ArticleInternational archives of occupational and environmental health2019
Sleep duration mediates abdominal and lower-extremity pain after night work in nurses.
Article in International archives of occupational and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Disrupting the clock: meta-analysis of irregular night shifts and migraine, proposing shift work migraine disorder with chronobiology strategies.Frontiers in neurology · 2025Pooled it
- Association of Low Back Pain with Shift Work: A Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Impact of nursing shift patterns on work-related musculoskeletal disorders: a systematic review and meta-analysis.BMC nursing · 2026Article
- Importance ranking and predictive model construction of WMSDs risk factors among shift-working nurses based on multiple machine-learning algorithms.BMC nursing · 2026Article
- The acute effect of night work-related circadian misalignment on headache episodes: Results from the 1001 nights-cohort.Headache · 2025Article
- Gastrointestinal Symptoms and the Assessment of Diet in Shift Workers: A Systematic Scoping Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Association between metabolic score for insulin resistance and lower limb pain among the elderly: a cross-sectional study.Frontiers in endocrinology · 2025Article
- Occupations associated with treatment seeking and biopsychosocial functioning at a tertiary orofacial pain clinic: A cross-sectional study.Journal of the American Dental Association (1939) · 2024Article
- The association between proportion of night shifts and musculoskeletal pain and headaches in nurses: a cross-sectional study.BMC musculoskeletal disorders · 2024Article
- Bidirectional relationship between pain and sleep disturbance in middle-aged and older adults: evidence from the China health and retirement longitudinal study.Frontiers in psychiatry · 2024Article
- A Narrative Review of the Reciprocal Relationship Between Sleep Deprivation and Chronic Pain: The Role of Oxidative Stress.Journal of pain research · 2024Review
- Consequences of Shift Work and Night Work: A Literature Review.Healthcare (Basel, Switzerland) · 2023Review
- A Cease in Shift Work Reverses Arterial Stiffness but Increases Weight and Glycosylated Hemoglobin A 5-Month Follow-Up in Industry.Journal of cardiovascular development and disease · 2022Article
- Sleep Duration, Number of Awakenings and Arterial Stiffness in Industrial Shift Workers: A Five-Week Follow-Up Study.International journal of environmental research and public health · 2022Article
- Circadian dysregulation induces alterations of visceral sensitivity and the gut microbiota in Light/Dark phase shift mice.Frontiers in microbiology · 2022Article
- Shift work, low-grade inflammation, and chronic pain: a 7-year prospective study.International archives of occupational and environmental health · 2021Article
- Experimental sleep restriction increases latency jitter in pain elicited cortical responses.Heliyon · 2021Article
- Short sleep and chronic neck and shoulder discomfort in nurses.Journal of occupational health · 2021Article
- Pain complaints after consecutive nights and quick returns in Norwegian nurses working three-shift rotation: an observational study.BMJ open · 2020Observational
- Pain complaints are associated with quick returns and insomnia among Norwegian nurses, but do not differ between shift workers and day only workers.International archives of occupational and environmental health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to investigate the association between different working shifts (i.e. morning, evening, night shifts) and headache, musculoskeletal and abdominal pain, and the extent to which reduced sleep duration could account for these associations.
methodsNurses (N = 679, 649 female, aged 22-53 years) were followed up for a period of 28 consecutive days, responding to a diary about sleep, shift type and pain complaints (measured on a Likert-type scale ranging from 0 to 3). Generalised structural equation modelling mediation analysis (GSEM) was performed to test whether shift type was associated with higher incidence or higher intensity of pain (headache, pain in neck/shoulders/upper back, upper extremity, low back, lower extremity and abdominal pain), and if this effect was mediated by sleep duration (continuous variable), after controlling for age, work and lifestyle factors.
resultsPain scores in lower extremities were decreased following night shifts in general. However, when night shifts were followed by short sleep duration, the risk of pain in the lower extremities and abdominal pain were increased. Headache and pain in the upper extremity were increased after night shifts, but were not associated with sleep duration. Pain in the neck/shoulder/upper back and lower back was not related to shift work.
conclusionsAmong nurses in a three-shift rotating schedule, night shifts increased the risk of pain in several regions, but only pain in the lower extremities and abdomen was related to reduced sleep duration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.