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Shift Work and Metabolic Syndrome Updates: A Systematic Review

机译:轮班工作和代谢综合征更新:系统评价

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摘要

Shift work can cause circadian cycles disturbances and misaligns the endogenous rhythms. The physiological variables are driven by the circadian system and, its misalignment, can impair the metabolic functions. Thus, the main objective of this study was to evaluate the metabolic alterations as a result of shift work and night work reported in articles published in the last 5 years, using the eligibility criteria both gender and indexed articles in English language. In order to execute this work, we perform a systematic review according to PRISMA guidelines and searched about Chronobiology Disorders and Night Work, both related to metabolism, in Medline, Lilacs, ScienceDirect and Cochrane. Cross-sectional, cohort and experimental studies with low risk of bias were included. We found a total of 132 articles, and, after the selection process, 16 articles remained to be analyzed. It was observed that shift work can cause circadian misalignment and, consequently, some metabolic parameters alterations such as an impaired glycemic control and insulin functioning, cortisol phase release, cholesterol fractions imbalance, changes in morphological indexes and melatonin secretion. There are some limitations, such as heterogenicity in used databases and the 5 years restriction period, because the effects of sleep disturbance may have been reported earlier. In conclusion, we suggest that shift work interferes with the sleep-wake cycle and eating patterns, which cause crucial physiological alterations that, together, can lead to metabolic syndrome.
机译:轮班工作会导致昼夜节律紊乱并错位内源性节律。生理变量由昼夜节律系统驱动,其错位会损害代谢功能。因此,本研究的主要目的是评估过去 5 年发表的文章中报告的轮班工作和夜间工作导致的代谢变化,使用性别和英语索引文章的资格标准。为了执行这项工作,我们根据 PRISMA 指南进行了系统评价,并在 Medline、Lilacs、ScienceDirect 和 Cochrane 中检索了与代谢相关的时间生物学障碍和夜班。纳入了低偏倚风险的横断面、队列和实验研究。我们共找到 132 篇文章,在选择过程之后,仍有 16 篇文章有待分析。据观察,轮班工作会导致昼夜节律错位,从而导致一些代谢参数发生变化,例如血糖控制和胰岛素功能受损、皮质醇期释放、胆固醇分数失衡、形态学指标和褪黑激素分泌的变化。存在一些限制,例如所用数据库的异质性和 5 年限制期,因为睡眠障碍的影响可能已经报道得更早。总之,我们认为轮班工作会干扰睡眠-觉醒周期和饮食模式,这会导致关键的生理变化,这些变化共同导致代谢综合征。

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