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Differences between fixed day shift workers and rotating shift workers in gastrointestinal problems: a systematic review and meta-analysis
Industrial Health ( IF 1.8 ) Pub Date : 2021-03-24 , DOI: 10.2486/indhealth.2020-0153
Wen-Pei CHANG, Yu-Xuan PENG

This study comprised a review and compilation of literature to gain an in-depth understanding of the impact of rotating shift work on gastrointestinal health. PubMed, CINAHL, and the Cochrane Library were searched for studies published between January 1, 1985, and June 30, 2020. Fixed day shifts were defined as work shifts that began between 7:00 and 9:00 in the morning. Shifts beginning at any other time were classified as rotating shifts. A meta-analysis was performed using Comprehensive Meta-Analysis Software (CMA) version 3. In the end, 16 studies were included in the meta-analysis. An odds ratio (OR) of 1.56 (95% confidence interval (CI): 1.24–1.95), indicating that gastrointestinal problems are more common in rotating shift workers than in fixed day shift workers. Four gastrointestinal problems, namely, irritable bowel syndrome, constipation, indigestion, and peptic ulcers, were then analyzed separately. Significant differences between rotating shift workers and fixed day shift workers were found only for indigestion and peptic ulcers. For indigestion, the OR was 1.72 (95% CI: 1.28–2.30). For peptic ulcers, the OR was 1.66 (95% CI: 1.19–2.30). Thus, research indicates that rotating shift work may increase the risk of gastrointestinal problems, particularly indigestion and peptic ulcers.



中文翻译:


固定白班工人和轮班工人在胃肠道问题上的差异:系统评价和荟萃分析



这项研究包括文献回顾和汇编,以深入了解轮班工作对胃肠健康的影响。 PubMed、CINAHL 和 Cochrane 图书馆检索了 1985 年 1 月 1 日至 2020 年 6 月 30 日之间发表的研究。固定白班被定义为从早上 7:00 到 9:00 之间开始的轮班。在任何其他时间开始的轮班都被归类为轮班。使用综合荟萃分析软件(CMA)第3版进行荟萃分析。最终,荟萃分析纳入了16项研究。比值比 (OR) 为 1.56(95% 置信区间 (CI):1.24–1.95),表明轮班工人比固定白班工人更常见肠胃问题。然后分别分析四种胃肠道问题,即肠易激综合征、便秘、消化不良和消化性溃疡。轮班工人和固定白班工人之间仅在消化不良和消化性溃疡方面存在显着差异。对于消化不良,OR 为 1.72(95% CI:1.28–2.30)。对于消化性溃疡,OR 为 1.66(95% CI:1.19–2.30)。因此,研究表明,轮班工作可能会增加胃肠道问题的风险,特别是消化不良和消化性溃疡。

更新日期:2021-04-26
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