Night-shift work increases morbidity of breast cancer and all-cause mortality: a meta-analysis of 16 prospective cohort studies
•This meta-analysis included 16 prospective cohort studies.•A positive dose–effect relationship was found between night-shift work and incident breast tumors.•Rotating night-shift work enhances morbidity of breast cancer by 8.9%.•Night-shift work is associated with a 2.7% increase in cardiovascular...
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| Vydáno v: | Sleep medicine Ročník 16; číslo 11; s. 1381 - 1387 |
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| Hlavní autoři: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Netherlands
Elsevier B.V
01.11.2015
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| ISSN: | 1389-9457, 1878-5506 |
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| Abstract | •This meta-analysis included 16 prospective cohort studies.•A positive dose–effect relationship was found between night-shift work and incident breast tumors.•Rotating night-shift work enhances morbidity of breast cancer by 8.9%.•Night-shift work is associated with a 2.7% increase in cardiovascular death.
Night-shift work (NSW) has previously been related to incidents of breast cancer and all-cause mortality, but many published studies have reported inconclusive results. The aim of the present study was to quantify a potential dose–effect relationship between NSW and morbidity of breast cancer, and to evaluate the association between NSW and risk of all-cause mortality. The outcomes included NSW, morbidity of breast cancer, cardiovascular mortality, cancer-related mortality, and all-cause mortality.
Sixteen investigations were included, involving 2,020,641 participants, 10,004 incident breast cancer cases, 7185 cancer-related deaths, 4820 cardiovascular end points, and 2480 all-cause mortalities. The summary risk ratio (RR) of incident breast cancer for an increase of NSW was 1.057 [95% confidence interval (CI) 1.014–1.102; test for heterogeneity p = 0.358, I2 = 9.2%]. The combined RR (95% CI) of breast cancer risk for NSW vs daytime work was: 1.029 (0.969–1.093) in the <5-year subgroup, 1.019 (1.001–1.038) for 5-year incremental risk, 1.025 (1.006–1.044) for 5- to 10-year exposure times, 1.074 (1.010–1.142) in the 10- to 20-year subgroup, and 1.088 (1.012–1.169) for >20-year exposure lengths. The overall RR was 1.089 (95% CI 1.016–1.166) in a fixed-effects model (test for heterogeneity p = 0.838, I2 = 0%) comparing rotating NSW and day work. Night-shift work was associated with an increased risk of cardiovascular death (RR 1.027, 95% CI 1.001–1.053), and all-cause death 1.253 (95% CI 0.786–1.997). In summary, NSW increased the risk of breast cancer morbidity by: 1.9% for 5 years, 2.5% for 5–10 years, 7.4% for 10–20 years, and 8.8% for >20-years of NSW. Additionally, rotating NSW enhanced the morbidity of breast cancer by 8.9%. Moreover, NSW was associated with a 2.7% increase in cardiovascular death. |
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| AbstractList | •This meta-analysis included 16 prospective cohort studies.•A positive dose–effect relationship was found between night-shift work and incident breast tumors.•Rotating night-shift work enhances morbidity of breast cancer by 8.9%.•Night-shift work is associated with a 2.7% increase in cardiovascular death.
Night-shift work (NSW) has previously been related to incidents of breast cancer and all-cause mortality, but many published studies have reported inconclusive results. The aim of the present study was to quantify a potential dose–effect relationship between NSW and morbidity of breast cancer, and to evaluate the association between NSW and risk of all-cause mortality. The outcomes included NSW, morbidity of breast cancer, cardiovascular mortality, cancer-related mortality, and all-cause mortality.
