Evidence map›Paper›PMID 37693713›Full record

ArticleFrontiers in public health2023

Shift work and risk of incident gastroesophageal reflux disease: the association and mediation.

Qian Li, Fu-Rong Li, Shihan Zhen, Jian Liao, Keye Wu, Xia Li, Bincai Wei, Zhiyi Xiao, Qingyao Wu, Xian-Bo Wu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  3. HowMedicina (Kaunas, Lithuania) · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Qian Li *School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Fu-Rong Li *School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Shihan ZhenSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Jian LiaoSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Keye WuSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Xia LiSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Bincai WeiSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Zhiyi XiaoSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Qingyao WuSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Xian-Bo WuDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.
Fengchao LiangSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Southern University of Science and Technology · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Shift work has become an increasingly common work mode globally. This study aimed to investigate the association between shift work and the risk of incident gastroesophageal reflux disease (GORD), an upward gastrointestinal disorder disease worldwide, and to explore the mediating factors. Method: A total of 262,722 participants from the UK Biobank free of GORD and related gastrointestinal diseases were included to investigate the association and potential mediators between shift work and incident GORD. Multivariate-adjusted Cox models were used to evaluate the association between shift work status and GORD incidence. Results: Compared to non-shift workers, shift workers had a 1.10-fold greater risk of incident GORD [95% confidence intervals (CIs): 1.03, 1.18], after adjusting for a range of potential confounders. However, the excess risk of GORD attenuated to the null after further adjusting for selected mediators. Specifically, the association was mediated by sleep patterns (25.7%), healthy behaviors (16.8%), depressive symptoms (20.2%), chronic conditions (13.3%), and biological factors (17.6%). After adjustment for all the mediators together, the association was attenuated by 71.5%. Discussion: Our findings indicated that long-term shift workers may have a higher risk of incident GORD, yet the excess risk may be explained by poor sleep quality, unhealthy behaviors, depressive symptoms, etc. This has positive implications for protecting the health of shift workers.

Indexed as

Gastroesophageal RefluxShift Work ScheduleHealth BehaviorHumansSleep Qualitycohort studygastroesophageal reflux diseasemediationpublic healthrisk factorsshift work

Identifiers

PMID37693713
PMCPMC10483823
OpenAlexW4386135558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.