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Differences between fixed day shift workers and rotating shift workers in gastrointestinal problems: a systematic

Wen-Pei Chang1,2, Yu-Xuan Peng3

  • 1School of Nursing, College of Nursing, Taipei Medical University, Taiwan.

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Rotating shift work significantly increases the risk of gastrointestinal problems, especially indigestion and peptic ulcers, compared to fixed day shifts. This finding highlights potential health concerns for shift workers.

Keywords:
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Area of Science:

  • Occupational Health
  • Gastroenterology
  • Epidemiology

Background:

  • Rotating shift work is prevalent across various industries.
  • Understanding its impact on gastrointestinal health is crucial for worker well-being.
  • Previous research suggests a link, but a comprehensive synthesis is needed.

Purpose of the Study:

  • To systematically review and meta-analyze the literature on rotating shift work and gastrointestinal health.
  • To quantify the association between rotating shifts and overall gastrointestinal problems.
  • To investigate specific gastrointestinal conditions linked to rotating shift work.

Main Methods:

  • Literature search of PubMed, CINAHL, and Cochrane Library (1985-2020).
  • Inclusion of 16 studies in a meta-analysis using Comprehensive Meta-Analysis Software (CMA).
  • Definition of rotating shifts versus fixed day shifts based on start times.

Main Results:

  • Rotating shift workers showed a 56% increased odds of gastrointestinal problems (OR 1.56, 95% CI: 1.24-1.95).
  • Significant associations were found for indigestion (OR 1.72, 95% CI: 1.28-2.30) and peptic ulcers (OR 1.66, 95% CI: 1.19-2.30).
  • No significant differences were observed for irritable bowel syndrome or constipation.

Conclusions:

  • Rotating shift work is associated with a higher prevalence of gastrointestinal issues.
  • Indigestion and peptic ulcers are key gastrointestinal problems exacerbated by rotating shifts.
  • Occupational health strategies should consider mitigating risks for rotating shift workers.