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vol.10WHEN TO SUSPECT METABOLIC SYNDROME AT PHYSICAL EXAMINATION AND WHAT IS THE RELEVANCE TO OCCUPATIONAL HEALTH?OCCUPATIONAL NOISE, HEARING AND LIFE QUALITY OF DENTISTS author indexsubject indexarticles search
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Revista Portuguesa de Saúde Ocupacional online

Print version ISSN 2183-8453

Abstract

ALVES, H et al. THE INFLUENCE OF NIGHT WORK ON DIABETES CONTROL: INTEGRATIVE LITERATURE REVIEW. RPSO [online]. 2020, vol.10, pp.77-87.  Epub Mar 17, 2021. ISSN 2183-8453.  https://doi.org/10.31252/rpso.05.12.2020.

Introduction

Diabetes mellitus is a chronic disease with a high and growing prevalence, particularly among the younger population. The increase in disease among the active population can lead to a greater risk of incapacity for work and a high rate of absenteeism.

Methods

This study consists of an integrative literature review. After establishing the inclusion and exclusion criteria, four cross-sectional studies were selected.

Results

Although there is not enough evidence, there seems to be a trend towards higher blood glucose levels in diabetic and non-diabetic workers who do night work. Studies have shown that night workers have more cardiovascular risk factors, which can influence glycemic control and is in line with studies that associate night shift work with an increased prevalence of metabolic syndrome, which consists of the junction of lipid alteration (decreased good cholesterol or HDL and increased triglycerides), increased blood pressure, abdominal obesity and altered blood glucose.

Discussion / Conclusion

There is a need to develop randomized controlled studies. However, more aggressive glycemic control in night workers can be important to avoid complications of the disease. There is a need to invest in diabetes prevention programs with workers in Occupational Health services and develop/ implement targeted and effective interventions to help workers better manage their disease, since the prevalence of type 2 diabetes in the working age population continues to increase. It may be necessary to adapt the therapeutic and dietary regime to diabetic workers who work at night.

Keywords : Shift Work Schedule; Blood Glucose; Diabetes Mellitus; Review.

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