Professor
Gordon McVie and Dr. John Hansen of the Institute of Cancer
Epidemiology in Copenhagen studied the medical and employment
records of 7,035 women between the ages of 35 and 54 who had been
diagnosed with breast cancer. They found that these women, whose
work involved night shifts, were 1.5 times more likely than daytime
workers to be diagnosed with breast cancer. Dr. Hansen found that
the longer a woman worked regularly at night, the higher was her
risk of developing the disease.
Although the reasons for this
are unclear, one theory is that the risk is increased by exposure to
bright artificial light. It is believed that artificial light acts
to suppress the production of a hormone called melatonin, which is
normally produced in the body at night. This theory is backed by Dr.
Hansen’s study of blind women. He found that blind women do not
generally suffer from breast cancer. As these blind women cannot
sense light visually, it has no impact on their melatonin
production.
Scientists from Sweden, too,
had found that blind women had a much lower risk of breast cancer.
Research, therefore, has suggested that low levels of melatonin may
either stimulate the growth of cancerous cells in the breast, or
encourage the production of the female sex hormone estrogen, which
has been widely linked to breast cancer.
Dr. Richard Stevens, cancer
epidemiologist at the University of Connecticut Health Centre, U. S.
A., also feels that exposure to high levels of light at night may be
linked to an increased risk of breast cancer. He also believes that
bright light disrupts basic body rhythms and may suppress the
production of hormones such as melatonin. Melatonin is the only
hormone secreted by the pineal gland. The pineal gland is a tiny
endocrine gland situated at the centre of the brain.
Dr. Aaron B. Lerner and other
researchers at Yale University, U. S. A, discovered melatonin in
1958. Melatonin is produced in humans, other mammals, birds,
reptiles and amphibians. It is present in very small amounts in the
human body. The function of melatonin in mammals remained uncertain
until discoveries in the 1970s and 1980s suggested that it regulates
both sleeping cycles and the hormonal changes that usher in sexual
maturity during adolescence.
The pineal gland’s production
of melatonin varies both with the time of day and with age. The
production of melatonin is dramatically increased during the night
time hours and falls off during the day. Levels of melatonin are
much higher in children under age seven than in adolescents and are
still lower in adults.
Melatonin apparently acts to
keep a child’s body from undergoing sexual maturation, since sex
hormones such as luteotropin, which play a role in the development
of sexual organs, emerge only after melatonin levels have declined.
This hypothesis is supported by the fact that children with tumours
of the pineal gland often reach sexual maturity unusually early in
life; presumably because the pineal’s production of melatonin has
been hampered. Melatonin also seems to play an important role in
regulating sleeping cycles. Test subjects injected with the hormone
become sleepy, suggesting that the increased production of melatonin
coincident with nightfall acts as a fundamental mechanism for making
people sleepy. However, Professor Gorden McVie, Director General of
the Cancer Research Campaign, U. K., feels that the study is
completely inconclusive, and the increased risk is not enormous. Yet
it is important and should not be ignored.
Another study carried out by
Dr. Ichiro Kawachi, assistant professor of medicine, Harvard Medical
School, suggests that working in rotating shifts may be hazardous to
women’s hearts. This study focused on nurses, because nursing is one
of the professions in which a large number of women work in night
shifts.
After analysing the data
carefully, he found an increased risk —up to 70 per cent higher—of
heart attack among women who had worked rotating shifts six years or
more. Working the night shift affects men too. Research shows that
night shift men workers, too, are at risk from heart disease.