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We thank Dr Shiri for his valuable comments and analysis1 on our article2 and are pleased to have the opportunity to respond. Our meta-analysis made a timely and novel contribution to the literature about associations of shift work on diabetes risk. Although some limitations may exist in our study, they do not materially affect the internal validity of our result.
12 studies involving 226 652 participants and 14 595 patients with newly diagnosed diabetes were included in our meta-analysis, which combined the all published observational studies possibly including …
Contributors ZL and YG replied to the comment. YG wrote the draft of the letter. All authors contributed to the writing, review or revision of the paper. They also read and approved the final manuscript. ZL is the guarantor of this work and, as such, had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.