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Impact of shift work on the diurnal cortisol rhythm: a one-year longitudinal study in junior physicians

Overview of attention for article published in Journal of Occupational Medicine and Toxicology, August 2018
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  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
  • Average Attention Score compared to outputs of the same age and source

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6 X users
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1 YouTube creator

Citations

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39 Dimensions

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70 Mendeley
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Title
Impact of shift work on the diurnal cortisol rhythm: a one-year longitudinal study in junior physicians
Published in
Journal of Occupational Medicine and Toxicology, August 2018
DOI 10.1186/s12995-018-0204-y
Pubmed ID
Authors

Jian Li, Martin Bidlingmaier, Raluca Petru, Francisco Pedrosa Gil, Adrian Loerbroks, Peter Angerer

Abstract

Cumulative epidemiological evidence suggests that shift work exerts harmful effects on human health. However, the physiological mechanisms are not well understood. This study aimed to examine the impact of shift work on the dysregulation of the hypothalamic-pituitary-adrenal axis, i.e. diurnal cortisol rhythm. Seventy physicians with a mean age 30 years participated in this one-year longitudinal study. Working schedules, either shift work or regular schedules with day shift, were assessed at baseline. Salivary cortisol samples were collected on two consecutive regular working days, four times a day (including waking, + 4 h, + 8 h, and + 16 h), at both baseline and the one-year follow-up. The diurnal cortisol decline (slope) and total cortisol concentration (area under the curve, AUC) were calculated. After adjusting for cortisol secretion at baseline and numerous covariates, shift work at baseline significantly predicted a steeper slope (p < 0.01) and a larger AUC (p < 0.05) of diurnal cortisol rhythm at follow-up in this sample of physicians. In particular, waking cortisol at follow-up was significantly higher among those engaged in shift work than day shift (p < 0.01). Our findings support the notion that shift work changes the diurnal cortisol pattern, and is predictive of increased cortisol secretion consequently in junior physicians.

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X Demographics

The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 16%
Student > Bachelor 10 14%
Researcher 7 10%
Student > Ph. D. Student 7 10%
Other 5 7%
Other 14 20%
Unknown 16 23%
Readers by discipline Count As %
Medicine and Dentistry 13 19%
Nursing and Health Professions 9 13%
Psychology 5 7%
Neuroscience 4 6%
Social Sciences 4 6%
Other 16 23%
Unknown 19 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 April 2022.
All research outputs
#8,461,752
of 25,260,058 outputs
Outputs from Journal of Occupational Medicine and Toxicology
#148
of 416 outputs
Outputs of similar age
#133,755
of 337,310 outputs
Outputs of similar age from Journal of Occupational Medicine and Toxicology
#6
of 10 outputs
Altmetric has tracked 25,260,058 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 416 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one has gotten more attention than average, scoring higher than 59% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 337,310 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.