Sixteen investigations were included, involving 2,020,641 participants, 10,004 incident breast cancer cases, 7185 cancer-related deaths, 4820 cardiovascular end points, and 2480 all-cause mortalities. The summary risk ratio (RR) of incident breast cancer for an increase of NSW was 1.057 [95% confidence interval (CI) 1.014–1.102; test for heterogeneity p = 0.358, I2 = 9.2%]. The combined RR (95% CI) of breast cancer risk for NSW vs daytime work was: 1.029 (0.969–1.093) in the <5-year subgroup, 1.019 (1.001–1.038) for 5-year incremental risk, 1.025 (1.006–1.044) for 5- to 10-year exposure times, 1.074 (1.010–1.142) in the 10- to 20-year subgroup, and 1.088 (1.012–1.169) for >20-year exposure lengths. The overall RR was 1.089 (95% CI 1.016–1.166) in a fixed-effects model (test for heterogeneity p = 0.838, I2 = 0%) comparing rotating NSW and day work. Night-shift work was associated with an increased risk of cardiovascular death (RR 1.027, 95% CI 1.001–1.053), and all-cause death 1.253 (95% CI 0.786–1.997). In summary, NSW increased the risk of breast cancer morbidity by: 1.9% for 5 years, 2.5% for 5–10 years, 7.4% for 10–20 years, and 8.8% for >20-years of NSW. Additionally, rotating NSW enhanced the morbidity of breast cancer by 8.9%. Moreover, NSW was associated with a 2.7% increase in cardiovascular death. Night-shift work (NSW) has previously been related to incidents of breast cancer and all-cause mortality, but many published studies have reported inconclusive results. The aim of the present study was to quantify a potential dose-effect relationship between NSW and morbidity of breast cancer, and to evaluate the association between NSW and risk of all-cause mortality. The outcomes included NSW, morbidity of breast cancer, cardiovascular mortality, cancer-related mortality, and all-cause mortality. Sixteen investigations were included, involving 2,020,641 participants, 10,004 incident breast cancer cases, 7185 cancer-related deaths, 4820 cardiovascular end points, and 2480 all-cause mortalities. The summary risk ratio (RR) of incident breast cancer for an increase of NSW was 1.057 [95% confidence interval (CI) 1.014-1.102; test for heterogeneity p = 0.358, I(2) = 9.2%]. The combined RR (95% CI) of breast cancer risk for NSW vs daytime work was: 1.029 (0.969-1.093) in the <5-year subgroup, 1.019 (1.001-1.038) for 5-year incremental risk, 1.025 (1.006-1.044) for 5- to 10-year exposure times, 1.074 (1.010-1.142) in the 10- to 20-year subgroup, and 1.088 (1.012-1.169) for >20-year exposure lengths. The overall RR was 1.089 (95% CI 1.016-1.166) in a fixed-effects model (test for heterogeneity p = 0.838, I(2) = 0%) comparing rotating NSW and day work. Night-shift work was associated with an increased risk of cardiovascular death (RR 1.027, 95% CI 1.001-1.053), and all-cause death 1.253 (95% CI 0.786-1.997). In summary, NSW increased the risk of breast cancer morbidity by: 1.9% for 5 years, 2.5% for 5-10 years, 7.4% for 10-20 years, and 8.8% for >20-years of NSW. Additionally, rotating NSW enhanced the morbidity of breast cancer by 8.9%. Moreover, NSW was associated with a 2.7% increase in cardiovascular death. Highlights • This meta-analysis included 16 prospective cohort studies. • A positive dose–effect relationship was found between night-shift work and incident breast tumors. • Rotating night-shift work enhances morbidity of breast cancer by 8.9%. • Night-shift work is associated with a 2.7% increase in cardiovascular death. |
| Author | Wei, Weidong Wei, Fengqin Chen, Weiyu Xie, Xiaoming Lin, Xiaoti Ying, Mingang |
| Author_xml | – sequence: 1 givenname: Xiaoti surname: Lin fullname: Lin, Xiaoti organization: Department of Breast Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China – sequence: 2 givenname: Weiyu surname: Chen fullname: Chen, Weiyu organization: Department of Physiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510060, China – sequence: 3 givenname: Fengqin surname: Wei fullname: Wei, Fengqin organization: Department of Emergency, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350000, China – sequence: 4 givenname: Mingang surname: Ying fullname: Ying, Mingang organization: Department of Surgery, Fujian Provincial Tumor Hospital, Teaching Hospital of Fujian Medical University, Fuzhou 350014, China – sequence: 5 givenname: Weidong surname: Wei fullname: Wei, Weidong organization: Department of Breast Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China – sequence: 6 givenname: Xiaoming surname: Xie fullname: Xie, Xiaoming email: xiexiaoming001@gmail.com organization: Department of Breast Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26498240$$D View this record in MEDLINE/PubMed |
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| Keywords | Breast cancer Night-shift work Prospective study Mortality Morbidity Meta-analysis |
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| Snippet | •This meta-analysis included 16 prospective cohort studies.•A positive dose–effect relationship was found between night-shift work and incident breast... Highlights • This meta-analysis included 16 prospective cohort studies. • A positive dose–effect relationship was found between night-shift work and incident... Night-shift work (NSW) has previously been related to incidents of breast cancer and all-cause mortality, but many published studies have reported inconclusive... |
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| SubjectTerms | Adult Breast cancer Breast Neoplasms - epidemiology Breast Neoplasms - etiology Cardiovascular Diseases - mortality Circadian Rhythm - physiology Female Humans Meta-analysis Middle Aged Morbidity Mortality Neoplasms - mortality Neurology Night-shift work Prospective Studies Prospective study Risk Factors Sleep Medicine Work Schedule Tolerance - physiology Work Schedule Tolerance - psychology Young Adult |
| Title | Night-shift work increases morbidity of breast cancer and all-cause mortality: a meta-analysis of 16 prospective cohort studies |
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