The 1001 nights-cohort – paving the way for future research on working hours, night work, circadian disruption, sleep, and health

Abstract

Night work and circadian disruption are linked to major public health challenges, e.g. cancer, cardiometabolic disease, and accidents. We established the 1001 nights-cohort to explore mechanisms underlying health effects of night work and circadian disruption. 1075 female hospital employees participated from September 2022 to April 2024. The data collection included a questionnaire, a blood sample, anthropometric measures, and sleep actigraphy and sleep diaries across 14 days. In subsamples, light exposure, physical activity, skin temperature, and blood glucose were measured continuously for 7 days, and saliva samples were collected five times across one day. The cohort consists of 2- and 3-shift workers with night work (66%), permanent night workers (7%), permanent evening workers or 2-shift workers without night work (9%), and permanent day workers (18%). Data comprise 4553 day shifts, 997 evening shifts, 1963 night shifts, and 6458 days without work. The poorest health was observed among permanent night workers and the group of shift workers without night work. The 1001 nights-cohort is the most comprehensive data within night work and working hour research due to the combination of questionnaires, biomarkers, technical measurements, and possibilities for linkage to historical and future register-based information about working hours from the Danish Working Hour Database (DAD) and diagnoses. With its repeated measurements within the same individual, the cohort will advance research on physiological and behavioral mechanisms underlying health effects of working hours, night work, and circadian disruption and deliver important scientific input for updating guidelines on healthy scheduling of working hours.