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Night shifts are bad for you, says report


Working during the day, enjoying nights out, and lying in at the weekend to catch up on sleep may result in more than just grumpiness on a Monday morning. Burning the candle at both ends could be as unhealthy as smoking, warn scientists.

A report in New Scientist looks at the problems of Britain's emerging 24-hour society. It claims that shopping at midnight, selling shares at 4 am, and working night shifts can damage health, intelligence, and relationships as our bodies are not designed to cope.

Night shifts are bad for you
(JOHN MARTIN/THE STOCKMARKET)

"People have to accept that they are members of a daytime species," Professor Simon Foulkard, a sleep expert from the University of Wales, told New Scientist. "Asking people to work at night is a bit like throwing them into the sea to be aquatic for a week. It is possible but we are not designed to do it, so there are risks."

Professor Foulkard studied how people cope with working night shifts. He divided people into early risers, so called "larks," and night "owls." Although owls prefer late shifts, they are more at risk of problems ranging from muscular aches and pains to heart disease. They can also become depressed, anxious, and prone to accidents.

Suprisingly, owls believe they are more alert in the evening. "The irony is that if you ask evening types which shift they prefer they will say permanent night shift," said Professor Foulkard. "They self select the very shift that does them the most damage." The way to avoid risk is contrary to expectation. "Night owls should avoid working nights, while larks handle late shifts better."

Ignoring your internal rhythms can put you at risk of chronic fatigue syndrome (CFS), which causes overwhelming tiredness, poor concentration, depression, and pain. Nobody knows what causes the disease, but chronobiologist Jim Waterhouse from John Moores University suggests it is due to an erratic lifestyle. At a recent meeting in London he discussed the theory that a disorientated biological clock can perpetuate the illness.

"There is a possible parallel between CFS sufferers and night workers who suffer the same symptoms in a reduced form," he said.

Professor Foulkard is con- vinced that tampering with your body clock's natural settings is a hazardous activity. He told New Scientist: "We can't ignore the body clock and become members of the 24-hour society with- out incurring penalties."

Kay Brennan, Leeds


studentBMJ 2000;08:217-258 July ISSN 0966-6494



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