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Shift work and type 2 diabetic patients' health
Tanawat Chalernvanichakorn1, Pornchai Sithisarankul, Narin Hiransuthikul
1Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Summary
Shift work negatively impacts type 2 diabetes management, leading to poorer glycemic control and mental health. Day workers with type 2 diabetes exhibit better health outcomes compared to shift workers.
Area of Science:
- Occupational Health
- Endocrinology
- Public Health
Background:
- Shift work is prevalent globally and may affect the health of individuals with chronic conditions.
- Type 2 diabetes requires consistent management, which can be challenging under non-standard work schedules.
Purpose of the Study:
- To investigate the health differences between type 2 diabetic patients engaged in day work versus shift work.
- To identify potential risks associated with shift work for individuals with type 2 diabetes.
Main Methods:
- A comparative study involving 240 type 2 diabetic workers (120 day, 120 shift) aged 30-60 years.
- Data collection included questionnaires on hypoglycemic symptoms, mental health (Thai GHQ-12), and stress (Suanprung Stress Test-20).
- Patient medical records provided fasting blood glucose, blood pressure, and body mass index (BMI) data.
Main Results:
- Significantly better glycemic control was observed in day workers (28.3%) compared to shift workers (15.8%).
- Shift workers reported a higher incidence of hypoglycemic symptoms and poorer mental health outcomes.
- Elevated stress levels and abnormal mental health were more prevalent among shift workers.
Conclusions:
- Shift work appears to exert a detrimental effect on the health of type 2 diabetic patients.
- Type 2 diabetic shift workers require increased medical attention and workplace support.
- Interventions may be necessary to mitigate the negative health impacts of shift work on diabetic employees.
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