{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:35Z","timestamp":1786649315977,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Night shift work has been associated with obesity, cardiovascular diseases, and certain cancers. The primary objective of this study was to assess the differences in metabolic and endocrine profiles between night shift and day shift workers in a South Indian cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This cross-sectional study included 45 night shift workers (NSWs) and 45 day shift workers (DSWs). Metabolic parameters measured were HOMA IR, HDL-C, triglycerides, adiponectin, free fatty acids, and BMI. Hormonal parameters measured were total T3, total T4, TSH, 8 am cortisol, LH, FSH, testosterone, oestradiol, growth hormone, IGF-1, and 25 (OH) vitamin D\n                      <jats:sub>3<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      NSWs were younger (28.6 \u00b1 5.7 years vs. 31.1 \u00b1 7.2 years;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.022) with a lower mean BMI (24.2 \u00b1 5 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      vs. 25.2 \u00b1 5.7 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.33) and higher mean HOMA IR (6.3 \u00b1 5.4 vs. 5.2 \u00b1 4.4;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.26). 77% (n = 35) of NSW had HOMA-IR \u2265 2.5 in comparison to 62% (n = 28) of DSW (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.031). NSW had higher median triglycerides (195\n                      <jats:sup>[90]<\/jats:sup>\n                      mg\/dl vs. 180\n                      <jats:sup>[44]<\/jats:sup>\n                      mg\/dl;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.045) and lower mean HDL-C levels (35 \u00b1 2.7 mg\/dl vs. 40 \u00b1 3 mg\/dl;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). NSW males had lower mean LH levels (2.8 \u00b1 1.4 mIU\/ml vs. 5.6 \u00b1 3 mIU\/ml;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = &lt;0.001) and testosterone levels (373.6 \u00b1 146 ng\/dl vs. 400 \u00b1 140 ng\/dl;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.5). The mean oestradiol levels were elevated in female NSW (181 \u00b1 84 pg\/ml vs. 100 \u00b1 62 pg\/ml;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006). 25(OH) vitamin D\n                      <jats:sub>3<\/jats:sub>\n                      levels were significantly low in the NSW (10.4 \u00b1 4.8 ng\/ml vs. 13.7 \u00b1 4.5 ng\/ml;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The present study shows night shift work is associated with increased risk of insulin resistance, hypertriglyceridemia, low HDL-C, low LH and testosterone in males, high oestradiol among females, and vitamin D deficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijem.ijem_67_25","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T14:00:10Z","timestamp":1766152810000},"page":"610-615","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Analysis of Metabolic and Endocrine Parameters in Night Shift versus Day Shift Workers: Insights from an Observational Study"],"prefix":"10.4103","volume":"29","author":[{"given":"Vijay S. 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