Intended for healthcare professionals

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
  1. Roberto Manfredini, professor of internal medicine and head of department of medical sciences,
  2. Rosaria Cappadona, midwife and director of teaching activities,
  3. Fabio Fabbian, doctor and associate professor
  1. Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, via Fossato di Mortara 46, 44121 Ferrara, Italy
  1. 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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