Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being

• Published in: Current sleep medicine reports Vol. 3; no. 2; pp. 104 - 112
• Main Authors: James, Stephen M., Honn, Kimberly A., Gaddameedhi, Shobhan, Van Dongen, Hans P.A.
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.06.2017; Springer Nature B.V
• Subjects: Biological clocks; Cardiology; Circadian rhythm; Circadian Rhythm Disorders (F Turek; Family Medicine; General Practice; Internal Medicine; Meals; Medicine; Medicine & Public Health; Neurology; Otorhinolaryngology; Psychiatry; Section Editor; Shift work; Topical Collection on Circadian Rhythm Disorders; Well being; United States > US; Sleep displacement; Heart health; Circadian misalignment; Metabolic health; Mental health; Cancer risk; Circadian Misalignment; Heart Health; Mental Health; Metabolic Health; Sleep Displacement; Cancer Risk
• ISSN: 2198-6401; 2198-6401
• DOI: 10.1007/s40675-017-0071-6

Purpose of Review Our 24/7 society is dependent on shift work, despite mounting evidence for negative health outcomes from sleep displacement due to shift work. This paper reviews short- and long-term health consequences of sleep displacement and circadian misalignment due to shift work. Recent Findings We focus on four broad health domains: metabolic health, risk of cancer, cardiovascular health, and mental health. Circadian misalignment affects these domains by inducing sleep deficiency, sympathovagal and hormonal imbalance, inflammation, impaired glucose metabolism, and dysregulated cell cycles. This leads to a range of medical conditions, including obesity, metabolic syndrome, type II diabetes, gastrointestinal dysfunction, compromised immune function, cardiovascular disease, excessive sleepiness, mood and social disorders, and increased cancer risk. Summary Interactions of biological disturbances with behavioral and societal factors shape the effects of shift work on health and well-being. Research is needed to better understand the underlying mechanisms and drive the development of countermeasures.