Cited by 517Sleep and Work-Related FatigueWorkplace Health and Well-beingCircadian rhythm and melatonin

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Association Between Rotating Night Shift Work and Risk of Coronary Heart Disease Among Women

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Vetter, Céline, Devore, Elizabeth E., Wegrzyn, Lani R., Massa, Jennifer, Speizer, Frank E., Kawachi, Ichiro, Rosner, Bernard, Stampfer, Meir J., Schernhammer, Eva S.·2016·JAMA

DOI 10.1001/jama.2016.4454PMC PMC5102147

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Abstract

Importance Prospective studies linking shift work to coronary heart disease (CHD) have been inconsistent and limited by short follow-up. Objective To determine whether rotating night shift work is associated with CHD risk. Design, Setting, and Participants Prospective cohort study of 189 158 initially healthy women followed up over 24 years in the Nurses’ Health Studies (NHS [1988-2012]: N = 73 623 and NHS2 [1989-2013]: N = 115 535). Exposures Lifetime history of rotating night shift work (≥3 night shifts per month in addition to day and evening shifts) at baseline (updated every 2 to 4 years in the NHS2). Main Outcomes and Measures Incident CHD; ie, nonfatal myocardial infarction, CHD death, angiogram-confirmed angina pectoris, coronary artery bypass graft surgery, stents, and angioplasty. Results During follow-up, 7303 incident CHD cases occurred in the NHS (mean age at baseline, 54.5 years) and 3519 cases in the NHS2 (mean age, 34.8 years). In multivariable-adjusted Cox proportional hazards models, increasing years of baseline rotating night shift work were associated with a significantly higher CHD risk in both cohorts. In the NHS, the age-standardized incidence rate (IR) for less than 5 years of rotating night shift work per 100 000 person-years was 435.1 (hazard ratio [HR], 1.02; 95% CI, 0.97-1.08); the IR for 5 to 9 years of rotating night shift work was 525.7 (HR, 1.12; 95% CI, 1.02-1.22); and the IR for 10 years or more of rotating night shift work was 596.9 (HR, 1.18; 95% CI, 1.10-1.26;P<.001 for trend) vs an IR of 425.5 in women who never worked rotating night shifts. In the NHS2, the IR for less than 5 years was 130.6 (HR, 1.05; 95% CI, 0.97-1.13); the IR for 5 to 9 years was 151.6 (HR,1.12; 95% CI, 0.99-1.26); and the IR for 10 years or more was 178.0 (HR, 1.15; 95% CI, 1.01-1.32;P = .01 for trend) vs an IR of 122.6 in women who never worked rotating night shifts. In the NHS, the association between duration of rotating night shift work and CHD was stronger in the first half of follow-up (IR for <5 years, 382.4; HR, 1.10 [95% CI, 1.01-1.21]; IR for 5-9 years, 483.1; HR, 1.19 [95% CI, 1.03-1.39]; and IR for ≥10 years, 494.4; HR, 1.27 [95% CI, 1.13-1.42];P<.001 for trend) than in the second half (IR for <5 years, 424.8; HR, 0.98 [95% CI, 0.92-1.05]; IR for 5-9 years, 520.7; HR, 1.08 [95% CI, 0.96-1.21]; IR for ≥10 years, 556.2; HR, 1.13 [95% CI, 1.04-1.24];P = .004 for trend;P = .02 for interaction), suggestive of waning risk after cessation of shift work. Longer time since quitting shift work was associated with decreased CHD risk among ever shift workers in the NHS2 (P<.001 for trend). Conclusions and Relevance Among women who worked as registered nurses, longer duration of rotating night shift work was associated with a statistically significant but small absolute increase in CHD risk. Further research is needed to explore whether the association is related to specific work hours and individual characteristics.

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Associations between actigraphy-measured sleep duration, continuity, and timing with mortality in the UK Biobank
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“Long-term shift workers have increased risks of metabolic syndrome, coronary heart disease, and certain types of cancers (Schernhammer et al., 2001, 2003, 2006; Vetter et al., 2016).”
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Nightshift work, chronotype, and genome-wide DNA methylation in blood
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“The risk of developing coronary heart disease is higher in shift-working nurses [30].”
