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Published on: August 8, 2019
Shift work effects on incident neuropsychiatric disorders and shift work tolerance
Liu Yang1, Yi-Han Gan1, Xiao-Yu He1
1Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.
Shift work increases the risk of dementia, anxiety, depression, and sleep disorders by affecting brain structure and increasing immune and glucose levels. Individual factors like socioeconomic status influence tolerance to shift work.
Area of Science:
- Neuroscience
- Public Health
- Occupational Health
Background:
- Shift work is a known risk factor for neuropsychiatric disorders.
- Individual variability can influence the impact of shift work on mental health.
Purpose of the Study:
- To investigate the association between shift work and the incidence of neuropsychiatric disorders.
- To explore how individual characteristics affect shift work tolerance.
Main Methods:
- Utilized UK Biobank data from 254,646 participants.
- Employed Cox survival and correlation analyses to assess risks and brain structure impacts.
- Conducted mediation analyses to identify underlying mechanisms and evaluated shift work tolerance across strata.
Main Results:
- Shift work correlated with increased risk of dementia, anxiety, depression, and sleep disorders, but not stroke.
- Observed reductions in brain volumes (thalamus, orbitofrontal, middle temporal) linked to shift work.
- Identified increased immune response and glucose levels as mediating pathways; socioeconomic status and working hours significantly impacted tolerance.
Conclusions:
- Shift work poses significant risks for several neuropsychiatric conditions.
- Personalized health monitoring and management strategies are crucial for shift workers.
- Limitations include potential self-reporting bias and focus on a middle-aged population.
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