Our aim is to assess the impact of night shift work (NSW) on urinary symptoms.
Between March 2018 and October 2018, we evaluated a group of National Health care system workers. Urinary symptoms and quality of life were measured by Overactive Bladder Questionnaire Short Form (OABq-sf). Clinical variables (i.e. age, smoking status, medical history) were collected and analyzed according to be NS workers (NSWs) -subjects working at least one time from 8pm to 8am- or traditional workers (TWs). Univariate and multivariate analysis was performed to identify predictive variables of worse OAB outcomes (OABq-sf >30, OABq-SB≥ 12, OABq HRQL≥ 18).
A total of 136 participants (68 males and 68 females) were included in the study. On OABq-sf, total score, symptoms bother (OABq-SB) and health related quality of life (OABq-HRQL) domains were significantly (p<0.05) higher in NSWs group, respectively: 31 (IQR 26-35) Vs 19 (IQR 19-20); 11 (IQR 10-13) Vs 6 (IQR 6-7); 19 (IQR 16-22) Vs 13 (13-14). Finally, seven NSWs (10.6%) referred nocturia respect to only one (1%) TWs, (p=0.02). On multivariate analysis NSW was an independent predictor of OABq-sf> 30 units (OR:30; CI: 9-111, p=0.001), OABq-SB ≥ 12 units (OR:16, CI:6-43 p=0.001) and OABq HRQL ≥ 18 units (OR:20, 6-70, p = 0,001).
Night shift workers presented worst OAB score and poor QL when compared to similar traditional workers. Long-term data on NSWs patients are also needed to further clarify this relationship.
Minerva urologica e nefrologica = The Italian journal of urology and nephrology. 2020 Apr 10 [Epub ahead of print]
Cosimo De Nunzio, Antonio Nacchia, Antonio Cicione, Angela Sica, Valeria Baldassarri, Olivia Voglino, Elisa Mancini, Giorgio Guarnotta, Alberto Trucchi, Andrea Tubaro
Deparment of Urology, Ospedale Sant'Andrea, University "La Sapienza", Rome, Italy - ., Deparment of Urology, Ospedale Sant'Andrea, University "La Sapienza", Rome, Italy.