Public Health and Primary CareREVIEW

Shift Workers at Risk for Metabolic Syndrome

Kshma Kulkarni, OMS IV; Marie Schow, OMS III; and Jay H. Shubrook, DO
Notes and Affiliations
Notes and Affiliations

Received: October 2, 2019

Accepted: October 24, 2019

Published: February 1, 2020

J Osteopath Med; 120(2): 107-117

In this highly digitalized era, sleep disorders are becoming more common and are associated with an increased burden of chronic disease. Shift workers are at an increased risk for both sleep disorders and metabolic syndrome. In this article, the authors outline the connection between circadian discordance, hormonal imbalance, and the development of metabolic syndrome in shift workers. Based on a literature review of animal model studies, observational studies, and clinical trials conducted between August and October of 2018, the authors offer several clinical interventions, including work schedules, light therapy, medications, and dietary habits to improve the circadian synchronicity of shift workers and reduce their risk of morbidity and mortality. It is important for physicians to be familiar with the consequences of shift work and ways to mitigate the risks for this patient population.

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