The DOI matches its Crossref record; 18 of the 19 references it cites were found in a registry or an index.
INCREASED RISK OF ISCHAEMIC HEART DISEASE IN SHIFT WORKERS
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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“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]
In the citing paper
“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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Cites
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793
Regression Models and Life-Tables
Cox, D. R. (1992) · Springer Series in Statistics · doi:10.1007/978-1-4612-4380-9_37 · Cited by 26,297
Plackett, R. L., & Cox, D. R. (1971) · Journal of the Royal Statistical Society Series A (General) · doi:10.2307/2344247 · Cited by 2,274
Thelle, D. S., Arnesen, E., & Førde, O. H. (1983) · New England Journal of Medicine · doi:10.1056/nejm198306163082405 · Cited by 493
Fox, A. J., & Collier, P. F. (1976) · Journal of Epidemiology & Community Health · doi:10.1136/jech.30.4.225 · Cited by 465
Alfredsson, L. S., Karasek, R. A., & Theorell, T. (1982) · Social Science & Medicine · doi:10.1016/0277-9536(82)90054-5 · Cited by 296
Health risks related to shift work
Koller, M. (1983) · International Archives of Occupational and Environmental Health · doi:10.1007/bf00406178 · Cited by 191
Thelle, D. S., Førde, O. H., Try, K., & Lehmann, E. H. (1976) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1976.tb08204.x · Cited by 159
A retrospective cohort study comparing complaints and diseases in day and shift workers
Angersbach, D., Knauth, P., Loskant, H., Karvonen, M. J., Undeutsch, K., & Rutenfranz, J. (1980) · International Archives of Occupational and Environmental Health · doi:10.1007/bf01274132 · Cited by 136
Mortality of shift and day workers 1956-68
Taylor, P. J., & Pocock, S. J. (1972) · Occupational and Environmental Medicine · doi:10.1136/oem.29.2.201 · Cited by 126
Research works printed but not linked: 2
- Thiis-Evensen, 1963, Skiftarbeid, Medicinsk Arbog (Copenhagen), 7, 229
- Koller, 1985, Gesundheitsrisiken durch Langzeitbelastungen—aufgezeigt am Beispiel Nachtschichtarbeit, Zentralbl Bakteriol Mikrobiol Hyg B, 180, 548
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Rosenthal, N. A., & Lara‐Pezzi, E. (2009) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.1347961.819060
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Metadata
- 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
- 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
- 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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