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The Impact of Shift-Work and Night Shift-Work on Thyroid: A Systematic Review

Author

Listed:
  • Veruscka Leso

    (Section of Occupational Medicine, Department of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy)

  • Ilaria Vetrani

    (Section of Occupational Medicine, Department of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy)

  • Alessandra Sicignano

    (Section of Occupational Medicine, Department of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy)

  • Rosaria Romano

    (Section of Occupational Medicine, Department of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy)

  • Ivo Iavicoli

    (Section of Occupational Medicine, Department of Public Health, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy)

Abstract

Thyroid hormones are regulated by the pituitary thyroid stimulating hormone (TSH), whose secretion presents a circadian rhythmicity. Indeed, it is conceivable that shift- and night shift-work, affecting sleep-wake rhythms, may impact thyroid functionality. Therefore, the aim of the present review was to provide an overview on the association between shift- and night shift-work and thyroid hormonal changes and disease development. A systematic review of studies available in PubMed, Scopus, and ISI Web of Science databases was performed. A positive association between night shift-work and increased TSH concentrations was reported by most of the reviewed investigations. Inconclusive evidence was available on thyroid diseases. However, the limited number of studies, the noticeable heterogeneity in the shift-work scheduling, in terms of amount, duration, type of shift- or night shift-work, prevents easily integrating findings and extrapolating definite conclusions. Further investigation seems necessary to better define the relationship between shift schedules and different thyroid outcomes, and possible long-term implications of early functional changes. Overall, this may support the adoption of advanced risk assessment and management strategies aimed to achieve a safer workplace organization and a timely, responsible realization of all the benefits of a 24-h economy.

Suggested Citation

  • Veruscka Leso & Ilaria Vetrani & Alessandra Sicignano & Rosaria Romano & Ivo Iavicoli, 2020. "The Impact of Shift-Work and Night Shift-Work on Thyroid: A Systematic Review," IJERPH, MDPI, vol. 17(5), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1527-:d:325764
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    References listed on IDEAS

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    1. Annabel Matheson & Louise O'Brien & Jo‐Anne Reid, 2014. "The impact of shiftwork on health: a literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3309-3320, December.
    2. Nazia Uzma & B. M. Khaja Mohinuddin Salar & B. Santhosh Kumar & Nusrat Aziz & M. Anthony David & V. Devender Reddy, 2008. "Impact of Organic Solvents and Environmental Pollutants on the Physiological Function in Petrol Filling Workers," IJERPH, MDPI, vol. 5(3), pages 1-8, September.
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    Cited by:

    1. Luca Coppeta & Cristiana Ferrari & Marco Trabucco Aurilio & Gianluigi Ferrazza & Andrea Magrini & Stefano Rizza, 2022. "Night Shift Work Is Associated with Reduced Rate of Humoral Response Following Vaccination for HBV," IJERPH, MDPI, vol. 19(14), pages 1-7, July.
    2. Ho-Ming Chen & Po-Yao Huang & Hung-Yi Chuang & Chao-Ling Wang & Chen-Cheng Yang & Peng-Ju Huang & Chi-Kung Ho, 2023. "Association of Low Back Pain with Shift Work: A Meta-Analysis," IJERPH, MDPI, vol. 20(2), pages 1-20, January.

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