Health
Working the night shift may cause dangerous health conditions, long-term risk of disease
Working through the night can put a toll on your body and overall health.
More than 9 million adults in the United States work shifts at night, according to the U.S. Census Bureau.
There are many jobs in a variety of industries that require staff at night, including medical professionals, flight attendants, hotel receptionists, construction workers, truck drivers, firefighters, law enforcement and others.
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Working the night shift requires adjusted sleep schedules and meal times, which are two contributing factors to the health problems associated with late-night hours that could include an increased risk of cancer, gastrointestinal disorders and more.
- Increased cancer risk
- Possible gastrointestinal disorders
- Increased risk for cardiovascular disease
- Psychological concerns
1. Increased cancer risk
Studies have shown an increased risk of certain cancers among those who work the night shift.
The National Toxicology Program (NTP) drew its own conclusions based on “systematic review methods and established criteria” about a link between working the night shift to certain cancers, according to a 2021 report by the organization.
Studies have shown several different health risks linked to frequently working the night shift for extended lengths of time. (iStock)
The NTP found “high evidence” that frequently working the night shift disrupts circadian rhythms and can cause breast cancer in women and prostate cancer in men.
A circadian rhythm is the body’s internal 24-hour clock. One factor that affects a circadian rhythm is light.
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Working the night shift disrupts the body’s circadian rhythm because a person is working during a time when the body’s natural instinct is to sleep.
If you are someone who often works the night shift, the Centers for Disease Control and Prevention (CDC) recommends trying to stick to a similar sleep schedule even on the days when you are off from work to help your body get into a better routine.
Many health risks associated with working the night shift come with the disruption of a person’s sleep schedule. (iStock)
2. Possible gastrointestinal disorders
When you work the night shift, you may eat at odd hours.
Possible gastrointestinal disorders you could face include abdominal pain, gas, diarrhea, constipation, nausea, vomiting, change in appetite, indigestion and heartburn, according to The National Institute for Occupational Safety and Health (NIOSH).
A disturbed circadian rhythm can again be to blame for these gastrointestinal problems because the body’s internal clock may not properly function when food is eaten at abnormal hours during the night.
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It is important to keep yourself fueled with food and hydrated with plenty of water while you’re on your feet working long hours at night.
What you eat at work, and even where you eat, can help ease these digestive problems, according to NIOSH.
Recommended foods for work hours include vegetables, salads, soups, fruits, wholegrain sandwiches, yogurt, cheese, eggs, nuts and green tea.
Those who frequently work night shifts could experience digestive issues. (iStock)
The NIOSH also suggests seeking a different environment to eat away from work and try to enjoy your meal with other coworkers.
Avoid eating between midnight and 6 a.m. if possible to help form a relatively normal meal routine, NIOSH recommends.
3. Increased risk for cardiovascular disease
Heart health could be a risk from many years of frequent night shifts.
Research has made a connection between certain risk factors that could be prevalent in those who work the night shift that are associated with cardiovascular disease, such as smoking and metabolic disturbances, according to NIOSH.
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Those with high blood pressure could be at a higher risk of developing cardiovascular disease and diabetes if they work frequent night shifts, according to findings published in August 2022 by the Journal of the American Heart Association.
Research suggests people who work the night shift have an increased risk of cardiovascular disease. (iStock)
The study spanned over 12 years, in which 36,939 participants in the U.K. Biobank were monitored.
It was found that those who had high blood pressure and worked night shifts had a 16% higher risk of developing heart disease, diabetes and stroke than those who worked during normal daytime hours, according to the study.
4. Psychological concerns
Working the night shift can come with many psychological concerns.
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Individuals who frequently work during the night can experience extreme fatigue and feelings of isolation.
One mental health concern prevalent for those who work the night shift is depression.
Extreme fatigue and feelings of isolation are often present among night shift workers. (iStock)
In 2023, a study was published in the National Library of Medicine backing this concern.
A systematic review and meta-analysis was done to determine whether there was a link between depression and nurses working night shifts.
The study found “a significant association between night shift work, the circadian and sleep disruption it causes and the risk of depression in nurses.”
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
Health
Little-known prescription pill is helping Americans drink less alcohol
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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.
In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.
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How it works
Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)
“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.
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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.
“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”
Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder.
“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.
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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”
The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added.
“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”
Side effects
Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
These effects are generally mild and may improve as the body adjusts to the medication.
The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)
In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.
“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.
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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.
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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.
“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.
More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)
“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”
Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.
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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.
Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.
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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.
They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.
Health
Brain Health Challenge: Try the MIND Diet
Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.
Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.
So what foods are best for your brain?
In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.
Based on these findings, the researchers developed the MIND diet.
Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.
Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.
Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.
Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.
Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.
You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.
Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.
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