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

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INCREASED RISK OF ISCHAEMIC HEART DISEASE IN SHIFT WORKERS

Knutsson, Anders, Jonsson, BjornG., Akerstedt, Torbjorn, Orth-Gomer, Kristina·1986·The Lancet

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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.

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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 › Medicine › Public Health, Environmental and Occupational Health › 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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INCREASED RISK OF ISCHAEMIC HEART DISEASE IN SHIFT WORKERS

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