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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In the citing paper
“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
Citations
Cites
Regression Models and Life-Tables
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Regression Models and Life-Tables
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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
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Intervention on Coronary Risk Factors by Adapting a Shift Work Schedule to Biologic Rhythmicity
Orth-Gomer, K. (1983) · Psychosomatic Medicine · doi:10.1097/00006842-198310000-00004 · Cited by 116
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Backer, G. D., Kornitzer, M., Peeters, H., & Wilmet, M. D. (1984) · Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) · Cited by 7
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Cited by
Sorted by citations
Adverse metabolic and cardiovascular consequences of circadian misalignment
Scheer, F. A. J. L., Hilton, M. F., Mantzoros, C. S., & Shea, S. A. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0808180106 · Cited by 2,351
Behavioral and Physiological Consequences of Sleep Restriction
Banks, S., & Dinges, D. F. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26918 · Cited by 1,505
Health disorders of shift workers
Knutsson, A. (2003) · Occupational Medicine · doi:10.1093/occmed/kqg048 · Cited by 1,218
Self-citationThe Risk of Determining Risk with Multivariable Models
Concato, J., Feinstein, A. R., & Holford, T. R. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-118-3-199302010-00009 · Cited by 1,129
Current issues relating to psychosocial job strain and cardiovascular disease research.
Theorell, T., & Karasek, R. A. (1996) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.1.1.9 · Cited by 1,070
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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