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The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
Chen-Cheng Yang1,2,3,4,5,6, Kuo-Wei Lee7, Kazuhiro Watanabe8
1Department of Occupational and Environmental Medicine, Kaohsiung Municipal Siaogang Hospital, No. 482, Shanming Road, Siaogang District, Kaohsiung City, Taiwan. u106800001@kmu.edu.tw.
Summary
Shift work may slightly increase the risk of obstructive sleep apnea (OSA), but the link is currently inconclusive. More research is needed to confirm any association between shift work schedules and OSA.
Area of Science:
- Occupational Health
- Sleep Medicine
- Epidemiology
Background:
- Shift work disrupts the biological clock, impacting sleep quantity and quality.
- Consequences include insomnia and fatigue, with growing concern over obstructive sleep apnea (OSA).
- Research on the link between shift work and OSA has been limited.
Purpose of the Study:
- To systematically review and meta-analyze existing studies.
- To investigate the association between shift work and the likelihood of developing OSA.
Main Methods:
- Searched PubMed, Embase, and Web of Science databases.
- Included studies with adult employees, shift work exposure, and assessed OSA outcomes.
- Conducted a systematic review and meta-analysis following PRISMA guidelines.
Main Results:
- Six studies were included in the review; five were used for meta-analysis.
- A random-effects model found a small, non-significant increase in possible OSA cases (RR=1.05).
- This association was observed in both healthcare and non-healthcare workers.
Conclusions:
- The association between shift work and possible OSA is inconclusive and potentially negligible.
- Further research is recommended to explore specific work schedules and OSA definitions.
- PROSPERO ID: CRD42020156837.
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