Women who
work night shifts for 30 years are twice as likely to get breast cancer,
scientists have claimed.
The researchers
believe artificial lighting at night interferes with chemicals in the body, and
this process can trigger the growth of tumours.
The
Canadian team studied the careers of 1,134 women with breast cancer and
compared them with 1,179 who had never been diagnosed with the illness.
Around a
third of the women had done night shifts at some point during their lives
working in roles such as nursing, flight crew, hotel receptionists and in
hotels.
The
academics then divided all the women into three groups depending on how many
years they had worked nights – up to 14, 15 to 29 and 30 or more.
The
findings, published on the British Medical Journal’s website, showed that women
who did night shifts for less than 30 years were no more at risk of breast
cancer than anyone else.
But if
they did them for more than 30 years they were twice as likely to develop the
disease.
Although
many people work under strip lighting at all hours of the day, the scientists
think it is only artificial light at night that triggers cancer growth because
it upsets the body’s natural sleep cycles and hormone rhythms.
They
think artificial lighting suppresses the production of melatonin, a hormone
that can prevent cancer.
This then
leads to over-production of the hormone oestrogen, which is known to trigger
cancer.
A number
of previous studies have linked shift work to breast cancer. But many were
carried out on nurses, leaving researchers unsure as to whether only hospital
workers were susceptible or if women in other jobs were also at risk.
But this
study suggests that the risk of developing breast cancer has more to do with
the number of years on night shifts rather than the type of job itself.
Co-author
Dr Kristan Aronson, of Queen’s University, Kingston, Ontario, said further work
was needed to understand exactly what in night shifts is triggering the cancer.
Once this
is known, offices, hospitals and other workplaces could be adapted to help
reduce the risk to women.
The
report states: ‘As shift work is necessary for many occupations, understanding
which specific shift patterns increase breast cancer risk, and how night shift
work influences the pathway to breast cancer, is needed for the development of
healthy workplace policy.’
In 2009,
37 Danish women were compensated by their government after developing breast
cancer on night shifts.
Denmark
is the only country in the world where breast cancer resulting from shift work
is recognised as an industrial injury.
Lawyers
say it would be difficult for women here to pursue similar claims and they
would have to prove their employer had failed to protect them.
Despite
the evidence, many academics remain unconvinced that night shifts cause breast
cancer.
Dr Jane
Green, an expert in the study of diseases at the University of Oxford, said:
‘The finding of an increased risk of breast cancer in women with a long history
of shift work adds to similar results from some previous studies, but does not
change the existing consensus.
‘While
there is some evidence to associate increased risk of breast cancer with very
long-term shift work, the evidence is not yet sufficient to be sure and
certainly not sufficient to give a public health message about working shifts.’
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