<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532020000200077</article-id>
<article-id pub-id-type="doi">10.31252/rpso.05.12.2020</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A INFLUÊNCIA DO TRABALHO NOTURNO NO CONTROLO DA DIABETES: REVISÃO INTEGRATIVA DA LITERATURA]]></article-title>
<article-title xml:lang="en"><![CDATA[THE INFLUENCE OF NIGHT WORK ON DIABETES CONTROL: INTEGRATIVE LITERATURE REVIEW]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Couto]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF Joane ACeS Famalicão ]]></institution>
<addr-line><![CDATA[Joane ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Senhora da Oliveira  ]]></institution>
<addr-line><![CDATA[Vila Nova de Famalicão ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Workview  ]]></institution>
<addr-line><![CDATA[Fafe ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,USF Joane ACeS Famalicão ]]></institution>
<addr-line><![CDATA[Vila Nova de Famalicão ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Fernando Pessoa  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<fpage>77</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532020000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532020000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532020000200077&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução A diabetes mellitus é uma doença crónica com elevada e crescente prevalência, nomeadamente entre a população mais jovem. O aumento da doença entre a população ativa pode originar um maior risco de incapacidade para o trabalho e de uma taxa mais elevada de absentismo.  Métodos Este estudo consiste numa revisão integrativa da literatura. Após o estabelecimento dos critérios de inclusão e exclusão e análise dos investigadores foram selecionados quatro estudos transversais.  Resultados Embora não exista evidência suficiente, parece existir uma tendência para níveis de glicemia mais elevados nos trabalhadores diabéticos e não diabéticos que fazem trabalho noturno. Os estudos evidenciaram que os trabalhadores noturnos têm mais fatores de risco cardiovascular, o que pode influenciar o controlo glicémico e vem ao encontro com estudos que associam o trabalho por turnos noturnos a um aumento da prevalência da síndrome metabólica, que consistem na junção da alteração lipídica (diminuição do bom colesterol ou HDL e aumento os triglicerídeos), aumento da tensão arterial, obesidade abdominal e glicemia alterada.  Discussão/Conclusão Existe necessidade de desenvolver estudos controlados randomizados. Não obstante, o controlo mais agressivo da glicemia nos trabalhadores noturnos pode ser importante para evitar as complicações da doença. Há necessidade de investir em programas de prevenção da diabetes junto dos trabalhadores nos serviços de Saúde Ocupacional e desenvolver/ implementar intervenções direcionadas e eficazes para ajudar os trabalhadores a gerir melhor sua doença, uma vez que a prevalência de diabetes tipo 2 na população em idade laboral continua a aumentar. Pode ser necessário adequar o regime terapêutico e alimentar aos trabalhadores diabéticos que trabalham em regime noturno.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Jornada de Trabalho em Turnos]]></kwd>
<kwd lng="pt"><![CDATA[Glicemia]]></kwd>
<kwd lng="pt"><![CDATA[Diabetes Mellitus]]></kwd>
<kwd lng="pt"><![CDATA[Revisão]]></kwd>
<kwd lng="en"><![CDATA[Shift Work Schedule]]></kwd>
<kwd lng="en"><![CDATA[Blood Glucose]]></kwd>
<kwd lng="en"><![CDATA[Diabetes Mellitus]]></kwd>
<kwd lng="en"><![CDATA[Review]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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