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The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

BACKGROUND: Shift work is a workschedule, since industrial era and some employees work in shift. It causes a desynchronization of the biological clock with consequences on sleep amount and quality, such as insomnia and easy fatigue. Obstructive sleep apnea (OSA) is one of the sleep problems that are...

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Autores principales: Yang, Chen-Cheng, Lee, Kuo-Wei, Watanabe, Kazuhiro, Kawakami, Norito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490216/
https://www.ncbi.nlm.nih.gov/pubmed/33677677
http://dx.doi.org/10.1007/s00420-021-01675-1
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author Yang, Chen-Cheng
Lee, Kuo-Wei
Watanabe, Kazuhiro
Kawakami, Norito
author_facet Yang, Chen-Cheng
Lee, Kuo-Wei
Watanabe, Kazuhiro
Kawakami, Norito
author_sort Yang, Chen-Cheng
collection PubMed
description BACKGROUND: Shift work is a workschedule, since industrial era and some employees work in shift. It causes a desynchronization of the biological clock with consequences on sleep amount and quality, such as insomnia and easy fatigue. Obstructive sleep apnea (OSA) is one of the sleep problems that are getting more and more attention, but studies on the association between shift work and OSA were rare. Herein, we aimed to conduct a systematic review and meta-analysis to investigate the association between shift work and possible OSA. METHODS: This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We queried PubMed, Embase, and Web of Science databases using a related set of keywords. The inclusion criteria were as follows: (1) participants were adult employees hired by a company or organization; (2) exposure was shift work; and (3) outcome was possible OSA according to examination or assessment. RESULTS: We included six studies in the systematic review and five studies were selected for further meta-analysis. A random-effects model showed an association of shift work with a small, non-significant increase in possible OSA cases (pooled prevalence relative risk = 1.05; 95% CI 0.85–1.30; p = 0.65). This association occurred in both healthcare and non-healthcare workers group. CONCLUSION: The association between shift work and possible OSA remains inconclusive and could be small if not negligible. Future studies should assess the association between specific work schedules and specific OSA definitions. TRIAL REGISTRATION NUMBER: PROSPERO ID: CRD42020156837 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-021-01675-1.
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spelling pubmed-84902162021-10-15 The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis Yang, Chen-Cheng Lee, Kuo-Wei Watanabe, Kazuhiro Kawakami, Norito Int Arch Occup Environ Health Original Article BACKGROUND: Shift work is a workschedule, since industrial era and some employees work in shift. It causes a desynchronization of the biological clock with consequences on sleep amount and quality, such as insomnia and easy fatigue. Obstructive sleep apnea (OSA) is one of the sleep problems that are getting more and more attention, but studies on the association between shift work and OSA were rare. Herein, we aimed to conduct a systematic review and meta-analysis to investigate the association between shift work and possible OSA. METHODS: This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We queried PubMed, Embase, and Web of Science databases using a related set of keywords. The inclusion criteria were as follows: (1) participants were adult employees hired by a company or organization; (2) exposure was shift work; and (3) outcome was possible OSA according to examination or assessment. RESULTS: We included six studies in the systematic review and five studies were selected for further meta-analysis. A random-effects model showed an association of shift work with a small, non-significant increase in possible OSA cases (pooled prevalence relative risk = 1.05; 95% CI 0.85–1.30; p = 0.65). This association occurred in both healthcare and non-healthcare workers group. CONCLUSION: The association between shift work and possible OSA remains inconclusive and could be small if not negligible. Future studies should assess the association between specific work schedules and specific OSA definitions. TRIAL REGISTRATION NUMBER: PROSPERO ID: CRD42020156837 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-021-01675-1. Springer Berlin Heidelberg 2021-03-07 2021 /pmc/articles/PMC8490216/ /pubmed/33677677 http://dx.doi.org/10.1007/s00420-021-01675-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Yang, Chen-Cheng
Lee, Kuo-Wei
Watanabe, Kazuhiro
Kawakami, Norito
The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title_full The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title_fullStr The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title_full_unstemmed The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title_short The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
title_sort association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490216/
https://www.ncbi.nlm.nih.gov/pubmed/33677677
http://dx.doi.org/10.1007/s00420-021-01675-1
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