Letters
Shift work and diabetes risk
Nurses, shift work, and diabetes: should late chronotype be considered as a risk factor?
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l178 (Published 16 January 2019) Cite this as: BMJ 2019;364:l178- Roberto Manfredini, professor of internal medicine and head of department of medical sciences,
- Rosaria Cappadona, midwife and director of teaching activities,
- Fabio Fabbian, doctor and associate professor
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, via Fossato di Mortara 46, 44121 Ferrara, Italy
- roberto.manfredini{at}unife.it
Shan and colleagues show that duration of rotating night shift work and unhealthy lifestyle are independently and jointly associated with a higher risk of type 2 diabetes in nurses.1 Among the possible determinants of an unhealthy lifestyle, however, they don’t mention disruption of circadian rhythms and chronotype (individual circadian preference).
Horne …
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