Exposure to shift work as a risk factor for diabetes
Open accessAbstract
Using telephone survey data from 1111 retired older adults (≥65 years; 634 male, 477 female), we tested the hypothesis that exposure to shift work might result in increased self-reported diabetes. Five shift work exposure bins were considered: 0 years, 1-7 years, 8-14 years, 15-20 years, and >20 years. Shift work exposed groups showed an increased proportion of self-reported diabetes (χ(2) = 22.32, p < 0.001), with odds ratios (ORs) of about 2 when compared to the 0-year group. The effect remained significant after adjusting for gender and body mass index (BMI) (OR ≥ 1.4; χ(2) = 10.78, p < 0.05). There was a significant shift work exposure effect on BMI (χ(2) = 80.70, p < 0.001) but no significant gender effect (χ(2) = 0.37, p > 0.50).
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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 [9]
The paper reports an increased risk of diabetes associated with shift work (Abstract; page unavailable). It does not report an epidemiologic finding of increased cardiovascular disease risk from shift work. The statement about sleep-preserving strategies follows the citation as the citing authors’ own inference, so it is not assessed as a claim attributed to Monk. (LLM, conf=0.85)
Experimental — accuracy not yet measuredShift 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 [9]
The paper’s Abstract (page unavailable) reports prospective studies linking shift work to diabetes, and its References identify those studies as concerning type 2 diabetes. Its own study did not distinguish type 1 from type 2 diabetes. The copy does not report a prospective association between shift work and cardiovascular disease, so that part of the citing sentence is unsupported. (LLM, conf=0.86)
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- Authors
- Monk, T. H., & Buysse, D. J.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Monk, Timothy H.
- ORCID
- Buysse, Daniel J.
- Venue
- Journal of Biological Rhythms
- Publisher
- SAGE Publications
- Published
- 2013-10
- Volume
- 28
- Issue
- 5
- Pages
- 356-359
- ISSN
- 0748-7304 (ISSN-L)
- 1552-4531
- PMC
- PMC4001827
- OpenAlex
- W2075483791
- Cited by
- 77
- References
- 22
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 8 · 2022: 7 · 2021: 1 · 2020: 2 · 2019: 7 · 2018: 6 · 2017: 4 · 2016: 11 · 2015: 14 · 2014: 12 · 2013: 1
- FWCI
- 17.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Biological Rhythms (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005)
- National Institute on Aging (AG20677, R01AG013396, AG13396, P01AG020677)
- National Center for Research Resources (RR-024153, UL1RR024153)
- National Center for Advancing Translational Sciences
- 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
- shift work, diabetes mellitus, older adults, retirees, body mass index, gender differences, circadian rhythm disruption, occupational risk factors
- MeSH terms
- Aged, Diabetes Mellitus, Female, Humans, Male, Risk Factors, Work Schedule Tolerance, Body Mass Index, Odds Ratio
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 ›
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