The Relationship Between Shift Work and Men’s Health

madman

Super Moderator
CONCLUSION

Non-standard shift workers, including emergency first responders, health care professionals, airline pilots, and plant or manufacturing operators, comprise nearly 20% of the U.S. workforce and fill indispensable roles in society.1 Shift work exposure has been linked to poor sleep quality and insomnia, contributing to increased workplace accidents, employee absenteeism, and billions of dollars of lost productivity annually. Current evidence supports an increased risk of developing DM, hypertension, dyslipidemia, coronary heart disease, peptic ulcer disease, and depression in shift workers, although future systematic studies controlling for confounding variables are needed to more strongly establish these relationships. Non-standard shift workers who experience SWSD or report poor sleep quality are also at increased risk of developing urologic issues including hypogonadal symptoms, male subfertility or infertility, LUTS, and prostate cancer. Given these findings, it may be beneficial for health care providers to screen for shift work status and identify his unique subgroup of patients who are at increased risk of developing chronic medical and urologic conditions. Current therapeutic strategies for treating excessive sleepiness include melatonin, stimulants, and planned naps while strategies for treating insomnia include sedative hypnotics and timed light exposure. Since a significant proportion of shift workers experience SWSD and a large majority report fatigue during shifts, therapeutic strategies for SWSD represent an area of future research capable of profound impact on improving organizational productivity, employee safety, and overall health of non-standard shift workers.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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