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Time-of-day and Meal Size Effects on Clinical Lipid Markers
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Method
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BackgroundInfluential
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“We speculate that the growing prevalence of unhealthy lifestyles (e.g., high-salt diets, sleep deprivation, and sedentary behaviors) [32–34], and rising obesity rates [35] have contributed to the increased burden of CKD by promoting hypertension, diabetes, and related conditions.”
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Pressure Building Against the Clock: The Impact of Circadian Misalignment on Blood Pressure
Shafer, B. M., Kogan, S. A., & McHill, A. W. (2023) · Current Hypertension Reports · doi:10.1007/s11906-023-01274-0 · Cited by 24
“These recurring bouts of circadian misalignment elicited from abrupt circadian phase shifts is thought to be one underlying mechanism promoting poor health outcomes amongst shift workers [18, 22, 32, 33].”
A prediction model of sleep disturbances among female nurses by using the BP‐ANN
Zhang, X., Lee, S., Luo, H.-H., & Liu, H. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12782 · Cited by 21
Night shift work before and during pregnancy in relation to depression and anxiety in adolescent and young adult offspring
Strohmaier, S., Devore, E. E., Vetter, C., Eliassen, A. H., ROSNER, B. A., Okereke, O. I., & Schernhammer, E. S. (2019) · European Journal of Epidemiology · doi:10.1007/s10654-019-00525-2 · Cited by 22
“Work schedules involving rotating night shift work have previously been linked to mental disorders [11–15] and other chronic diseases such as type 2 diabetes [16], cardiovascular diseases [17] and several cancers [18, 19], with some evidence that inter-individual differences in chronotype could modify these relationsh…”
BackgroundSelf-citation
The association between mental health and shift work: Findings from the Atlantic PATH study
Sweeney, E., Cui, Y., Yu, Z., Dummer, T., DeClercq, V., Forbes, C. C., Grandy, S. A., Keats, M. R., & Adisesh, A. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106697 · Cited by 21
Endocrine and cardiovascular rhythms differentially adapt to chronic phase-delay shifts in rats
Zeman, M., Molčan, Ľ., Herichová, I., & Okuliarová, M. (2016) · Chronobiology International · doi:10.1080/07420528.2016.1203332 · Cited by 21
“Moreover, recent results of long-term prospective study in nurses showed association between rotating night shift work and an increased cardiovascular risk (Vetter et al., 2016).”
Background
Chronic circadian rhythm disorder induces heart failure with preserved ejection fraction-like phenotype through the Clock-sGC-cGMP-PKG1 signaling pathway
Che, Y., Shimizu, Y., Hayashi, T., Suzuki, J., Pu, Z., Tsuzuki, K., Narita, S., Shibata, R., & Murohara, T. (2024) · Scientific Reports · doi:10.1038/s41598-024-61710-2 · Cited by 21
The influence of workplace stressors on the risk of cardiovascular diseases among healthcare providers: a systematic review
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Effect of Morning Light Glasses and Night Short-Wavelength Filter Glasses on Sleep-Wake Rhythmicity in Medical Inpatients
Formentin, C., Carraro, S., Turco, M., Zarantonello, L., Angeli, P., & Montagnese, S. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00005 · Cited by 20
Long working hours, sedentary work, noise, night shifts and risk of ischaemic heart disease
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Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study
Jankowiak, S., Rossnagel, K., Bauer, J., Schulz, A., Liebers, F., Latza, U., Starke, K. R., Seidler, A., Nübling, M., Riechmann‐Wolf, M., et al. (2024) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4139 · Cited by 20
Chronotype in relation to shift work: A cohort study among 37,731 female nurses
de Bruijn, L., Berentzen, N. E., Vermeulen, R. C. H., Vlaanderen, J. J., Kromhout, H., van Leeuwen, F. E., & Schaapveld, M. (2024) · Journal of Sleep Research · doi:10.1111/jsr.14308 · Cited by 21
“Accordingly, human-based studies found strong evidence that exposure to night shift work increases the risk of type 2 diabetes mellitus (Gan et al., 2015; Vetter, Devore, et al., 2015) and cardiovascular disease (Vetter et al., 2016; Vyas et al., 2012).”
