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Short rest between shifts and risk of hypertension in hospital workers

Authors
 Yun-Sik Cho  ;  Seungho Lee  ;  Jin-Ha Yoon  ;  Jieun Lee  ;  Jae Bum Park  ;  Kyung-Jong Lee  ;  Inchul Jeong 
Citation
 JOURNAL OF HYPERTENSION, Vol.38(2) : 211-217, 2020-02 
Journal Title
JOURNAL OF HYPERTENSION
ISSN
 0263-6352 
Issue Date
2020-02
MeSH
Adult ; Fatigue / etiology ; Fatigue / physiopathology ; Female ; Humans ; Hypertension / etiology* ; Hypertension / physiopathology ; Male ; Personnel, Hospital* ; Retrospective Studies ; Risk Factors ; Shift Work Schedule* ; Sleep / physiology ; Time Factors ; Work Schedule Tolerance* ; Young Adult
Keywords
consecutive night shifts ; hospital workers ; hypertension ; quick returns ; shift work ; CI ; confidence interval
Abstract
Objectives: Shift work is related to hypertension and other cardiovascular diseases, and short shift intervals of less than 11 h (quick returns) are reported to be related to health problems, including sleep disturbance and fatigue. However, its cardiovascular effect has rarely been examined. The purpose of this study was to investigate the relationship between quick returns, consecutive night shifts, and risk of hypertension in hospital workers. Methods: Data collected from a medical examination of 1372 nonhypertensive shift workers in a hospital were retrospectively followed up. Demographic factors (sex and age), lifestyle habits (smoking, alcohol use, exercise, and obesity), and work-related factors (working hours, shift work experience, consecutive night shifts, and quick returns status) were included in the analyses. Multivariate Cox proportional-hazard models were conducted to estimate hazard ratio and 95% confidence interval (CI). Results: The findings showed that quick returns was related to an increased risk of hypertension (hazard ratio, 95% CI: 1.88, 1.00-3.54), whereas consecutive night shifts were not. However, the risk of hypertension was significantly higher in workers with quick returns and 2-3 days of consecutive night shifts (3.33, 1.18-9.39) and those with quick returns and at least 4 days of consecutive night shifts (3.79, 1.22-11.76), compared with the reference group. Conclusion: The findings of this study indicate that short shift intervals and consecutive night shifts are related to an increased risk of hypertension in shift-working hospital workers.
Full Text
https://journals.lww.com/jhypertension/Fulltext/2020/02000/Short_rest_between_shifts_and_risk_of_hypertension.8.aspx
DOI
10.1097/HJH.0000000000002264
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Jin Ha(윤진하) ORCID logo https://orcid.org/0000-0003-4198-2955
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190242
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