Oct 27, 2023 By Madison Evans
Shift work refers to a work schedule that deviates from the 9 5 working hours often involving evening or overnight shifts. You'll often find this kind of work schedule in places like healthcare facilities, factories, and the transportation sector.
The concept of shift work originated during the revolution when factories aimed to maximize productivity by operating the clock. Over time other sectors also adopted this approach to meet the demands of a society that operates 24/7.
The latest research is showing that there's a link between doing shift work and having some cognitive troubles. Basically, if you're clocking in at all sorts of hours, you might be more likely to face health problems compared to folks with a steady 9 to 5. The numbers are even showing an uptick in people having issues the more they work in shifts.
Nearly 40% of the adult population in the United States has worked shifts at some point in their lives. Those who have worked both day and night shifts or night shifts exclusively are included below.
Previous studies have linked lengthy hours working shifts to a variety of health problems. Diseases of the heart and blood vessels, arrhythmias, being overweight, cancer, diabetes type 2, and postponing menopause are all on that list.
In addition, a head-to-head comparison between those whose primary job has been during day shifts and those whose primary employment has been during night shifts revealed the latter group had more substantial memory difficulties. Executive functions were also observed to be impaired in individuals who were subjected to a rotating shift pattern consisting of alternating day and night shifts. Capabilities like planning, concentration, memory, and multitasking fall under this category.
According to a Vanderbilt University professor, shift work's greatest noticeable impact on the brain is due to altered sleep schedules. Such work often requires shifts of alert, productive nighttime hours, interspersed with periods of rest. The disruption of the body's natural biological cycles triggers the brain to release substances like stress hormones. These may have long-term negative effects on memory.
Humans have a 24-hour biological clock, which must be taken into account. Sleep, digestion, blood pressure, temperature, and hormone regulation are just some of the bodily processes that this internal clock controls. The primary issue with shift work is the disturbance of these circadian rhythms, rather than the length of the shifts itself.
Shift workers face the challenge of working during periods when their bodies naturally crave rest. In scientific terms, this is seen as a "desynchronization" of the body, resulting in an imbalance with numerous adverse effects. Typically, as darkness sets in with sunset, the brain signals the body to prepare for sleep, primarily through the release of melatonin, a sleep-inducing hormone. However, night-time work often means exposure to artificial lighting, interrupting this natural sleep-inducing process and upsetting circadian rhythms.
Continuous disruptions to this natural cycle can have detrimental effects, even leading to neurodegeneration. Moreover, an altered sleep pattern can cause the brain to release inflammatory proteins at abnormal levels. While some of these proteins are naturally produced, an overproduction due to disrupted sleep can harm brain cells and hinder optimal brain function.
Another factor to consider is cortisol, the body's stress hormone. An insufficient amount of sleep triggers an increase in cortisol levels. When a stressful job is paired with shift work, like in professions such as nursing, the compounded effects of elevated cortisol can be especially damaging to the brain.
While night-shift workers might exhibit more cognitive challenges than their day-working counterparts, those with fluctuating schedules, switching between day and night shifts, seem to face the greatest risk to cognitive health. Constantly rotating shifts deprive the body of a consistent routine, making it harder to adjust. Conversely, individuals with consistent night shifts might find their bodies adapting over time.
Given that many can't avoid shift work, experts recommend several strategies to safeguard brain health. A primary suggestion is prioritizing sleep, even if it's during unconventional hours. Consistency is key; aiming to sleep at a similar time daily can offer benefits, particularly for those with set night shifts. Additionally, general health practices, such as maintaining a balanced diet and engaging in regular physical activity, can help counteract some of the adverse effects of a disrupted sleep schedule.
Regardless of one's ability to sleep during daylight hours, after working a shift, it's vital to allocate a resting period for relaxation and recovery.
It may also cause problems with attention and focus, speed of processing information, memory, and learning, as well as motor skill impairments.
Due to being too sleepy throughout the day, shift workers are more likely to have health issues including gastrointestinal distress, weight gain, cardiovascular disease, and accidents.
One night of working shifts may severely disrupt sleep and cause memory loss. Sleep-wake control regions of the brain are among those shown to be affected by Alzheimer's disease.