Influence of sleep on physiological systems in atherosclerosis
Kiss, M. G., Cohen, O., McAlpine, C. S., & Świrski, F. K. (2024) · Nature Cardiovascular Research · doi:10.1038/s44161-024-00560-7 · Cited by 24
“Night shift work is associated with increased incidence of ASCVD, and more years working night shifts result in greater CVD risk even after multivariable adjustment ( 5-year HR 1.02 (0.97–1.08), 5–9-year HR 1.12 (CI 1.02–1.22), and ≥10-year HR 1.18 (CI 1.10–1.26)) 23 .”
Influential
Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis
Xi, J., Ma, W., Tao, Y., Zhang, X., Liu, L., & Wang, H. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1668848 · Cited by 20
“Fifteen studies reported the association between night shift work and the risk of total CVD events, with a total of 2,891,280 participants (13, 14, 19–22, 35–38, 44–46, 48, 49).”
How Does Chronobiology Contribute to the Development of Diseases in Later Life
Stowe, T. A., & McClung, C. A. (2023) · Clinical Interventions in Aging · doi:10.2147/cia.s380436 · Cited by 20
“Similar to cancer studies, shift workers were found to have a higher chance of developing coronary heart diseases.(136)”
Result
Shift work practices and opportunities for intervention
Papantoniou, K., Vetter, C., & Schernhammer, E. S. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2016-103904 · Cited by 19
Self-citation
Assessment of MTNR1B Type 2 Diabetes Genetic Risk Modification by Shift Work and Morningness-Eveningness Preference in the UK Biobank
Dashti, H. S., Vetter, C., Lane, J. M., Smith, M. C., Wood, A. R., Weedon, M. N., Rutter, M. K., Garaulet, M., Scheer, F. A. J. L., & Saxena, R. (2019) · Diabetes · doi:10.2337/db19-0606 · Cited by 19
“Shift work schedules have been observed to associate with modest increases in the risk for type 2 diabetes (15,25,26), coronary heart disease (27), and cancer (28), and our present findings further support and extend our previously reported relationship with type 2 diabetes (15) to HbA1c levels in workers without diab…”
ResultSelf-citation
Work Characteristics, Body Mass Index, and Risk of Obesity: The National Quality of Work Life Survey
Myers, S., Govindarajulu, U. S., Joseph, M., & Landsbergis, P. A. (2020) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxaa098 · Cited by 24
“, 2015) and CVD (Vetter et al., 2016) were conducted mainly among women in healthcare settings.”
BackgroundInfluential
Disrupted Rhythms, Disrupted Microbes: A Systematic Review of Shift Work and Gut Microbiota Alterations
Grasa-Ciria, D., Couto-Alfonso, S., Samatán, E., Martínez‐Jarreta, B., Cénit, M. C., & Iguacel, I. (2025) · Nutrients · doi:10.3390/nu17172894 · Cited by 19
“These alterations have been associated with increased intestinal permeability, low-grade systemic inflammation, insulin resistance, and dysregulated lipid metabolism all hallmarks of metabolic syndrome and other related chronic conditions [23,24].”
Use of melatonin supplements and risk of type 2 diabetes and cardiovascular diseases in the USA: insights from three prospective cohort studies
Li, Y., Huang, T., Redline, S. S., Willett, W. C., Manson, J. E., Schernhammer, E. S., & Hu, F. B. (2024) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(24)00096-2 · Cited by 18
Self-citation
Night Shift Work Before and During Pregnancy and Offspring Weight Outcomes Through Adolescence
Strohmaier, S., Devore, E. E., Vetter, C., Missmer, S. A., Eliassen, A. H., ROSNER, B. A., Rich-Edwards, J. W., Field, A. E., & Schernhammer, E. S. (2018) · Obesity · doi:10.1002/oby.22267 · Cited by 19
Self-citation
Proof-of-principle demonstration of endogenous circadian system and circadian misalignment effects on human oral microbiota
Chellappa, S. L., Engen, P. A., Naqib, A. D., Qian, J., Vujović, N., Rahman, N., Green, S. J., Garaulet, M., Keshavarzian, A., & Scheer, F. A. J. L. (2022) · Kölner Universitäts PublikationsServer (Universität zu Köln) · Cited by 18
The relationship between anthropometric measures and cardiometabolic health in shift work: findings from the Atlantic PATH Cohort Study
Sweeney, E., Yu, Z., Dummer, T., Cui, Y., DeClercq, V., Forbes, C. C., Grandy, S. A., Keats, M. R., Parker, L., & Adisesh, A. (2019) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-019-01459-8 · Cited by 18
