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Shift Work and Serum Vitamin D Levels: A Systematic Review and Meta-Analysis

Author

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  • Margherita Martelli

    (Occupational Health, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy)

  • Gianmaria Salvio

    (Endocrinology Clinic, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy)

  • Lory Santarelli

    (Occupational Health, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy)

  • Massimo Bracci

    (Occupational Health, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy)

Abstract

Vitamin D deficiency and insufficiency are highly prevalent conditions worldwide due to several factors, including poor sun exposure. Shift workers may be exposed to the risk of hypovitaminosis D due to fewer opportunities for sunlight exposure compared to day workers. A systematic review of the PubMed, SCOPUS, and EMBASE databases was conducted according to the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) statement to investigate the effect of shift work on vitamin D levels. Mean differences (MD) and 95% confidence intervals (CI) of serum 25-OH-D levels in shift workers and non-shift workers were calculated. A total of 13 cross-sectional studies were included in the meta-analysis. We found significantly lower levels of serum 25-OH-D in shift workers compared with non-shift workers (MD: −1.85, 95% CI [−2.49 to −1.21]). Heterogeneity among included studies was high (I 2 = 89%, p < 0.0001), and neither subgroup analysis nor meta-regression were able to identify specific sources of the heterogeneity that may be related to the different characteristics of shift work among studies. The monitoring of serum vitamin D levels and prompt correction of any deficiencies should be considered in shift workers. Notably, since a large part of the observations are derived from Koreans, larger epidemiological studies are needed in other populations.

Suggested Citation

  • Margherita Martelli & Gianmaria Salvio & Lory Santarelli & Massimo Bracci, 2022. "Shift Work and Serum Vitamin D Levels: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(15), pages 1-15, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:8919-:d:869187
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    References listed on IDEAS

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    1. Maximilian Andreas Storz & Gianluca Rizzo & Mauro Lombardo, 2022. "Shiftwork Is Associated with Higher Food Insecurity in U.S. Workers: Findings from a Cross-Sectional Study (NHANES)," IJERPH, MDPI, vol. 19(5), pages 1-14, March.
    2. Hye Yin Park & Youn-Hee Lim & Jae Bum Park & Jeongbae Rhie & Soo-Jin Lee, 2020. "Environmental and Occupation Factors Associated with Vitamin D Deficiency in Korean Adults: The Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2014," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
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    Cited by:

    1. Fulvio Lauretani & Marco Salvi & Irene Zucchini & Crescenzo Testa & Chiara Cattabiani & Arianna Arisi & Marcello Maggio, 2023. "Relationship between Vitamin D and Immunity in Older People with COVID-19," IJERPH, MDPI, vol. 20(8), pages 1-19, April.

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