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Previous epidemiological studies have shown that shift work is associated with higher levels of obesity and diabetes, possibly related to physiological maladaptation as a direct result of sleeping and eating at abnormal circadian times.1 In a previously performed cross-sectional study, shift work was associated with higher levels of triglycerides, lower levels of high-density lipoprotein cholesterol, and higher odds of metabolic syndrome in a multiple logistic regression analysis (OR 2.4; 95% CI 1.1 to 5.0).2 We performed an analysis of the cross-sectional NHANES data3 for 2007–2008 and compared the different metabolic parameters between regular daytime workers and shift workers. Shift workers included …
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