Table 2. Results from regression analyses of melatonin and cortisol levels between night shift workers (NSW), relative to day shift workers (DSW), all participants (n=158 day and 185 night shift workers).
Comparison† | % higher (+) or lower (-) NSW hormone levels, relative to DSW levels‡ | 95% Confidence Interval |
---|---|---|
Day sleep (NSW), relative to night sleep (DSW) | ||
Urinary 6-Sulfatoxymelatonin (ng/mg creatinine) | -57.5%* | (-66.1%, -48.9%) |
Urinary cortisol (ng/mg creatinine) | +15.7%** | (+1.0%, +30.3%) |
Night work (NSW), relative to night sleep (DSW) | ||
Urinary 6-Sulfatoxymelatonin (ng/mg creatinine) | -62.0%* | (-69.0%, -55.0%) |
Urinary cortisol (ng/mg creatinine) | +3.3% | (-9.0%, +15.7%) |
Serum cortisol, morning (μg/dL) § | -42.7%* | (-49.5%, -35.8%) |
Off-night sleep (NSW), relative to night sleep (DSW) | ||
Urinary 6-Sulfatoxymelatonin (ng/mg creatinine) | -39.8%* | (-50.5%, -29.1%) |
Urinary cortisol (ng/mg creatinine) | -12.7%** | (-24.4%, -0.9%) |
Serum cortisol, morning (μg/dL) § | -24.4%* | (-32.7%, -16.0%) |
p<0.0001, using two-sided t-test
p<0.05, using two-sided t-test
Analyzed using the natural log transformation
Adjusted for the effects of age, hours of darkness, body mass index, number of alcoholic beverages consumed, nicotine/tobacco consumption, and use of medications specified a priori
Single serum sample collected within approximately 90 minutes of rising from night sleep or completing the night shift