CrossTalk opposing view: Insufficient sleep is not responsible for increased risk of metabolic disease in shift workers.
CrossTalk opposing view: Insufficient sleep is not responsible for increased risk of metabolic disease in shift workers.
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DOI：
10.1113/jp282190
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发表时间：
2022-04
影响因子：
5.5
通讯作者：
McHill, Andrew W.
中科院分区：
文献类型：
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作者：
Bowles, Nicole P.;Thosar, Saurabh S.;McHill, Andrew W.
由于全球经济的艰巨需求，美国15-20%的劳动力需要在传统的白天工作时间之外工作（Woods，2020）。轮班工作，包括固定夜间、清晨和早晚交替轮班的时间表，与发病率增加相关，包括代谢紊乱（即糖尿病）和全因死亡率风险较高（Pan et al. 2011; Wang et al. 2018）。然而，很少有干预措施可以降低轮班工人的这些风险，因为增加代谢风险的具体机制仍不清楚。例如，非传统的工作时间表影响睡眠、饮食和锻炼的时间，通常导致轮班工人在白天的睡眠质量较差，由于缺乏健康食品而导致不健康的饮食模式，以及与白班工人相比身体活动水平较低（Atkinson等人，2008）。虽然这些因素中有许多可能相互作用，mchill@ ohsu。edu.作者贡献AWM为这份手稿提供了概念。所有作者都为起草和修订这部著作的知识内容作出了贡献。所有作者均已阅读并批准本手稿的最终版本，并同意对工作的各个方面负责，以确保与工作任何部分的准确性或完整性相关的问题得到适当的调查和解决。所有被指定为作者的人都有资格获得作者资格，所有有资格获得作者资格的人都被列出。相互竞争的利益
Due to the arduous demands of the global economy, 15–20% of the workforce in the USA are required to work outside of conventional daytime hours (Woods, 2020). Shift work, including schedules with fixed nights, early mornings, and shifts that rotate between mornings, evenings and nights, is associated with increased morbidity, including a higher risk of metabolic disorders (ie diabetes) and all-cause mortality (Pan et al. 2011; Wang et al. 2018). However, few interventions are available to reduce these risks in shift workers, as the specific mechanisms increasing metabolic risk remain unclear. For example, nonconventional work schedules influence the timing of sleep, eating and exercise, often leading shift workers to have poorer sleep quality during daytime hours, unhealthy dietary patterns due to a paucity of healthy-food access, and lower physical activity levels as compared to day shift workers (Atkinson et al. 2008). Though many of these factors likely interact, mchill@ ohsu. edu. Author contributions AWM provided the conception for this manuscript. All authors contributed to the drafting and revising of the work for intellectual content. All authors have read and approved the final version of this manuscript and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All persons designated as authors qualify for authorship, and all those who qualify for authorship are listed. Competing interests