Evidence mapPaperPMID 41257180Full record

ArticleERJ open research2025

Increased risk of asthma in female night shift workers.

Robert J Maidstone, David W Ray, Junxi Liu, Jack Bowden, Martin K Rutter, Hannah J Durrington

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Robert J MaidstoneDivision of Immunology, Immunity to Infection and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-3482-3246
David W RayNational Institute for Health and Care Research (NIHR) Oxford Health Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK.ORCID https://orcid.org/0000-0002-4739-6773
Junxi LiuNuffield Department of Population Health, Oxford Population Health, University of Oxford, Oxford, UK.
Jack BowdenDepartment of Clinical and Biomedical Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Martin K RutterDivision of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Hannah J DurringtonDivision of Immunology, Immunity to Infection and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-9990-9446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rationale: Asthma is more common in females and more common in night shift workers. Since increasing numbers of females are becoming shift workers, it is important to determine if the risk of shift work-associated asthma is higher in females. The objective of the present study was to determine if increasing frequency of shift work is more strongly related to prevalent asthma in females than in males. Method: We used cross-sectional data from >280 000 UK Biobank participants and logistic regression models adjusted for demographic and lifestyle factors to describe sex differences in prevalent asthma phenotypes related to shift work frequency. To obtain mechanistic insights, we explored associations with chronotype, sex hormones and menopause. Results: Female permanent night shift workers had higher covariate-adjusted odds of moderate-severe asthma (odds ratio (OR) 1.50, 95% confidence interval (CI) 1.18-1.91) than female dayworkers, but there was no corresponding relationship among males (OR 0.95, 95% CI 0.72-1.26; sex interaction p-value=0.01). Similar relationships were observed for "all asthma" and for "wheeze or whistling in the chest". Female shift work-related asthma was driven by relationships in postmenopausal women not using hormone replacement therapy (HRT) (adjusted OR 1.89 (95% CI 1.24-2.87) for moderate-severe asthma; sex interaction p-value=0.02 in permanent night shift workers, compared with dayworkers), but these relationships attenuated to the null in postmenopausal women using HRT. Conclusion: Our finding that increasing shift work frequency is more strongly related to asthma in females than in males could have public health implications. Intervention studies should determine if modifying shift work schedules or using HRT can reduce asthma risk in females.

Identifiers

PMID41257180
PMCPMC12621128

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.