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Cited by 460Sleep and Work-Related FatigueWorkplace Health and Well-beingHealthcare Systems and Public Health

Increased risk of ischaemic heart disease in shift workers

Knutsson, Anders, Jonsson, BjornG., Akerstedt, Torbjorn, Orth-Gomer, Kristina·1986·The Lancet
DOI 10.1016/s0140-6736(86)91619-3
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Abstract

504 papermill workers were followed up for 15 years and the incidence of ischaemic heart disease (IHD) in shift workers was compared with that in day workers. The relative risk (RR) of IHD rose with increasing duration of reported exposure to shift work. A significant risk of IHD was associated with an exposure of 11 - 15 years (RR = 2.2, p less than 0.04) and of 16 to 20 years (RR = 2.8, p less than 0.03. The association was independent of age and smoking history. The RR of IHD fell sharply after 20 years of shift work. This was ascribed to the pronounced positive selection that had taken place in this group.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(86)91619-3

Cites

18 of 18 references verified0 citation errors · 0 not checkable

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Shift work is an independent risk factor for many chronic conditions, including heart disease.

    “Shift work is an independent risk factor for many chronic conditions, including heart disease (133-136), perhaps due to recurring disruptions of the circadian clock itself (e.g., light exposure at unusual circadian phases), or perhaps due to misalignment between the circadian clock and the behaviors (e.g., sleeping and fasting during the day, and being active and eating across the night).”

    From Role of the circadian system in cardiovascular disease (2018) · cites this paper as [133]

  • Shift work is associated with cardiovascular disease, obesity, and diabetes.

    “shift work is associated with cardiovascular disease, obesity, and diabetes”

    From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Knutsson et al., 1986

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Related

Authors
Knutsson, A., Jonsson, B., Akerstedt, T., & Orth-Gomer, K.
Venue
The Lancet
Publisher
Elsevier BV
Published
1986-07
Volume
328
Issue
8498
Pages
89-92
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(86)91619-3
OpenAlex
W2002254611
Cited by
459
References
19
Citations by year
2026: 3 · 2025: 3 · 2024: 9 · 2023: 6 · 2022: 20 · 2021: 11 · 2020: 12 · 2019: 15 · 2018: 12 · 2017: 13 · 2016: 10 · 2015: 16 · 2014: 18 · 2013: 20 · 2012: 21
FWCI
6.52
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
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, ischemic heart disease, cardiovascular risk, paper mill workers, exposure duration, selection bias, occupational health, smoking history
MeSH terms
Adult, Coronary Disease, Divorce, Follow-Up Studies, Humans, Industry, Male, Middle Aged, Occupational Diseases, Paper, Risk, Smoking, Sweden, Time Factors, Work, Work Schedule Tolerance

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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