A new study has reported that night shift work is associated with increased risk of breast cancer, and that the risk is highest for women working the most disruptive shifts. Night shift work is increasing worldwide and is now one of the most widespread work-related potential cancer risk factors. Animal experiments have demonstrated that light exposure during normal night time hours promotes tumor growth.
Population studies have also reported that night shift work may increase breast cancer risk. However, previous studies have not usually taken shift-work patterns into account (for example, permanent compared to rotating shifts or evening hours compared to late night).
The study included a subset of a national database of Danish nurses. A total of 310 cases of primary breast cancer were identified among the nurses from the nationwide Danish Cancer Registry. Four cancer-free nurses were selected to act as controls for each breast cancer case. Interviews were performed to obtain detailed information concerning lifetime shift work and other breast cancer risk factors.
Among the study participants overall, nurses who worked rotating shifts after midnight were found to have 1.8 times the risk of breast cancer compared to nurses with permanent day shifts. No increase in breast cancer risk was found among the small group of nurses with evening work but no night shifts.
Nurses with periods of permanent night shift work in addition to periods of rotating night and day shifts experienced the highest breast cancer risk (2.9 times the risk of day shift only workers). When considering only those nurses who worked rotating shift systems, the highest risk was found for long-term day-night rotating shifts (2.6 times).
Selected breast cancer studies
Night Work and Breast Cancer Risk Among Norwegian Nurses: Assessment by Different Exposure Metrics
Lie JS, Kjuus H, Zienolddiny S, Haugen A, Stevens RG, Kjaerheim K. Night Work and Breast Cancer Risk Among Norwegian Nurses: Assessment by Different Exposure Metrics. American Journal of Epidemiology. Oxford University Press (OUP); 2011; 173:1272-1279 10.1093/aje/kwr014
Does the Modern Urbanized Sleeping Habitat Pose a Breast Cancer Risk?
Kloog I, Portnov BA, Rennert HS, Haim A. Does the Modern Urbanized Sleeping Habitat Pose a Breast Cancer Risk?. Chronobiology International. Informa UK Limited; 2010; 28:76-80 10.3109/07420528.2010.531490
Circulating melatonin and the risk of breast and endometrial cancer in women
Viswanathan AN, Schernhammer ES. Circulating melatonin and the risk of breast and endometrial cancer in women. Cancer Letters. Elsevier BV; 2009; 281:1-7 10.1016/j.canlet.2008.11.002
Light-at-night, circadian disruption and breast cancer: assessment of existing evidence
Stevens RG. Light-at-night, circadian disruption and breast cancer: assessment of existing evidence. International Journal of Epidemiology. Oxford University Press (OUP); 2009; 38:963-970 10.1093/ije/dyp178