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R.E. Hengsterman



Fighting Fatigue from Within: Behind the Scenes of a New Sleep Fix for Night-Shift Nurses
But most sleep “solutions” still target individuals, not systems. Melatonin pills and blackout curtains can’t fix a 12-hour night shift that rotates every two weeks. Nor can “self-care” bandage a roster that violates basic chronobiology.

R.E. Hengsterman


Recovery From Shift Work: Evidence-Based Strategies for Health and Performance
Introduction: Why Recovery From Shift Work Matters Shift work sustains our 24/7 society — from hospitals and emergency services to logistics, aviation, and manufacturing. Yet, working outside the natural 9-to-5 disrupts the body’s circadian rhythm, increasing the risk for sleep disorders, metabolic syndrome, cardiovascular disease, and mental health decline. According to Frontiers in Neurology (Kalkanis et al., 2023), up to 38% of shift workers experience Shift Work Sleep D

R.E. Hengsterman


The Role of Dietary Supplements in Improving Sleep and Daytime Function for Shift Workers
Shift workers often face challenges like poor sleep quality and fatigue, which dietary supplements (DSs) may help alleviate. This systematic review and meta-analysis explore the efficacy of DSs in improving sleep quality and daytime function among shift workers, offering insights into their potential benefits and safety profile.

R.E. Hengsterman


Shift Work and Gut Health: How Night Shifts Disrupt the Microbiome
Shift work—especially night shifts—is essential in healthcare and emergency services. Yet it also represents a serious occupational hazard. Beyond fatigue, shift work disrupts circadian rhythms, leading to gut dysbiosis, inflammation, and increased risk for gastrointestinal (GI) diseases such as GERD, IBS, and ulcers.

R.E. Hengsterman


Personalized Sleep and Nutrition: A New Frontier in Night Shift Health
As someone who’s lived nights and written about them in The Shift Worker’s Paradox, I believe this is the future of occupational wellness — real data meeting real lives.

R.E. Hengsterman


Adaptive Sleep Behaviors and Shift Work Tolerance: What Paramedics Teach Us About Surviving the Night
Source: Harris et al., Sleep (2024). Open access: https://doi.org/10.1016/j.sleep.2024.10.003 Why This Study Matters The first year of shift work is a critical window . For new paramedics, it’s not just about learning clinical skills—it’s about rewiring their bodies to function on broken schedules. Sleep loss, mental health decline, and insomnia risk rise sharply. But not all shift workers struggle equally. This landmark longitudinal study followed 105 new paramedics across

R.E. Hengsterman


Out of Sync: How Shift Work Fuels Widespread Sleep Disorders
This massive dataset confirms: shift work is not just associated with “being tired.” It’s tied to widespread, multi-layered sleep disorders, with night shifts as the most damaging schedule. The signal is strongest for those already vulnerable—young, lower-educated, and socially unsupported workers.

R.E. Hengsterman


Ten Years of Blood and Shift Work: What the Data Tell Us About Metabolism, Sleep, and the Body’s Clock
Meanwhile, day workers—matched for job type and environmental exposures—showed more stable numbers. They slept longer, moved more, and reported better sleep quality.

R.E. Hengsterman


Shift Work Fatigue and Driving Risk — The Human Cost
At 8:17 a.m. on Highway 9 in Forsyth County, Georgia, the collision was already physics in motion.

R.E. Hengsterman
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