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Peripheral blood lipid and liver and kidney function test results in long-term night shift nurses: a cross-sectional study in South China.


ABSTRACT:

Purpose

This study aimed to elucidate the effects of long-term day and night shifts on liver function and lipid metabolism in a group of nurses.

Methods

This cross-sectional study in December 2019 was based on a group of nurses. A total of 1,253 physically healthy caregivers were included, including 1231 women and 22 men. A total of 886 nurses had long-term shift work (working in a rotating system for >1 year). The receiver operating characteristic (ROC) curve and logistic regression analyses were used to evaluate factors related to long-term shift work.

Results

We observed differences in liver and kidney indicators between the non-night and night shift groups. The ROC curve revealed that CHO (AUC: 62.4%), LDLC (AUC: 62%), and GLUO (AUC: 61.5%) were more related to the night shift. Logistic regression analysis showed that night shift work was associated significantly with CREA (log (OR) = -0.02, 95% CI: -0.04 to -0.01), CHO (log (OR) = -0.38, 95% CI: -0.67 to -0.09), and GLUO (log (OR) = -0.35, 95% CI: -0.56 to -0.17). This correlation was observed only for CHO and LDHC (CHO: log (OR) = -0.55, 95% CI: -0.98 to -0.12; LDLC: log (OR) = 0.83, 95% CI: 0.32, 1.4) after age standardization. After using propensity score matching, we did not find evidence to support that the indicators differed between night and non-night shift groups.

Conclusion

Our study observed an association of long-term night work with abnormal liver and kidney function and dyslipidemia, but the difference was not significant after strict age matching. Although these findings may support interventions for long-term night shift nurses, more detailed studies are needed to confirm.

SUBMITTER: Zhao Y 

PROVIDER: S-EPMC10613520 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Publications

Peripheral blood lipid and liver and kidney function test results in long-term night shift nurses: a cross-sectional study in South China.

Zhao Yang Y   Lu Xunhao X   Wang Yanghua Y   Cheng Yiyi Y   He Qiao Q   Qin Rongqi R   Li Wenrui W   Liu Haizhou H   Liu Yuanfang Y  

Frontiers in endocrinology 20231011


<h4>Purpose</h4>This study aimed to elucidate the effects of long-term day and night shifts on liver function and lipid metabolism in a group of nurses.<h4>Methods</h4>This cross-sectional study in December 2019 was based on a group of nurses. A total of 1,253 physically healthy caregivers were included, including 1231 women and 22 men. A total of 886 nurses had long-term shift work (working in a rotating system for >1 year). The receiver operating characteristic (ROC) curve and logistic regress  ...[more]

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