Night-shift work and cardiovascular risk among employees of a public university
Open accessAbstract
OBJECTIVE: To estimate the association between night-shift work and high cardiovascular risk. METHODS: Cross-sectional study carried out with 211 workers of both genders, aged between 30 and 64 years, working on the health campus of a public university in the state of Minas Gerais, Brazil. Night-shift work was defined as a work shift between 7 pm and 7 am, and high cardiovascular risk was calculated based on the Framingham score. The association between night-shift work and high cardiovascular risk was estimated by the prevalence ratio (PR) and its 95% confidence interval (95% CI) after adjusting for potential confounding factors, calculated by Poisson regression. RESULTS: Night-shift work was performed by 38.4% of the individuals, and high cardiovascular risk was diagnosed in 28% of the sample. Hypertension was more prevalent among night-shift compared with day-shift workers (p < 0.05). In the bivariate analysis, night-shift work, passive and high job strain categories at the demand-control scale, work time > 120 months, schooling > 9 years, family income > 6 minimum wages, level 2 abdominal obesity, and triglyceride levels > 150 mg/dL were associated with high cardiovascular risk (p < 0.05). After multivariate analysis, night-shift work remained independently associated with high cardiovascular risk (PR = 1.67; 95% CI = 1.10-2.54). CONCLUSION: The prevalence of high cardiovascular risk was 67% higher among night-shift workers. This association should be considered when discussing the promotion of workers' health regarding changes in the work process.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Working night and rotating shifts is associated with elevated risk of heart disease and ischemic stroke.
“Working night shifts and rotating shifts has been associated with elevated risk of heart disease [76] and ischemic stroke [77,78].”
From Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being (2017) · cites this paper as [76]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Grundy, S. M., Bilheimer, D. W., Chait, A., Clark, L. T., Denke, M. A., Havel, R. J., Hazzard, W. R., Hulley, S. B., Hunninghake, D. B., Kreisberg, R. A., et al. (1993) · JAMA · doi:10.1001/jama.269.23.3015 · Cited by 27,944 · see citing works
Expert Panel on Detection, E. (2001) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.285.19.2486 · Cited by 26,011 · see citing works
International physical activity questionnaire: 12-country reliability and validity
CRAIG, C. L., MARSHALL, A. L., SJ??STR??M, M., BAUMAN, A. E., BOOTH, M. L., AINSWORTH, B. E., PRATT, M., EKELUND, U., YNGVE, A., SALLIS, J. F., et al. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000078924.61453.fb · Cited by 21,619 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.3.4.322 · Cited by 4,022 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.3.4.322 · Cited by 3,137 · see citing works
Global burden of blood-pressure-related disease, 2001
Lawes, C. M. M., Hoorn, S. V., & Rodgers, A. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60655-8 · Cited by 2,330 · see citing works
Health disorders of shift workers
Knutsson, A. (2003) · Occupational Medicine · doi:10.1093/occmed/kqg048 · Cited by 1,218 · see citing works
Shift work and chronic disease: the epidemiological evidence
Wang, X.-S., Armstrong, M. E. G., Cairns, B. J., Key, T. J., & Travis, R. C. (2011) · Occupational Medicine · doi:10.1093/occmed/kqr001 · Cited by 640 · see citing works
Sposito, A. C., Caramelli, B., Fonseca, F. A. H., Bertolami, M. C., Neto, A. A., Souza, A. D., Lottenberg, A. M., Chacra, A. P. M., Faludi, A. Á., Loures-Vale, A. A., et al. (2007) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2007000700002 · Cited by 559 · see citing works
