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January 1, 2023Journal of Occupational HealthOpen Access

The effect of extended shift work on autonomic function in occupational settings: A systematic review and meta-analysis

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Key result

A meta-analysis of 12 studies found inconsistent effects of 24-h shift work on autonomic function, with only 3 of 9 studies showing a significant increase in LF/HF ratio after a 24-h shift.

Why the study?

The study was conducted to examine the effect of 24-h shift work on autonomic nervous system function using heart rate variability methodologies.

Does 24-h shift work affect autonomic function as measured by heart rate variability in occupational settings?

Population

12 studies with sample sizes varying from eight to 60 participants

Comparison

24-h shift work vs baseline or non-shift periods

Design

Systematic review and meta-analysis

Authors

JJJacob D. JelminiMemorial HermannJRJeremy A. RossUniversity of KentuckyLWLauren N. WhitehurstUniversity of Kentucky

Discussion

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Implication

Inconsistent evidence precludes firm conclusions on autonomic effects of 24-h shifts; leaves open need for standardized HRV studies.

Study Design

Type

Meta-Analysis

Structured PICO

Does 24-h shift work affect autonomic function as measured by heart rate variability in occupational settings?

P
Population
12 studies with sample sizes ranging from 8 to 60 participants examining the effect of 24-h shift work on autonomic function via heart rate variability.
E
Exposure
24-h shift work
C
Comparator
Baseline or non-shift work periods
O
Outcome
Autonomic nervous system function assessed via heart rate variability (HRV) methodologies (e.g., LF/HF ratio, HF)surrogate

Extended 24-hour shift work may lead to a shift away from parasympathetic dominance, though current evidence is inconsistent due to methodological variations.

Limitations

  • Discrepancies in HRV methodologies, such as the duration of recordings and hardware used for measurement
  • Differences in roles and responsibilities across occupations
  • Discrepancies in HRV methodologies such as duration of recordings and hardware used

Cite This Study

Jelmini et al. (2023) conducted a meta-analysis in 24-h shift work. 24-h shift work vs. Baseline or non-shift work was evaluated on Autonomic nervous system function via heart rate variability (HRV). A meta-analysis of 12 studies found inconsistent effects of 24-h shift work on autonomic function, with only 3 of 9 studies showing a significant increase in LF/HF ratio after a 24-h shift.

synapsesocial.com/papers/6a20db131b89e0dee849c9c4https://doi.org/10.1002/1348-9585.12409
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Changes in frequency of premature complexes and heart rate variability related to shift work2001 · 77 citations
  2. 2Sympathetic Nervous System Dysfunction in Fibromyalgia, Chronic Fatigue Syndrome, Irritable Bowel Syndrome, and Interstitial Cystitis2014 · 226 citations
  3. 3Fluctuations in heart rate variability of health care workers during four consecutive extended work shifts and recovery during rest and sleep2017 · 28 citations
  4. 4Comparison of Sleep-related Cardiac Autonomic Function between Rotating-shift and Permanent Night-shift Workers2011 · 12 citations
  5. 5Reliability of Sleep Diaries for Assessment of Sleep/Wake Patterns1993 · 176 citations