Circadian rhythm disruption exacerbates the progression of macrophage dysfunction and alveolar bone loss in periodontitis
Ma, X., Chen, X., Duan, Z., Wu, Y., Shu, J., Wu, P., Zhao, Y., Wang, X., & Wang, Y. (2023) · International Immunopharmacology · doi:10.1016/j.intimp.2023.109796 · Cited by 17
Rapid changes in overnight blood pressure after transitioning to early-morning shiftwork
McHill, A. W., Velasco, J., Bodner, T., Shea, S. A., & Olson, R. (2021) · SLEEP · doi:10.1093/sleep/zsab203 · Cited by 18
Cerebrovascular Disease in the Young Adult: Examining Melatonin’s Possible Multiple Roles
Onaolapo, A. Y., Onaolapo, O. J., & Nathaniel, T. I. (2019) · Journal of Experimental Neuroscience · doi:10.1177/1179069519827300 · Cited by 17
Cardiac autonomic activity during sleep deprivation with and without caffeine administration
Crooks, E., Hansen, D., Satterfield, B. C., Layton, M. E., & Dongen, H. P. A. V. (2019) · Physiology & Behavior · doi:10.1016/j.physbeh.2019.112643 · Cited by 20
“Indeed, individuals frequently exposed to sleep loss combined with habitual use of potentially large doses of caffeine, such as shift workers, are at elevated risk for cardiovascular disease [36,46].”
Background
Sleep Duration and Snoring at Midlife in Relation to Healthy Aging in Women 70 Years of Age or Older
Shi, H., Huang, T., Ma, Y., Eliassen, A. H., Sun, Q., & Wang, M. (2021) · Nature and Science of Sleep · doi:10.2147/nss.s302452 · Cited by 16
Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses
Hsu, H., Lee, H.-F., & Lin, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115551 · Cited by 16
“Among women who worked as registered nurses, a longer duration of rotating night shift work was associated with a small but statistically significant increase in the risk of coronary heart disease [25].”
Background
Circadian rhythms in thrombosis and atherothrombotic events
Peñaloza-Martínez, E., Moreno, G., Aroca-Crevillén, A., Nieto, S. H., Vicent, L., Rosillo, N., Hidalgo, A., & Bueno, H. (2022) · Frontiers in Bioscience-Landmark · doi:10.31083/j.fbl2702051 · Cited by 18
Diurnal regulation of sphingolipids in blood
Brunkhorst, R., Pfeilschifter, W., Rajkovic, N., Pfeffer, M., Fischer, C., Korf, H., Christoffersen, C., Trautmann, S., Thomas, D., Pfeilschifter, J. M., et al. (2018) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2018.12.001 · Cited by 17
Shift Work Disorder Index: initial validation and psychosocial associations in a sample of nurses
Taylor, D. J., Dietch, J. R., Wardle‐Pinkston, S., Slavish, D. C., Messman, B., Ruggero, C. J., & Kelly, K. S. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10108 · Cited by 18
Impact of Nighttime Food Consumption and Feasibility of Fasting during Night Work: A Narrative Review
Marot, L. P., Lopes, T. D. V. C., Balieiro, L. C. T., Crispim, C. A., & Moreno, C. R. D. C. (2023) · Nutrients · doi:10.3390/nu15112570 · Cited by 19
“Several studies have demonstrated that shift workers have a higher risk of developing chronic non-communicable diseases such as obesity [3,4], metabolic syndrome [5], and cardiovascular diseases [6].”
Background
Rotating night shift work is associated with an increased risk of gastroesophageal reflux disease (GERD) symptoms among workers in China: A cross‐sectional study
Xue, J., Zhao, Y., Wang, Z., Ren, N., Zhou, C., & Qin, S. (2020) · International Journal of Clinical Practice · doi:10.1111/ijcp.13848 · Cited by 15
Past Shift Work and Incident Coronary Heart Disease in Retired Workers: A Prospective Cohort Study
Li, W., Yu, K., Jia, N., Xu, X., Yuan, Y., Peng, R., Niu, R., You, X., Yang, H., Qiu, G., et al. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwab074 · Cited by 16
Protocol of the Study on Emergency Health Care Workers’ Responses Evaluated by Karasek Questionnaire: The SEEK-Study Protocol
Bouillon‐Minois, J., Trousselard, M., Pereira, B., Schmidt, J., Clinchamps, M., Thivel, D., Ugbolue, U. C., Moustafa, F., Occelli, C., Vallet, G. T., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18084068 · Cited by 18
“Shift workers have bad well-being [10] and cardiometabolic risk factors (higher blood pressure [11], higher levels of triglycerides [12], higher risk of obesity [13], higher risk of heart disease [14], and higher metabolic syndrome [15]).”
