifts, with the highest risk observed in the intermediate duration category (OR 10-20 years=2.0, 95% CI 1.1 to 3.6) (p for trend=0.19). There was no association with ever having had worked in rotating night shifts (OR=0.9, 95% CI 0.6 to 1.2) and no trend according to cumulative duration (p for trend=0.68). CONCLUSION: We found no clear evidence concerning an association between night shift work and stomach cancer risk.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Many human health effects are linked to misalignment of chronotype, including cancer, obesity, and diabetes.
“Many human health effects are linked to the misalignment of chronotype (Knutson and von Schantz 2018), including cancer, obesity (Gyarmati et al. 2016; Papantoniou et al. 2016, 2017; Gan et al. 2018; Shi et al. 2020; Yousef et al. 2020), and diabetes (Gan et al. 2015; Larcher et al. 2015, 2016).”
From Archaic Introgression Shaped Human Circadian Traits (2023) · cites this paper as Gyarmati et al. 2016
Cites
Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012
Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., Parkin, D. M., Forman, D., & Bray, F. (2015) · International Journal of Cancer · doi:10.1002/ijc.29210 · Cited by 28,766 · see citing works
Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012
Ferlay, J., Steliarova‐Foucher, E., Lortet‐Tieulent, J., Rosso, S., Coebergh, J. W. W., Comber, H., Forman, D., & Bray, F. (2013) · European Journal of Cancer · doi:10.1016/j.ejca.2012.12.027 · Cited by 5,243 · see citing works
Carcinogenicity of shift-work, painting, and fire-fighting
Straif, K., Baan, R., Grosse, Y., Secretan, B., Ghissassi, F. E., Bouvard, V., Altieri, A., Benbrahim-Tallaa, L., & Cogliano, V. (2007) · The Lancet Oncology · doi:10.1016/s1470-2045(07)70373-x · Cited by 1,082 · see citing works
Gastric cancer: Classification, histology and application of molecular pathology.
Hu, B.-Q., Elhajj, N., Sittler, S., Lammert, N., Barnes, R., & Meloni-Ehrig, A. (2012) · Journal of Gastrointestinal Oncology · doi:10.3978/j.issn.2078-6891.2012.021 · Cited by 592 · see citing works
Shift work and the assessment and management of shift work disorder (SWD)
Wright, K. P., Bogan, R. K., & Wyatt, J. K. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.02.002 · Cited by 437 · see citing works
Night-shift work and breast cancer – a systematic review and meta-analysis
Ijaz, S., Verbeek, J. H. A. M., Seidler, A., Lindbohm, M.-L., Ojajärvi, A., Orsini, N., Costa, G., & Neuvonen, K. (2013) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3371 · Cited by 243 · see citing works
Night Work and the Risk of Cancer Among Men
Parent, M.-E., El-Zein, M., Rousseau, M.-C., Pintos, J., & Siemiatycki, J. (2012) · American Journal of Epidemiology · doi:10.1093/aje/kws318 · Cited by 243 · see citing works
Night-shift work and risk of breast cancer: a systematic review and meta-analysis
Kamdar, B. B., Tergas, A. I., Mateen, F. J., Bhayani, N. H., & Oh, J. (2013) · Breast Cancer Research and Treatment · doi:10.1007/s10549-013-2433-1 · Cited by 209 · see citing works
Kolstad, H. A. (2008) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1194 · Cited by 208 · see citing works
Castaño‐Vinyals, G., Aragonés, N., Pérez‐Gómez, B., Martín, V., Llorca, J., Moreno, V. R., Altzibar, J. M., Ardanáz, E., de Sanjosé, S., Jiménez‐Moleón, J. J., et al. (2015) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2014.12.003 · Cited by 208 · see citing works
Self-citationTotal and Cause-Specific Mortality of U.S. Nurses Working Rotating Night Shifts
Gu, F., Han, J., Laden, F., Pan, A., Caporaso, N. E., Stampfer, M. J., Kawachi, I., Rexrode, K. M., Willett, W. C., Hankinson, S. E., et al. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.10.018 · Cited by 202 · see citing works
Hypotheses for mechanisms linking shiftwork and cancer
Fritschi, L., Glass, D. C., Heyworth, J. S., Aronson, K., Girschik, J., Boyle, T., Grundy, A., & Erren, T. C. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2011.06.002 · Cited by 201 · see citing works
