The relationship between urolithiasis, metabolic syndrome and nurse shift work. A literature review

The shift work increased the metabolic syndrome and urolithiasis in nurses? Problem metabolic syndrome and urolithiasis are two worldwide important health problems. Shift work and consequent sleep disorders are risk factors of developing metabolic syndrome. The aim of this literature review is to describe the effects of shift work on metabolic syndrome and urolithiasis in nurses. Search terms (free terms, MeSH): ‘metabolic syndrome’, ‘urologic diseases’; papers published in the last 10 years (2009-2019) were searched in some databases (PUBMED, CINAHL, Scopus, Embase and Cochrane Database of Systematic Review). We included all randomized controlled trials (RCTs), observational studies, reviews and we included papers studying metabolic syndrome and urolithiasis. Quality assessment of the papers was verified according to Dixon-Woods checklist. Seven articles were analysed. The literature review has shown that insulin resistance, hypertension, obesity, cardio vascular disease have a relationship with metabolic syndrome. People with obesity, insulin resistance or hypertension have a low urinary pH. The prevalence of obesity and insulin resistance has increased the risk of urolithiasis in both men and women. This risk has further increased in shift workers especially in nurses. There seems to be a bilateral association between hypertension and urolithiasis. Nurses are a population at risk of developing metabolic syndrome and consequently urolithiasis. It is important to understand whether nurses may be at risk of urolithiasis, to prevent bad habits and to anticipate days off. Nurses are a population at risk of developing metabolic syndrome and consequently urolithiasis.