ArticleInternational archives of occupational and environmental health2021
The mediating role of lifestyle in the relationship between shift work, obesity and diabetes.
Article in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 60 citations in OpenAlex.
- The Risk of Cardiovascular Diseases for Shift Workers in the Prospective Heinz Nixdorf Recall Study.American journal of industrial medicine · 2026Article
- Association of Night Shift Work and Related Risk Factors with Overweight and Obesity across Europe: The SHIFT2HEALTH Online Survey.Obesity facts · 2026Article
- Night shift work and dietary behaviors: a comparative analysis of European night shift and day workers from the SHIFT2HEALTH online survey.Nutrition journal · 2026Article
- Association of shift work with body weight, stress, sleep, and dietary intake in prison officers and firefighters.European journal of nutrition · 2026Article
- Night shift work exposure shapes neurobehavioral and cardiometabolic profiles in female healthcare workers: a cross-sectional study.Frontiers in public health · 2026Article
- Linking health lifestyle classes to blue-collar workers' participation in worksite health promotion programs in freight transport: a latent class analysis.International archives of occupational and environmental health · 2025Article
- Increased risk of asthma in female night shift workers.ERJ open research · 2025Article
- Article
- Associations Between Workday/Leisure Day Lifestyle Behavior and Cardiovascular Disease Risk Factors Among Night Shift Workers Using the Isotemporal Substitution Model.Healthcare (Basel, Switzerland) · 2025Article
- Association between health literacy and behaviors among shift workers: an observational cross-sectional study with mediation analysis.Journal of occupational health · 2025Observational
- The roles of lifestyle factors and genetic risk in the association between night shift work and cholelithiasis: a prospective cohort study.Frontiers in endocrinology · 2025Article
- Assessment of hypertension and diabetes among lecturers in a Ghanaian university: Setting lifestyle practices as precursors.PloS one · 2025Article
- Effects of a 12-hour shift system on sleep and cardiovascular health of male machine and plant operators - a longitudinal study over four years.Frontiers in public health · 2025Article
- Association of Shift Work, Sociodemographic Variables and Healthy Habits with Obesity Scales.Life (Basel, Switzerland) · 2024Article
- Feasibility of ecological momentary assessment in measuring physical activity and sedentary behaviour in shift and non-shift workers.Journal of activity, sedentary and sleep behaviors · 2024Article
- Article
- Investigating the relationship between shift work schedule and blood and metabolic parameters: a 10-years retrospective cohort study.Scientific reports · 2024Article
- Article
- A low-calorie meal replacement improves body composition and metabolic parameters in shift workers with overweight and obesity: a randomized, controlled, parallel group trial.Nutrition & metabolism · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeShift work has been related to obesity and diabetes, but the potential mediating role of lifestyle is yet unknown. Our aim was to investigate this mediating role of physical activity, diet, smoking, and sleep quality in the relationships between shift work, and obesity and diabetes.
methodsIn this cross-sectional study, 3188 shift workers and 6395 non-shift workers participated between 2013 and 2018 in periodical occupational health checks. Weight and height were objectively measured to calculate obesity (BMI ≥ 30 kg/m
resultsShift workers were more often obese (OR: 1.37, 95% CI 1.16-1.61) and reported more often to have diabetes (OR:1.35, 95% CI 1.003-1.11) than non-shift workers. Shift workers had lower physical activity levels, ate fruit and vegetables less often, smoked more often, and had poorer sleep quality (p < 0.05). Mediation analysis revealed that shift workers had a higher odds of obesity (OR: 1.07, 95% CI 1.01-1.15) and diabetes (OR: 1.13, 95% CI 1.02-1.27) mediated by poorer sleep quality. Lower physical activity levels (OR: 1.11, 95% CI 1.05-1.19) and lower intake of fruit and vegetables (OR: 1.04, 95% CI 1.01-1.15) were also mediators in the relationship between shift work and obesity, but not in the relationship between shift work and diabetes (p ≥ 0.05).
conclusionThese results imply that interventions targeting diet, physical activity and in particular sleep problems specifically developed for shift workers could potentially reduce the adverse health effects of shift work.
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