Zhu Yuye, Mi Jing
Xianyang Vocational Technical College, Xianyang, Shaanxi, China.
Front Public Health. 2025 Jul 25;13:1539679. doi: 10.3389/fpubh.2025.1539679. eCollection 2025.
It is a topic of increasing concern that the prevalence of night shift work in our 24/7 society is linked to diabetes mellitus. The purpose of this paper is to thoroughly examine existing research on the intricate connection between diabetes and night shift work, with a specific focus on underlying factors including insufficient sleep, disruptions in circadian rhythms, and changes in melatonin levels. Research has shown that the act of working overnight is linked to an increased likelihood of developing type 2 diabetes mellitus (T2DM), despite the fact that the exact reasons for this connection remain unclear. Insufficient sleep and disruption of the natural sleep-wake cycle, which are common consequences of working night shifts, can result in a reduced response to insulin and dysfunctional processing of glucose in the body. Moreover, changes in the production of melatonin, a hormone closely associated with the body's natural sleep-wake cycle, may have a significant impact. Although working the night shift presents numerous difficulties, interventions targeting the enhancement of sleep quality, adjustment of circadian rhythms, and increase in melatonin levels show potential in reducing the risk of developing T2DM. Further studies must persist in exploring these mechanisms and implementing successful tactics to safeguard the wellbeing of shift workers in our current societal context.
在我们这个全天候运转的社会中,夜班工作的普遍程度与糖尿病相关,这是一个日益受到关注的话题。本文的目的是全面审视关于糖尿病与夜班工作之间复杂联系的现有研究,特别关注包括睡眠不足、昼夜节律紊乱和褪黑素水平变化等潜在因素。研究表明,尽管这种关联的确切原因尚不清楚,但夜间工作与患2型糖尿病(T2DM)的可能性增加有关。睡眠不足和自然睡眠 - 觉醒周期的紊乱是夜班工作的常见后果,它们会导致身体对胰岛素的反应降低以及葡萄糖处理功能失调。此外,褪黑素的分泌变化,这种与身体自然睡眠 - 觉醒周期密切相关的激素,可能会产生重大影响。虽然从事夜班工作存在诸多困难,但针对提高睡眠质量、调整昼夜节律和增加褪黑素水平的干预措施显示出降低患T2DM风险的潜力。进一步的研究必须持续探索这些机制并实施成功的策略,以在我们当前的社会背景下保障轮班工人的健康。