A meta-analysis on dose–response relationship between night shift work and the risk of breast cancer
Wang, F., Yeung, K.-W., Chan, W. C., Kwok, C. C.-H., Leung, S.-L., Wu, Ç., Chan, E. Y. Y., Yu, I. T.-S., Yang, X. R., & Tse, L. A. (2013) · Annals of Oncology · doi:10.1093/annonc/mdt283 · Cited by 197 · see citing works
Shift Work in Nurses: Contribution of Phenotypes and Genotypes to Adaptation
Gamble, K. L., Motsinger‐Reif, A. A., Hida, A., Borsetti, H., Servick, S. V., Ciarleglio, C. M., Robbins, S., Hicks, J., Carver, K., Hamilton, N. M., et al. (2011) · PLoS ONE · doi:10.1371/journal.pone.0018395 · Cited by 185 · see citing works
Phiri, L. P., Draper, C. E., Lambert, E. V., & Kolbe-Alexander, T. L. (2014) · BMC Nursing · doi:10.1186/s12912-014-0038-6 · Cited by 178 · see citing works
Night shift work, chronotype and prostate cancer risk in the MCC‐ S pain case‐control study
Papantoniou, K., Castaño‐Vinyals, G., Espinosa, A., Aragonés, N., Pérez‐Gómez, B., Burgos, J., Gómez‐Acebo, I., Llorca, J., Peiró, R., Jiménez‐Moleón, J. J., et al. (2014) · International Journal of Cancer · doi:10.1002/ijc.29400 · Cited by 175 · see citing works
Self-citationJia, Y., Lu, Y., Wu, K., Lin, Q., Shen, W., Zhu, M., Huang, S., & Chen, J. (2013) · Cancer Epidemiology · doi:10.1016/j.canep.2013.01.005 · Cited by 174 · see citing works
Cohort study of cancer risk among male and female shift workers
Schwartzbaum, J., Ahlbom, A., & Feychting, M. (2007) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1150 · Cited by 168 · see citing works
Circadian disrupting exposures and breast cancer risk: a meta-analysis
He, C., Anand, S. T., Ebell, M. H., Vena, J. E., & Robb, S. W. (2015) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-014-0986-x · Cited by 165 · see citing works
Gonzalez, C. A., & Agudo, A. (2011) · International Journal of Cancer · doi:10.1002/ijc.26430 · Cited by 161 · see citing works
Melatonin Anticancer Effects: Review
Bella, G. D., Mascia, F., Gualano, L., & Bella, L. D. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms14022410 · Cited by 159 · see citing works
Socioeconomic position and incidence of gastric cancer: a systematic review and meta-analysis
Uthman, O. A., Jadidi, E., & Moradi, T. (2013) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2012-201108 · Cited by 132 · see citing works
Wang, X., Ji, A., Zhu, Y., Liang, Z. C., Wu, J., Li, S., Meng, S., Zheng, X., & Xie, L. (2015) · Oncotarget · doi:10.18632/oncotarget.4502 · Cited by 120 · see citing works
Does night-shift work increase the risk of prostate cancer? a systematic review and meta-analysis
Xie, L., Rao, D., Yu, H., Bai, Y., & Zheng, X. (2015) · OncoTargets and Therapy · doi:10.2147/ott.s89769 · Cited by 114 · see citing works
Occupational exposures and risk of stomach cancer by histological type
Santibáñez, M., Alguacil, J., de la Hera, M. G., Navarrete‐Muñoz, E. M., Llorca, J., Aragonés, N., Kauppinen, T. P., Vioqué, J., & for the PANESOES Study Group* (2011) · Occupational and Environmental Medicine · doi:10.1136/oemed-2011-100071 · Cited by 106 · see citing works
Self-citationBreast cancer risk and night shift work in a case–control study in a Spanish population
Papantoniou, K., Castaño‐Vinyals, G., Espinosa, A., Aragonés, N., Pérez‐Gómez, B., Ardanáz, E., Altzibar, J. M., Martín, V., Gómez‐Acebo, I., Llorca, J., et al. (2015) · European Journal of Epidemiology · doi:10.1007/s10654-015-0073-y · Cited by 104 · see citing works
Self-citationNutritional status and eating habits of bus drivers during the day and night
Balieiro, L. C. T., Rossato, L. T., Waterhouse, J., Paim, S. L., Mota, M. C., & Crispim, C. A. (2014) · Chronobiology International · doi:10.3109/07420528.2014.957299 · Cited by 95 · see citing works
Papantoniou, K., Pozo, Ó. J., Espinosa, A., Marcos, J., Castaño‐Vinyals, G., Basagaña, X., Ribas, F. C., Mirabent, J., Martín, J., Carenys, G., et al. (2014) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-13-1271 · Cited by 92 · see citing works
