The relation of exposure to shift work with atherosclerosis and myocardial infarction in a general population
Abstract
Objectives We tested the hypothesis that working shifts is related to atherosclerosis and myocardial infarction.Background The number of shift workers is continuously increasing. Shift work is discussed to be related with cardiovascular heart disease.Methods A total of 2510 subjects recruited for the population-based Study of Health in Pomerania were tested, 698 of whom were former shift workers. A general population sample was examined to reach generalizibility and to produce results independent from the effects of the personal shift schedule and from the specific working conditions. Carotid ultrasound was performed to evaluate carotid intima-media thickness. We used multivariable analyses to estimate the coronary heart disease risk, adjusted for age, sex and atherosclerotic risk factors, stratified by exposure to shift work and its duration.Results Atherosclerotic risk factors differed in part between shift workers and non-shift workers. Shift work was associated with atherosclerosis and myocardial infarction, depending on the duration of the exposure and the age of the participants. Multivariable Cox regression analysis identified shift work as a risk factor for myocardial infarction to be manifest at younger ages (adjusted hazard ratio 1.53, 95% CI 1.06-2.22).Conclusions Exposure to shift work is a risk factor for atherosclerosis and myocardial infarction. Special prevention programs for shift workers should be provided.
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Candidate mechanisms for elevated cardiovascular disease risk due to shift work include disrupted 24-hour rhythms of blood pressure and vascular function, atherosclerosis, proinflammatory states, and altered lipid and glucose metabolism.
“Candidate mechanisms underlying elevated risk for CVD due to shift work include disrupted 24-hour rhythms of blood pressure [84] and vascular function [85], atherosclerosis [86], proinflammatory states [87], and altered lipid and glucose metabolism [88].”
From Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being (2017) · cites this paper as [86]
Disruption of circadian rhythms leads to numerous serious health problems such as diabetes mellitus, atherosclerosis, autoimmune diseases, obesity, cancer, and insomnia.
“Disruption of circadian rhythms lead to numerous serious health problems such as diabetes mellitus [ 131 ], atherosclerosis [ 132 ], autoimmune diseases [ 133 ], obesity [ 134 ], cancer [ 135 ], insomnia [ 136 ], etc.”
From Physiological Rhythms and Biological Variation of Biomolecules: The Road to Personalized Laboratory Medicine (2023) · cites this paper as [132]
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- Authors
- Haupt, C. M., Alte, D., Dörr, M., Robinson, D. M., Felix, S. B., John, U., & Völzke, H.
- Affiliations
- Universität Greifswald (DE)
- Corresponding author
- Haupt, Christiane M.
- Venue
- Atherosclerosis
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 201
- Issue
- 1
- Pages
- 205-211
- ISSN
- 0021-9150 (ISSN-L)
- OpenAlex
- W2061102470
- Cited by
- 144
- References
- 28
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8 · 2023: 9 · 2022: 10 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 8 · 2017: 7 · 2016: 12 · 2015: 10 · 2014: 8 · 2013: 11 · 2012: 11
- FWCI
- 12.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Atherosclerosis (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung (01ZZ96030)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Keywords
- shift work, myocardial infarction, carotid intima-media thickness, coronary heart disease risk, cardiovascular risk factors, exposure duration, young age at onset, Study of Health in Pomerania
- MeSH terms
- Age Factors, Aged, Circadian Rhythm, Cross-Sectional Studies, Employment, Female, Germany, Humans, Life Style, Male, Middle Aged, Myocardial Infarction, Occupational Diseases, Risk Factors, Stress, Physiological, Time Factors, Case-Control Studies, Photoperiod, Atherosclerosis
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