Quick Answer
Shift Work Sleep Meta-Analysis has evidence relevant to safety, limits, and clinician-discussion contexts, but conclusions should stay close to the cited sources. One representative finding is: Background Gastrointestinal diseases are highly prevalent worldwide and are linked to poorer quality of life and increased use of healthcare services.
Key Takeaways
- 01Background Gastrointestinal diseases are highly prevalent worldwide and are linked to poorer quality of life and increased use of healthcare services. [Pérez-Manchón D (2026)]
- 02Rotating shifts were associated with a significantly increased overall risk of gastrointestinal outcomes when compared to day shifts (OR = 1.15; 95% CI: 1.02-1.30; p = 0.02), with moderate heterogeneity (I 2 = 53%). [Pérez-Manchón D (2026)]
- 03Most studies had low risk of bias, although outcome reporting and confounding were frequent concerns. [Pérez-Manchón D (2026)]
- 04Nursing shift work may disrupt circadian rhythms and contribute to functional gastrointestinal disorders through chronodisruption, sleep impairment, stress, and lifestyle changes. [Pérez-Manchón D (2026)]
The current Migaku evidence database contains 2 reusable source documents for Shift Work Sleep Meta-Analysis. This answer focuses on safety, limits, and clinician-discussion contexts.
- Background Gastrointestinal diseases are highly prevalent worldwide and are linked to poorer quality of life and increased use of healthcare services. [Pérez-Manchón D (2026); evidence level 1]
- Rotating shifts were associated with a significantly increased overall risk of gastrointestinal outcomes when compared to day shifts (OR = 1.15; 95% CI: 1.02-1.30; p = 0.02), with moderate heterogeneity (I 2 = 53%). [Pérez-Manchón D (2026); evidence level 1]
- Most studies had low risk of bias, although outcome reporting and confounding were frequent concerns. [Pérez-Manchón D (2026); evidence level 1]
- Nursing shift work may disrupt circadian rhythms and contribute to functional gastrointestinal disorders through chronodisruption, sleep impairment, stress, and lifestyle changes. [Pérez-Manchón D (2026); evidence level 1]
- Occupational stress was significantly associated with sleep disorders (pooled OR = 3.51, 95% CI: 2.54-4.84), with moderate to substantial heterogeneity (I 2 = 69%). [Yang H (2026); evidence level 1]
Evidence levels are sorting aids, not final clinical grades. Level 1 usually indicates systematic-review style evidence, level 2 indicates randomized trials or public-health guidance, and lower levels need more cautious wording.
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Sources