Evidence map›Paper›PMID 39614183›Full record

ArticleBMC public health2024

Night shift work, poor sleep quality and unhealthy sleep behaviors are positively associated with the risk of epilepsy disease.

Xushuai Dong, Huiling Liu, Zhiheng Huang, Kaidi Liu, Rui Zhang, Shicheng Sun, Bin Feng, Hua Guo, Shaobin Feng

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

9 authors.

Xushuai DongDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Huiling LiuDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Zhiheng HuangDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Kaidi LiuDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Rui ZhangDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Shicheng SunDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Bin FengDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China.
Hua GuoDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China. guohua@sdfmu.edu.cn.
Shaobin FengDepartment of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jingwuweiqi Road No. 324, Jinan, 250021, China. fengshaobin@sdfmu.edu.cn.

Funding

Shandong Provincial Natural Science Foundation ZR202102230499Shandong Provincial Natural Science Foundation ZR202211230311Shandong Provincial Natural Science Foundation ZR202211250301Shandong Provincial Natural Science Foundation ZR202211300013Shandong Provincial Traditional Chinese Medicine Science and Technology Program Q-2022098
6 · The paper itself

Abstract

backgroundNight shift work and poor sleep quality are gradually becoming more prevalent in modern society. Nevertheless, there have been limited studies assessing the association between night shift work, sleep behaviors, and risk of epilepsy. The aim of our study was to ascertain whether a positive association exists between night shift work, sleep quality, sleep behaviors, and risk of epilepsy.

methodsOur study included a total of over 270,000 individuals with or without epilepsy from the UK Biobank, followed up over a period of 13.5 years. Information on current night shift work and major sleep behaviors was also obtained. We used Cox proportional hazard models to assess the association between night shift work, sleep quality, sleep behaviors, and the risk of epilepsy after adjusting for multiple variables.

resultsNight shift work was positively associated with a higher risk of epilepsy (P for trend = 0.059). There was a gradual increase in epilepsy risk from 'never/rarely' to 'usual/permanent' night shifts, with 'usual/permanent' night shifts work presenting the highest risk [hazard ratio (HR) 1.29, 95% confidence interval (CI) 1.01-1.65). Additionally, there was a significant association between sleep quality and risk of epilepsy (P < 0.001). Among the five major sleep behaviors, sleep duration (< 7 or > 8 h/day), frequent insomnia, and daytime sleepiness were significantly associated with a higher risk of epilepsy (HR 1.19, 95% CI 1.11-1.28; HR 1.19, 95% CI 1.09-1.30; HR 1.46, 95% CI 1.24-1.72, respectively). Furthermore, sleep duration exhibited a 'U-shaped' association with epilepsy risk. Nevertheless, no significant association was found between sleep chronotype and snoring and the risk of incident epilepsy (HR 1.04, 95% CI 0.96-1.12; HR 0.96, 95% CI 0.89-1.04).

conclusions'Usual/permanent' night shifts and poor sleep quality were positively associated with a greater risk of incident epilepsy. Major sleep behaviors, including unhealthy sleep duration (< 7 or > 8 h/day), frequent insomnia, and daytime sleepiness, also tended to increase the risk of epilepsy.

Indexed as

EpilepsyShift Work ScheduleSleep QualityAdultAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsUnited KingdomDaytime sleepinessEpilepsyInsomniaNight shiftSleep behaviorsSleep durationSleep quality

Identifiers

PMID39614183
PMCPMC11607973

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.