Background
Integrated Functional Neuroimaging, Monoamine Neurotransmitters, and Behavioral Score on Depressive Tendency in Intensive Care Unit Medical Staffs Induced by Sleep Deprivation After Night Shift Work
Ye, H., Ji, M., Wang, C., Wang, C., Li, Y., Chen, Y., Cheng, L., Li, Y., & Yang, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.848709 · Cited by 15
Influence of shift work on the physical work capacity of Tunisian nurses: a cross-sectional study in two university hospitals.
Merchaoui, I., Bouzgarrou, L., Mnasri, A., Mghanem, M., Akrout, M., Malchaire, J. B., & Chaari, N. (2017) · PubMed Central · doi:10.11604/pamj.2017.26.59.11279 · Cited by 15
“It may also have long term health outcomes such as obesity, type 2 diabetes and cardiovascular diseases [7-14].”
Background
Chronic inflammation in mice exposed to the long-term un-entrainable light–dark cycles
Minami, Y., Ohashi, M., Hotta, E., Hisatomi, M., Okada, N., Konishi, E., Teramukai, S., Inokawa, H., & Yagita, K. (2017) · Sleep and Biological Rhythms · doi:10.1007/s41105-017-0127-5 · Cited by 15
NOCTURNIN Gene Diurnal Variation in Healthy Volunteers and Expression Levels in Shift Workers
Bracci, M., Copertaro, A., Ciarapica, V., Barbaresi, M., Esposito, S., Albanesi, A., Valentino, M., Ledda, C., Rapisarda, V., & Santarelli, L. (2019) · BioMed Research International · doi:10.1155/2019/7582734 · Cited by 14
Association between age and incidence of deep vein thrombosis in patients with spinal cord injury: an observational cross-sectional study
Zhang, J., Fang, Y., Pang, H., Tao, Y., Zhou, J., Zhu, S., & Wang, C. (2022) · Spinal Cord · doi:10.1038/s41393-022-00814-w · Cited by 14
“Dummy variables were used to indicate missing covariate values; [10] for continuous variable, if covariate values missed, we assignment it zero and the new transformed continuous variable was named “variable (new)”, and then transformed to a categorical variable named “variable (indicator)” based on whether the data m…”
Method
Managing Circadian Disruption due to Hospitalization: A Pilot Randomized Controlled Trial of the CircadianCare Inpatient Management System
Mangini, C., Zarantonello, L., Formentin, C., Giusti, G., Domenie, E. D., Ruggerini, D., Costa, R., Skene, D. J., Basso, D., Battagliarin, L., et al. (2023) · Journal of Biological Rhythms · doi:10.1177/07487304231213916 · Cited by 14
“…have serious medical consequences, including sleep curtailment and worsened sleep quality, increased cardiovascular morbidity (Morris et al., 2016; Vetter et al., 2016), and increased risk of certain types of cancer (Lin et al., 2015; Masri and Sassone-Corsi, 2018; Walasa et al., 2018).”
Background
Circadian misalignment disrupts biomarkers of cardiovascular disease risk and promotes a hypercoagulable state
McHill, A. W., Melanson, E. L., Wright, K. P., & Depner, C. M. (2024) · European Journal of Neuroscience · doi:10.1111/ejn.16468 · Cited by 15
“Third, night shift workers, who experience recurring and severe circadian misalignment, have increased risk of CVD relative to non-shift workers (Gu et al., 2015; Vetter et al., 2016).”
Night shift-induced circadian disruption: links to initiation of non-alcoholic fatty liver disease/non-alcoholic steatohepatitis and risk of hepatic cancer
Singh, A., Anjum, B., Naz, Q., Raza, S., Sinha, R. A., Ahmad, M. K., Mehdi, A. A., & Verma, N. (2024) · Hepatoma Research · doi:10.20517/2394-5079.2024.88 · Cited by 18
“…nu s c r i p t s E u r op e P M C F und e r s A u t ho r M a nu s c r i p t s “permanent NSW,” where individuals exclusively work overnight, and “rotating shift work,” which involves regular shifts that alternate between daytime and nighttime, including morning, evening, and night shifts [50,51] .”
