Shift work and chronic disease: the epidemiological evidence.

BACKGROUND: Shift work, including night work, has been hypothesized to increase the risk of chronic diseases, including cancer, cardiovascular disease (CVD), metabolic syndrome and diabetes. Recent reviews of evidence relating to these hypotheses have focussed on specific diseases or potential mecha...

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Main Authors: Wang, X, Armstrong, M, Cairns, B, Key, T, Travis, R
Format: Journal article
Language:English
Published: Oxford University Press 2011
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author Wang, X
Armstrong, M
Cairns, B
Key, T
Travis, R
author_facet Wang, X
Armstrong, M
Cairns, B
Key, T
Travis, R
author_sort Wang, X
collection OXFORD
description BACKGROUND: Shift work, including night work, has been hypothesized to increase the risk of chronic diseases, including cancer, cardiovascular disease (CVD), metabolic syndrome and diabetes. Recent reviews of evidence relating to these hypotheses have focussed on specific diseases or potential mechanisms, but no general summary of the current data on shift work and chronic disease has been published. METHODS: Systematic and critical reviews and recent original studies indexed in PubMed prior to 31 December 2009 were retrieved, aided by manual searches of reference lists. The main conclusions from reviews and principle results from recent studies are presented in text and tables. RESULTS: Published evidence is suggestive but not conclusive for an adverse association between night work and breast cancer but limited and inconsistent for cancers at other sites and all cancers combined. Findings on shift work, in relation to risks of CVD, metabolic syndrome and diabetes are also suggestive but not conclusive for an adverse relationship. CONCLUSIONS: Heterogeneity of study exposures and outcomes and emphasis on positive but non-significant results make it difficult to draw general conclusions. Further data are needed for additional disease endpoints and study populations.
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spelling oxford-uuid:10ffb017-a90e-4e43-bd9a-b4f5b8eb16862022-03-26T09:59:42ZShift work and chronic disease: the epidemiological evidence.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:10ffb017-a90e-4e43-bd9a-b4f5b8eb1686EnglishSymplectic Elements at OxfordOxford University Press2011Wang, XArmstrong, MCairns, BKey, TTravis, RBACKGROUND: Shift work, including night work, has been hypothesized to increase the risk of chronic diseases, including cancer, cardiovascular disease (CVD), metabolic syndrome and diabetes. Recent reviews of evidence relating to these hypotheses have focussed on specific diseases or potential mechanisms, but no general summary of the current data on shift work and chronic disease has been published. METHODS: Systematic and critical reviews and recent original studies indexed in PubMed prior to 31 December 2009 were retrieved, aided by manual searches of reference lists. The main conclusions from reviews and principle results from recent studies are presented in text and tables. RESULTS: Published evidence is suggestive but not conclusive for an adverse association between night work and breast cancer but limited and inconsistent for cancers at other sites and all cancers combined. Findings on shift work, in relation to risks of CVD, metabolic syndrome and diabetes are also suggestive but not conclusive for an adverse relationship. CONCLUSIONS: Heterogeneity of study exposures and outcomes and emphasis on positive but non-significant results make it difficult to draw general conclusions. Further data are needed for additional disease endpoints and study populations.
spellingShingle Wang, X
Armstrong, M
Cairns, B
Key, T
Travis, R
Shift work and chronic disease: the epidemiological evidence.
title Shift work and chronic disease: the epidemiological evidence.
title_full Shift work and chronic disease: the epidemiological evidence.
title_fullStr Shift work and chronic disease: the epidemiological evidence.
title_full_unstemmed Shift work and chronic disease: the epidemiological evidence.
title_short Shift work and chronic disease: the epidemiological evidence.
title_sort shift work and chronic disease the epidemiological evidence
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AT armstrongm shiftworkandchronicdiseasetheepidemiologicalevidence
AT cairnsb shiftworkandchronicdiseasetheepidemiologicalevidence
AT keyt shiftworkandchronicdiseasetheepidemiologicalevidence
AT travisr shiftworkandchronicdiseasetheepidemiologicalevidence