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Night shifts and type 2 diabetes risk

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Longer rotating night-shift work associated with higher type 2 diabetes risk in two large female nurse cohorts.

Source

Rotating night shift work and risk of type 2 diabetes: two prospective cohort studies in women

Pan A, Schernhammer ES, Sun Q, et al. · PLoS medicine · 2011

doi.org/10.1371/journal.pmed.1001141Read the full paper ↗567 citationscc by

Study at a glance

Design
Cohort — Nurses' Health Study I and II; years of rotating night-shift work vs incident type 2 diabetes
N
N=177184 · 69,269 NHS I and 107,915 NHS II women in analyses; 6,165 and 3,961 incident diabetes cases
Population
US female nurses in NHS I and NHS II
Outcome
Incident type 2 diabetes by duration of rotating night-shift work

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

NHS I and NHS II participants reported years of rotating night-shift work; incident type 2 diabetes was tracked over long follow-up.

What they found

6,165 diabetes cases in NHS I and 3,961 in NHS II. Risk rose with duration; ≥20 years HR 1.64 (NHS I) and 2.50 (NHS II) vs never in age-adjusted models.

The limits

What it doesn't show

Self-reported work history and residual confounding limit causal certainty; nurses may not represent all workers.

Key terms

Rotating night shift
≥3 nights/month plus day/evening work.
Type 2 diabetes
Incident diabetes outcome.
NHS I/II
Nurses’ Health Study cohorts.
Hazard ratio
Relative risk by shift duration.
Person-years
Follow-up time at risk.
Dose–response
Risk rising with exposure.

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NHS I cases:

Common questions

NHS I cases?

6,165.

NHS II cases?

3,961.

≥20 y HR NHS I?

1.64.

Definition?

≥3 nights/month.

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