Research

Mixed

Long-term shift work, particularly involving night shifts, is strongly associated with increased risks of cardiovascular disease, metabolic disorders (type 2 diabetes, metabolic syndrome), and gastrointestinal issues, largely mediated by circadian misalignment, sleep restriction, and adverse lifestyle behaviors.

If you work nights or rotating shifts, prioritize protecting your sleep environment (dark, cool, quiet) and manage light exposure (bright light during shift, dark glasses on commute home). Be mindful of meal timing; eating late at night can worsen metabolic risk. Recognize that fatigue and digestive issues are common physiological responses to circadian disruption, not just personal failings, and consider strategies to align your schedule with your body's clock where possible.

GoodSupportsHIGH confidence
There is strong evidence linking shift work and negative health outcomes such as cardiovascular diseases, gastrointestinal and metabolic disorders (type 2 diabetes; metabolic syndrome).
Cláudia Roberta de Castro Moreno et al. · Industrial Health · 2019

Why this rating

Based on multiple meta-analyses, systematic reviews, and large prospective cohort studies (e.g., Nurses Health Study), though some causal links (like cancer) are less consistent.

Source

Working Time Society consensus statements: Evidence-based effects of shift work on physical and mental health

Cláudia Roberta de Castro Moreno et al. · Industrial Health · 2019

DOI 10.2486/indhealth.sw-1

narrative_reviewCited 210×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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