Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis

BackgroundThe association between shift work, night work, and the risk of dementia are conflicting in the literature.ObjectivesThis study was performed to obtain evidence on the potential relationship between shift work, night work, and dementia.MethodsTo investigate the link between shift work, nig...

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Main Authors: Zhen-Zhi Wang, Zhen Sun, Mei-Ling Zhang, Kang Xiong, Feng Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.997181/full
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author Zhen-Zhi Wang
Zhen Sun
Mei-Ling Zhang
Kang Xiong
Feng Zhou
author_facet Zhen-Zhi Wang
Zhen Sun
Mei-Ling Zhang
Kang Xiong
Feng Zhou
author_sort Zhen-Zhi Wang
collection DOAJ
description BackgroundThe association between shift work, night work, and the risk of dementia are conflicting in the literature.ObjectivesThis study was performed to obtain evidence on the potential relationship between shift work, night work, and dementia.MethodsTo investigate the link between shift work, night work, and dementia, we systematically searched PubMed, Embase, and Web of Science from inception to January 1, 2022. The eligibility of the retrieved records and extracted data were independently reviewed by two researchers. The Preferred Reporting Items for Systematic Evaluations and Meta-Analyses (PRISMA) statement was followed. STATA 16.0 was used to conduct the meta-analysis.ResultsA total of four studies involving 103,104 participants were included in this meta-analysis. Pooled results indicated that night shift workers had a 12% increased risk of dementia compared to subjects without night work (HR = 1.12, 95% CI 1.03–1.23, P = 0.094). Shift work was not significantly associated with dementia risk (HR: 1.09, 95% CI: 0.83–1.43, P = 0.546), but the effect of shift work on dementia risk appeared to increase with age, with a correlation observed among workers older than 50 years (HR = 1.31; 95% CI: 1.03–1.68, P = 0.030).ConclusionThe data presented in our study suggest that night work may be a risk factor for dementia. More prospective studies with objective exposure measurements are required to further confirm this result.Systematic review registrationhttps://doi.org/10.37766/inplasy2022.6.0079, identifier: INPLASY202260079.
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spelling doaj.art-4881ea995cde420890dd74dbd48a16c12022-12-22T02:40:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-11-011310.3389/fneur.2022.997181997181Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysisZhen-Zhi Wang0Zhen Sun1Mei-Ling Zhang2Kang Xiong3Feng Zhou4The First Clinical Medical College of Shaanxi University of Traditional Chinese Medicine, Xianyang, ChinaHengyang Medical School, University of South China, Hengyang, ChinaThe First Clinical Medical College of Shaanxi University of Traditional Chinese Medicine, Xianyang, ChinaThe First Clinical Medical College of Shaanxi University of Traditional Chinese Medicine, Xianyang, ChinaThe Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang, ChinaBackgroundThe association between shift work, night work, and the risk of dementia are conflicting in the literature.ObjectivesThis study was performed to obtain evidence on the potential relationship between shift work, night work, and dementia.MethodsTo investigate the link between shift work, night work, and dementia, we systematically searched PubMed, Embase, and Web of Science from inception to January 1, 2022. The eligibility of the retrieved records and extracted data were independently reviewed by two researchers. The Preferred Reporting Items for Systematic Evaluations and Meta-Analyses (PRISMA) statement was followed. STATA 16.0 was used to conduct the meta-analysis.ResultsA total of four studies involving 103,104 participants were included in this meta-analysis. Pooled results indicated that night shift workers had a 12% increased risk of dementia compared to subjects without night work (HR = 1.12, 95% CI 1.03–1.23, P = 0.094). Shift work was not significantly associated with dementia risk (HR: 1.09, 95% CI: 0.83–1.43, P = 0.546), but the effect of shift work on dementia risk appeared to increase with age, with a correlation observed among workers older than 50 years (HR = 1.31; 95% CI: 1.03–1.68, P = 0.030).ConclusionThe data presented in our study suggest that night work may be a risk factor for dementia. More prospective studies with objective exposure measurements are required to further confirm this result.Systematic review registrationhttps://doi.org/10.37766/inplasy2022.6.0079, identifier: INPLASY202260079.https://www.frontiersin.org/articles/10.3389/fneur.2022.997181/fullshift worknight workdementiarisk factorsystematic evaluationmeta-analysis
spellingShingle Zhen-Zhi Wang
Zhen Sun
Mei-Ling Zhang
Kang Xiong
Feng Zhou
Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
Frontiers in Neurology
shift work
night work
dementia
risk factor
systematic evaluation
meta-analysis
title Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
title_full Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
title_fullStr Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
title_full_unstemmed Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
title_short Relationship between shift work, night work, and subsequent dementia: A systematic evaluation and meta-analysis
title_sort relationship between shift work night work and subsequent dementia a systematic evaluation and meta analysis
topic shift work
night work
dementia
risk factor
systematic evaluation
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fneur.2022.997181/full
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