Self-citationUrinary Melatonin Levels, Sleep Disruption, and Risk of Prostate Cancer in Elderly Men
Sigurðardóttir, L. G., Markt, S. C., Rider, J. R., et al. (2014) · European Urology · doi:10.1016/j.eururo.2014.07.008 · Cited by 90 · see citing works
Leung, M., Tranmer, J. E., Hung, E., Korsiak, J., Day, A. G., & Aronson, K. J. (2016) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-15-1178 · Cited by 77 · see citing works
Raj, A., Mayberry, J. F., & Podas, T. (2003) · Postgraduate Medical Journal · doi:10.1136/pmj.79.931.252 · Cited by 59 · see citing works
Occupational Risk Factors for Gastric Cancer: an Overview
Cocco, P., Ward, M. H., & Buiatti, E. (1996) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a017927 · Cited by 50 · see citing works
Yong, M., Blettner, M., Emrich, K., Nasterlack, M., Oberlinner, C., & Hammer, G. P. (2014) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3438 · Cited by 50 · see citing works
Health consequences of shift work and implications for structural design
Figueiro, M. G., & White, R. D. (2013) · Journal of Perinatology · doi:10.1038/jp.2013.7 · Cited by 47 · see citing works
Bernardes‐Souza, B., Monteze, N. M., de Oliveira, F. L. P., de Oliveira, J. M., de Freitas, S. N., Neto, R. M. D. N., Sales, M. L., & Souza, G. G. L. (2014) · Occupational and Environmental Medicine · doi:10.1136/oemed-2014-102429 · Cited by 38 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Archaic Introgression Shaped Human Circadian Traits
Velazquez-Arcelay, K., Colbran, L. L., McArthur, E., Brand, C. M., Rinker, D. C., Siemann, J. K., McMahon, D. G., & Capra, J. A. (2023) · Genome Biology and Evolution · doi:10.1093/gbe/evad203 · Cited by 18 · see citing works
“Many human health effects are linked to the misalignment of chronotype (Knutson and von Schantz 2018), including cancer, obesity (Gyarmati et al. 2016; Papantoniou et al. 2016, 2017; Gan et al. 2018; Shi et al. 2020; Yousef et al. 2020), and diabetes (Gan et al. 2015; Larcher et al. 2015, 2016).”
Background
- Authors
- Gyarmati, G., Turner, M. C., Castaño-Vinyals, G., Espinosa, A., Papantoniou, K., Alguacil, J., Costas, L., Pérez-Gómez, B., Martin Sanchez, V., Ardanaz, E., Moreno, V., Gómez-Acebo, I., Fernández-Tardon, G., Villanueva Ballester, V., Capelo, R., Chirlaque, M.-D., Santibáñez, M., Pollán, M., Aragonés, N., & Kogevinas, M.
- Affiliations
- Center for Research in Environmental Epidemiology (ES)
- University of Ottawa (CA)
- Universitat Pompeu Fabra (ES)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- Institut d'Investigació Biomédica de Bellvitge (ES)
- Universidad de Cantabria (ES)
- Instituto de Salud Carlos III (ES)
- Corresponding author
- Turner, Michelle C
- ORCID
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2016-06-16
- Volume
- 73
- Issue
- 8
- Pages
- 520-527
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- OpenAlex
- W2440586806
- Cited by
- 20
- References
- 35
- Citations by year
- 2025: 3 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 3 · 2018: 2 · 2017: 5 · 2016: 1
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (acceptedVersion)
- Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- HighWire Press Open Archive (submittedVersion)
- UCrea (University of Cantabria) (submittedVersion, cc-by)
- Funders
- Canadian Institutes of Health Research
- 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 › Oncology › Global Cancer Incidence and Screening
- Keywords
- night shift work, gastric cancer, gastric adenocarcinoma, rotating shifts, cancer risk, occupational carcinogens, IARC classification
- MeSH terms
- Adenocarcinoma, Aged, Circadian Rhythm, Female, Humans, Male, Middle Aged, Occupational Diseases, Risk Factors, Spain, Stomach Neoplasms, Work Schedule Tolerance, Logistic Models, Odds Ratio, Case-Control Studies, Occupational Exposure
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