Registered nurses are at increased risk of hospitalization for infectious diseases and perinatal complications: A population-based observational study
Liao, K., Huang, Y., Kuo, S., Lin, W., Chou, F., & Chou, P. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.11.012 · Cited by 14
“Many studies have been conducted on the health of nursing staff, investigating aspects such as the role of shift work in cardiovascular health (Colquhoun et al., 2013; Vetter et al., 2016) ; metabolic syndrome (Canuto et al., 2013; Chang and Liao, 2015) ; the effects of occupational fatigue (Zhou and Fang, 2015) ; occ…”
Association of Night Shift Work With Chronic Spontaneous Urticaria and Effect Modification by Circadian Dysfunction Among Workers
Huang, Y., Jing, D., Su, J., Huang, Z., Liu, H., Tao, J., He, M., Chen, X., Shen, M., & Xiao, Y. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.751579 · Cited by 13
“Previous epidemiological studies suggest that night shift work is a risk factor for obesity (9), diabetes (10, 11), cardiovascular disease (12), breast cancer (13), and mental disorders (14, 15).”
Background
Prediction of risk of coronary artery disease based on the Framingham risk score in association with shift work among nurses
Solymanzadeh, F., Rokhafroz, D., Asadizaker, M., & Dastoorpoor, M. (2022) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2021.2024403 · Cited by 13
“[30], the longer duration of rotating shiftworkwas associatedwith a statistically significant increase in CHD risk.”
Background
Association of Low Back Pain with Shift Work: A Meta-Analysis
Chen, H.-M., Huang, P.-Y., Chuang, H., Wang, C.-L., Yang, C., Huang, P., & Ho, C. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20020918 · Cited by 17
“Additionally, quitting SW decreased coronary heart disease risk among women [13].”
Background
Relationship between long-term shift work; night work; sleep deficiency and stroke: A systematic review and meta-analysis
Jin, X., Yang, Y., Zhou, F. L., Dong, W., Chang, K., Liu, X., & Yan, Y. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.05.031 · Cited by 16

Authors: Vetter, C., Devore, E. E., Wegrzyn, L. R., Massa, J., Speizer, F. E., Kawachi, I., Rosner, B., Stampfer, M. J., & Schernhammer, E. S.
Affiliations: Brigham and Women's Hospital (US)
Harvard University (US)
Corresponding author: Vetter, Céline
ORCID: Vetter, Céline
Wegrzyn, Lani R.
Massa, Jennifer
Kawachi, Ichiro
Rosner, Bernard
Stampfer, Meir J.
Schernhammer, Eva S.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 2016-04-26
Volume: 315
Issue: 16
Pages: 1726
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.2016.4454
PMC: PMC5102147
OpenAlex: W2342969444
Cited by: 517
References: 39
Citations by year: 2026: 42 · 2025: 61 · 2024: 59 · 2023: 51 · 2022: 64 · 2021: 53 · 2020: 57 · 2019: 44 · 2018: 44 · 2017: 27 · 2016: 13
FWCI: 60.73
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
UCL Discovery (University College London) (submittedVersion)
Funders: Deutsche Forschungsgemeinschaft
National Heart, Lung, and Blood Institute (R01HL034594)
National Cancer Institute (UM1CA176726, UM1CA186107)
National Institute for Occupational Safety and Health (5R01OH009803, R01OH009803)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords: rotating night shift work, shift work, coronary artery disease, women, myocardial infarction, angina pectoris, coronary artery bypass grafting, Nurses' Health Study, cardiovascular risk, occupational exposure, coronary CT angiography, coronary artery calcification, coronary microvascular dysfunction
MeSH terms: Adult, Coronary Artery Disease, Female, Follow-Up Studies, Humans, Middle Aged, Nurses, Personnel Staffing and Scheduling, Prospective Studies, Surveys and Questionnaires, Time Factors, United States, Work Schedule Tolerance, Incidence, Proportional Hazards Models, Risk Assessment

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Association Between Rotating Night Shift Work and Risk of Coronary Heart Disease Among Women

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