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Occupational Medicine 53:103-108 (2003)
Copyright © 2003 Society of Occupational Medicine

Health disorders of shift workers

Anders Knutsson

Department of Nursing and Health Sciences, Public Health, Mid Sweden University, 851 70 Sundsvall, Sweden.

Correspondence to: Professor A. Knutsson, Department of Nursing and Health Sciences, Public Health, Mid Sweden University, 851 70 Sundsvall, Sweden. E-mail: anders.knutsson{at}mh.se

Abstract

The effects of shift work on physiological function through disruption of circadian rhythms are well described. However, shift work can also be associated with specific pathological disorders. This article reviews the evidence for a relationship between specific medical disorders and working at night or on shift systems. The strongest evidence exists for an association with peptic ulcer disease, coronary heart disease and compromised pregnancy outcome.

Keywords      Cardiovascular diseases; gastrointestinal diseases; health; medical surveillance; night work; pregnancy; shift work


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