Table 3. Results from regression analyses of melatonin and cortisol levels within the night shift workers (n=185 urinary measurements and 182 serum measurements) during daytime sleep or nighttime work, relative to nighttime sleep.
Comparison† | % higher (+) or lower (-) hormone levels, relative to nighttime sleep levels‡ | 95% Confidence Interval |
---|---|---|
Daytime sleep, relative to nighttime sleep | ||
Urinary 6-Sulfatoxymelatonin (ng/mg creatinine) | -28.7%* | (-44.5%, -13.1%) |
Urinary cortisol (ng/mg creatinine) | +28.9%* | (+11.5%, +46.4%) |
Nighttime work, relative to nighttime sleep | ||
Urinary 6-Sulfatoxymelatonin (ng/mg creatinine) | -37.5%** | (-45.7%, -29.2%) |
Urinary cortisol (ng/mg creatinine) | +15.3%* | (+4.1%, +26.6%) |
Serum cortisol, morning (μg/dL) § | -24.6%** | (-32.7%, -16.6%) |
p<0.01, using two-sided t-test
p<0.0001, 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