Biological Clocks and Shift Work: Circadian Dysregulation and Potential Long-term Effects
Haus, E. L., & Smolensky, M. H. (2006) · Cancer Causes & Control · doi:10.1007/s10552-005-9015-4 · Cited by 391 · see citing works
Versão resumida da "job stress scale": adaptação para o português
Alves, M. G. D. M., Chor, D., Faerstein, E., Lopes, C. D. S., & Werneck, G. L. (2004) · Revista de Saúde Pública · doi:10.1590/s0034-89102004000200003 · Cited by 340 · see citing works
Work-Related Psychosocial Factors and the Development of Ischemic Heart Disease: A Systematic Review
Eller, N. H., Netterstrøm, B., Gyntelberg, F., Kristensen, T. S., Nielsen, F., Steptoe, A., & Theorell, T. (2009) · Cardiology in Review · doi:10.1097/crd.0b013e318198c8e9 · Cited by 323 · see citing works
Messenger, J. C., Lee, S., & McCann, D. (2007) · Medical Entomology and Zoology · Cited by 319 · see citing works
Rotating Night Shift Work and the Risk of Ischemic Stroke
Brown, D. L., Feskanich, D., Sanchez, B. N., Rexrode, K. M., Schernhammer, E. S., & Lisabeth, L. D. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp056 · Cited by 297 · see citing works
Factores de riesgo cardiovascular. Perspectivas derivadas del Framingham Heart Study
O’Donnell, C. J., & Elosúa, R. (2008) · Revista Española de Cardiología · doi:10.1157/13116658 · Cited by 267 · see citing works
Cardiovascular Risk Factors. Insights From Framingham Heart Study
O’Donnell, C. J., & Elosúa, R. (2008) · Revista Española de Cardiología (English Edition) · doi:10.1016/s1885-5857(08)60118-8 · Cited by 265 · see citing works
A Prospective Cohort Study of Shift Work and Risk of Ischemic Heart Disease in Japanese Male Workers
Fujino, Y., Iso, H., Tamakoshi, A., Inaba, Y., Koizumi, A., Kubo, T., & Yoshimura, T. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj185 · Cited by 225 · see citing works
Shiftwork and Cardiovascular Disease: Review of Disease Mechanisms
Knutsson, A., & Bøggild, H. (2000) · Reviews on Environmental Health · doi:10.1515/reveh.2000.15.4.359 · Cited by 220 · see citing works
IWASAKI, K., Takahashi, M., & Nakata, A. (2006) · Industrial Health · doi:10.2486/indhealth.44.537 · Cited by 195 · see citing works
Estresse ocupacional e saúde: contribuições do Modelo Demanda-Controle
de Araújo, T. M., Carneiro, C. C. G., & de Araújo, E. M. (2003) · Ciência & Saúde Coletiva · doi:10.1590/s1413-81232003000400021 · Cited by 166 · see citing works
Tratamento e acompanhamento do diabetes mellitus: diretrizes da Sociedade Brasileira de Diabetes
Sbd, S. B. D. D. (2008) · Cited by 122 · see citing works
A 12 year prospective study of circulatory disease among Danish shift workers
Tüchsen, F., Hannerz, H., & Burr, H. (2006) · Occupational and Environmental Medicine · doi:10.1136/oem.2006.026716 · Cited by 111 · see citing works
[V Brazilian Guidelines in Arterial Hypertension. ].
(2007) · PubMed · Cited by 109 · see citing works
OBESITY AND HIGH BLOOD PRESSURE OF 12-HOUR NIGHT SHIFT FEMALE CLEAN-ROOM WORKERS
Chen, J., Lin, Y.-C., & Hsiao, S.-T. (2010) · Chronobiology International · doi:10.3109/07420520903502242 · Cited by 105 · see citing works
Franks, P. J., Winters, P., Tancredi, D. J., & Fiscella, K. A. (2011) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-11-28 · Cited by 103 · see citing works
Thomas, C., & Power, C. (2010) · European Journal of Epidemiology · doi:10.1007/s10654-010-9438-4 · Cited by 100 · see citing works
Smoking among Shift Workers: More Than a Confounding Factor
van Amelsvoort, L. G. P. M., Jansen, N., & Kant, I. (2006) · Chronobiology International · doi:10.1080/07420520601089539 · Cited by 98 · see citing works
Shift work and its effects on the cardiovascular system.
