A Influência do Trabalho Noturno no Controlo da Diabetes: Revisão Integrativa da Literatura

Helena Alves, Tiago Alves, Ana Costa, Sidónia Pacheco, Germano Couto Introduction Diabetes mellitus is a chronic disease with a high and growing prevalence, particularly among the younger population. The increase in disease among the active population can lead to a greater risk of incapacity for work and a high rate of absenteeism. Methods This study consists of an integrative literature review. After establishing the inclusion and exclusion criteria, four cross-sectional studies were selected. Results Although there is not enough evidence, there seems to be a trend towards higher blood glucose levels in diabetic and non-diabetic workers who do night work. Studies have shown that night workers have more cardiovascular risk factors, which can influence glycemic control and is in line with studies that associate night shift work with an increased prevalence of metabolic syndrome, which consists of the junction of lipid alteration (decreased good cholesterol or HDL and increased triglycerides), increased blood pressure, abdominal obesity and altered blood glucose. Discussion / Conclusion There is a need to develop randomized controlled studies. However, more aggressive glycemic control in night workers can be important to avoid complications of the disease. There is a need to invest in diabetes prevention programs with workers in Occupational Health services and develop/ implement targeted and effective interventions to help workers better manage their disease, since the prevalence of type 2 diabetes in the working age population continues to increase. It may be necessary to adapt the therapeutic and dietary regime to diabetic workers who work at night.