ArticleInternational archives of occupational and environmental health2023
Relationship between night shift and sleep problems, risk of metabolic abnormalities of nurses: a 2 years follow-up retrospective analysis in the National Nurse Health Study (NNHS).
Article in International archives of occupational and environmental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04572347 (National Nurses Health Cohort Study), which is not on this map. Cited by 40 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.
National Nurses Health Cohort Study (NNHS): a Web-based Ambispective Cohort Study in China
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Non-pharmacological therapies for sleep and occupational stress regulation among nightshift nurses: a systematic review and Bayesian network meta-analysis based on randomized controlled trials.Frontiers in public health · 2026Pooled it
- Nighttime sleep duration and the prevalence of hyperuricemia: a systematic review and network meta-analysis.Frontiers in neuroscience · 2025Pooled it
- Sleep quality, insomnia, chronic fatigue, and work performance in three-shift and fixed-night-shift nurses: a comparative cross-sectional study.Journal of Korean biological nursing science · 2026Article
- Article
- Sleep Quality and Physical Activity of Night Shift Nurses Working at Hospitals: A Cross-Sectional Survey Study.Nursing reports (Pavia, Italy) · 2026Article
- Work Ability and Associated Factors Among Nurses in a Teaching Hospital: A Cross-Sectional Study.La Medicina del lavoro · 2026Article
- Relationship between sleep duration and sleep quality with hypertension in community dwelling adults: Ardakan Cohort Study on Ageing (ACSA).Journal of health, population, and nutrition · 2026Article
- Sleep Quality and Influencing Factors of Nurses in Fever Clinics During Closed-Loop Management: An Exploratory Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- The effects of melatonin supplementation on obesity and glycemic indices in women with overweight and obesity: a systematic review and meta-analysis of randomized controlled trials.Diabetology & metabolic syndrome · 2026Article
- Association between psychological resilience and psychological distress in Chinese psychiatric nurses: a cross-sectional study.BMC nursing · 2026Article
- Network analysis of anxiety, depression, stress symptoms and psychological resilience in shift nurses.BMC psychology · 2026Article
- Chronic Night Shift Is More Detrimental Than Chronic Light at Night on Circadian Rhythmicity and Metabolic Health in a Female Diurnal Rodent.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026Article
- Workplace violence and sleep disorders in emergency nurses: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- Developing and evaluating machine learning-based risk models for metabolic syndrome among nurses: a cross-sectional study.Frontiers in public health · 2026Article
- Metabolic syndrome and carotid plaque in Chinese taxi drivers: a cross-sectional study of 5,999 participants.Frontiers in public health · 2026Article
- Relationship Between Sleep-Related Worry, Compassion Fatigue, and Retention Intention Among Nurses: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Associations of perceived patient safety culture and work-related characteristics with self-reported shared governance capacity among nurses in a tertiary hospital in China: a cross-sectional study.Frontiers in medicine · 2026Article
- Latent Class Analysis of Shift Work Patterns Among Nurses and Its Impact on Anxiety-Depression Comorbidity: A Multicenter Cross-Sectional Study.Depression and anxiety · 2026Article
- The relationship between sleep quality and occupational identity among psychiatric night shift nurses.Frontiers in psychiatry · 2026Article
- Relationship between compassion fatigue, medical narrative ability, and retention intention among nurses: a cross-sectional multi-center study.Frontiers in health services · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
background and purposeEfforts to improve nurses' physical and mental health are critical to ensuring the safety and quality of the healthcare system. Long-term studies targeting the relevancy of nurses' occupation characteristics with health conditions remain insufficient. This study aimed to examine the relationship between nurses' night shift and sleep problems and metabolic abnormalities risk.
methodsThis study was a part of the National Nurse Health Study, an ambispective cohort study in China, in 2021. Based on an integration physical examination data system, this study carried out a retrospective analysis of 730 nurses from 2018 to 2020 and combined with a questionnaire survey in 2021. The STROBE guidelines were adopted for reporting.
resultsIn the 23 (23.0, 24.0) months follow-up, higher night shift load was associated with more sleep problems such as shortened sleep duration, sleep disorders, poor sleep quality, and sleep deprivation. Moreover, night shift load was associated with chronic diseases risk factors, increasing body mass index and body fat, with more night shift density, increasing the occurrence of low levels of high-density lipoprotein cholesterol, high triglyceride, triglyceride/high-density lipoprotein cholesterol ratio, and serum uric acid.
conclusionThe night shift load has become an occupational health concern, contributing to chronic diseases relevant metabolic risk factors and negative influence on sleep health. Focus on the strategies to improve the sleep quality of nurses undergoing night shift work, optimize work scheduling and ongoing monitor the relevant risk factors are essential to enhance the stability and well-being of the nursing workforce. CLINICAL TRIALS REGISTRATION INFORMATION: NCT04572347, on October 1, 2020. https://www. CLINICALTRIALS: gov/ct2/show/NCT04572347.
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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.