Mosendane, T., Mosendane, T., & Raal, F. J. (2008) · Europe PMC (PubMed Central) · Cited by 93 · see citing works
Fadiga e capacidade para o trabalho em turnos fixos de doze horas
Metzner, R. J., & Fischer, F. M. (2001) · Revista de Saúde Pública · doi:10.1590/s0034-89102001000600008 · Cited by 90 · see citing works
Azambuja, M. I. R., Foppa, M., Maranhão, M. F. D. C., et al. (2008) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2008001500005 · Cited by 82 · see citing works
The impact of shift work induced chronic circadian disruption on IL-6 and TNF-α immune responses
van Mark, A., Weiler, S. W., Schröder, M., Otto, A., Jauch‐Chara, K., Groneberg, D. A., Spallek, M., Kessel, R., & Kalsdorf, B. (2010) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-5-18 · Cited by 67 · see citing works
Assessment of cardiovascular risk in shift healthcare workers
Copertaro, A., Bracci, M., Barbaresi, M., & Santarelli, L. (2008) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3282f364c0 · Cited by 65 · see citing works
Tepas, D. I., Barnes-Farrell, J. L., Bobko, N. A., et al. (2004) · Revista de Saúde Pública · doi:10.1590/s0034-89102004000700005 · Cited by 58 · see citing works
Fialho, G. L., Cavichio, L. R., Póvoa, R., & PIMENTA, J. (2006) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2006.03.007 · Cited by 47 · see citing works
Effects of the length and timing of nighttime naps on task performance and physiological function
武山, 英., Matsumoto, S., MURATA, K., Ebara, T., Kubo, T., Tachi, N., & Itani, T. (2004) · Revista de Saúde Pública · doi:10.1590/s0034-89102004000700006 · Cited by 39 · see citing works
Blood Pressure Increases During a Simulated Night Shift in Persons at Risk for Hypertension
McCubbin, J. A., Pilcher, J. J., & Moore, D. D. (2010) · International Journal of Behavioral Medicine · doi:10.1007/s12529-010-9117-6 · Cited by 27 · see citing works
Tafil‐Klawe, M., Klawe, J. J., Złomańczuk, P., et al. (2007) · PubMed · Cited by 7 · see citing works
da Saúde, B. M. D. S. S.-E. D. D. E., & Desenvolvimento, I. E. (2010) · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Sposito AC, Caramelli B, Fonseca FAH, Bertolami MC, Neto AA, Souza AD, et al. IV Brazilian guideline for dyslipidemia and atherosclerosis prevention: Department of Atherosclerosis of Brazilian Society of Cardiology. Arq Bras Cardiol. 2007;88:2-19.
- Mosendane T, Mosendane T, Raal FJ. Shift work and its eá ects on the cardio- vascular system. Cardiovasc J Afr. 2008;19:210-5.
Cited by
Sorted by citations
Shift Work: Disrupted Circadian Rhythms and Sleep—Implications for Health and Well-being
James, S. M., Honn, K. A., Gaddameedhi, S., & Van Dongen, H. P. A. (2017) · Current Sleep Medicine Reports · doi:10.1007/s40675-017-0071-6 · Cited by 517 · see citing works
- Authors
- Pimenta, A. M., Kac, G., Campos e Souza, R. R., Maria de Barros Almeida Ferreira, L., & Maria de Fátima Silqueira, S.
- Affiliations
- Universidade Federal de Minas Gerais (BR)
- Universidade Federal do Rio de Janeiro (BR)
- Corresponding author
- Pimenta, Adriano Marçal
- Venue
- Revista da Associação Médica Brasileira (English Edition)
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 58
- Issue
- 2
- Pages
- 168-177
- ISSN
- 2255-4823 (ISSN-L)
- OpenAlex
- W2614441130
- Cited by
- 44
- References
- 38
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 3 · 2013: 2
- FWCI
- 4.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Revista da Associação Médica Brasileira (English Edition) (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundação de Amparo à Pesquisa do Estado de Minas Gerais
- 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
- night shift work, cardiovascular risk, university employees, hypertension, job strain, abdominal obesity, triglycerides, Framingham risk score, occupational health
- MeSH terms
- Workforce, Adult, Brazil, Cardiovascular Diseases, Circadian Rhythm, Cross-Sectional Studies, Female, Humans, Hypertension, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Socioeconomic Factors, Universities, Work Schedule Tolerance, Prevalence
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review