Health consequences of shift work and insufficient sleep

@article{Kecklund2016HealthCO,
  title={Health consequences of shift work and insufficient sleep},
  author={G{\"o}ran Kecklund and John Axelsson},
  journal={British Medical Journal},
  year={2016},
  volume={355}
}
This review summarises the literature on shift work and its relation to insufficient sleep, chronic diseases, and accidents. It is based on 38 meta-analyses and 24 systematic reviews, with additional narrative reviews and articles used for outlining possible mechanisms by which shift work may cause accidents and adverse health. Evidence shows that the effect of shift work on sleep mainly concerns acute sleep loss in connection with night shifts and early morning shifts. A link also exists… 

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References

SHOWING 1-10 OF 142 REFERENCES

Workhours in relation to work stress, recovery and health.

  • M. Härmä
  • Medicine
    Scandinavian journal of work, environment & health
  • 2006
The most promising worktime-related means for decreasing the psychosocial workload and negative health effects of workhours would be to regulate overtime and excessive workhours, increase individual worktime control, and increase recovery from the introduction of sleep-promoting principles into shift rotation.

Shift work and chronic disease: the epidemiological evidence.

Heterogeneity of study exposures and outcomes and emphasis on positive but non-significant results make it difficult to draw general conclusions, and further data are needed for additional disease endpoints and study populations.

Pharmacological interventions for sleepiness and sleep disturbances caused by shift work.

To evaluate the effects of pharmacological interventions to reduce sleepiness or to improve alertness at work and decrease sleep disturbances whilst of work, or both, in workers undertaking shift work, a large number of eligible randomised controlled trials were included.

Shift work and cardiovascular disease - pathways from circadian stress to morbidity.

The data provide evidence for possible disease mechanisms between shift work and CVD, but compelling evidence on any specific mechanism is missing.

Sleep Deprivation in Resident Physicians, Work Hour Limitations, and Related Outcomes: A Systematic Review of the Literature

This literature review summarizes research on the effects of sleep deprivation and shift work, and examines current literature on the impact of recent work hour limitations on resident physicians and patient–related outcomes.

Sleep loss and hypertension: a systematic review.

This analysis shows that experimental sleep deprivation, short sleep duration, and persistent insomnia are associated with increased blood pressure and increased risk of hypertension, even after controlling for other risk factors.
...