{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T20:06:32Z","timestamp":1792440392643,"version":"4.5.0"},"reference-count":134,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"vor","delay-in-days":367,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:00:00Z","timestamp":1686096000000},"content-version":"vor","delay-in-days":157,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To examine the effect of 24-h shift work on autonomic nervous system function via heart rate variability (HRV) methodologies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Electronic databases (indexed in either PubMed, MEDLINE, CINAHL, SPORTDiscus, or OpenDissertations) were searched from January 1964 to March 2023. A modified Downs and Black checklist was used for assessing methodological quality and the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to evaluate the quality of evidence. Study design, study population, study sample, shift work description, and assessment of HRV metrics and methods were extracted from each study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Findings<\/jats:title>\n                  <jats:p>A total of 58 478 study articles were identified, of which 12 articles met inclusion criteria. Sample sizes varied from eight to 60 participants, with the ratio of low- to high-frequency HRV (LF\/HF) as the most common frequency-domain variable reported. Of the nine included studies that observed LF\/HF, three (33.3%) demonstrated a significant increase after 24-h shift work. Moreover, of the five studies that reported HF, two (40%) noted a significant decrease after 24-h shift work. When observing risk of bias, two (16.6%) studies were low quality, five (41.7%) were moderate quality, and five (41.7%) were high quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interpretation<\/jats:title>\n                  <jats:p>There were inconsistent findings demonstrating an effect of 24-h shift work on autonomic function, with a suggested shift away from parasympathetic dominance. Discrepancies in HRV methodologies, such as the duration of recordings and hardware used for measurement, may have contributed to the disparity in findings. In addition, differences in roles and responsibilities across occupations may explain the incongruence in findings across studies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/1348-9585.12409","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T04:42:15Z","timestamp":1686199335000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The effect of extended shift work on autonomic function in occupational settings: A systematic review and meta-analysis"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9785-9679","authenticated-orcid":false,"given":"Jacob D","family":"Jelmini","sequence":"first","affiliation":[{"name":"College of Health Sciences, Sports Medicine Research Institute, University of Kentucky , Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9800-5704","authenticated-orcid":false,"given":"Jeremy","family":"Ross","sequence":"additional","affiliation":[{"name":"College of Health Sciences, Sports Medicine Research Institute, University of Kentucky , Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0123-8614","authenticated-orcid":false,"given":"Lauren N","family":"Whitehurst","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Kentucky , Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6916-2735","authenticated-orcid":false,"given":"Nicholas R","family":"Heebner","sequence":"additional","affiliation":[{"name":"College of Health Sciences, Sports Medicine Research Institute, University of Kentucky , Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,7]]},"reference":[{"issue":"12","key":"2024071808385161500_joh212409-bib-0001","first-page":"3","article-title":"A time to work: recent trends in shift work and flexible schedules","volume":"130","author":"McMenamin","year":"2007","journal-title":"Mon Labor Rev"},{"issue":"2","key":"2024071808385161500_joh212409-bib-0002","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1136\/oemed-2016-103638","article-title":"Sleep-related problems in the US working population: prevalence and association with shiftwork status","volume":"74","author":"Yong","year":"2017","journal-title":"Occup Environ Med"},{"issue":"1","key":"2024071808385161500_joh212409-bib-0003","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1002\/rnj.107","article-title":"Negative impacts of shiftwork and long work hours","volume":"39","author":"Caruso","year":"2014","journal-title":"Rehabil Nurs"},{"issue":"6","key":"2024071808385161500_joh212409-bib-0004","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1016\/j.outlook.2017.10.011","article-title":"Position statement: reducing fatigue associated with sleep deficiency and work hours in nurses","volume":"65","author":"Caruso","year":"2017","journal-title":"Nurs Outlook"},{"issue":"4","key":"2024071808385161500_joh212409-bib-0005","doi-asserted-by":"publisher","first-page":"e37","DOI":"10.1097\/jom.0000000000000426","article-title":"Relationship of night and shift work with weight change and lifestyle behaviors","volume":"57","author":"Bekkers","year":"2015","journal-title":"J Occup Environ Med"},{"issue":"1","key":"2024071808385161500_joh212409-bib-0006","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1136\/oem.58.1.68","article-title":"Health effects of shift work and extended hours of work","volume":"58","author":"Harrington","year":"2001","journal-title":"Occup Environ Med"},{"issue":"3","key":"2024071808385161500_joh212409-bib-0007","doi-asserted-by":"publisher","first-page":"229","DOI":"10.5271\/sjweh.3700","article-title":"Shift work and the risk of cardiovascular disease. 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