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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Published on: August 8, 2019

[Shift work and cardiometabolic risk].

Alfredo Copertaro1, Mariella Barbaresi, Massimo Bracci

  • 1Servizio di Medicina del Lavoro, Azienda Sanitaria Unica Regionale Zona 7, Ancona. copertaroa@asurzona7.marche.it

Recenti Progressi in Medicina
|January 14, 2010
PubMed
Summary
This summary is machine-generated.

Shift work significantly increases the risk of metabolic syndrome and abdominal obesity. Healthcare shift workers face higher odds of these conditions compared to day workers, highlighting a critical occupational health concern.

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Area of Science:

  • Occupational Health
  • Metabolic Syndrome Research
  • Cardiovascular Disease Epidemiology

Background:

  • Shift work is linked to increased coronary heart disease risk.
  • Shift workers often exhibit metabolic disturbances, including altered glucose and lipid levels, hypertension, and obesity.
  • Abdominal obesity is a key characteristic of metabolic syndrome.

Purpose of the Study:

  • To compare the prevalence of metabolic syndrome and abdominal obesity between healthcare shift workers and day workers.
  • To identify the relative risk of metabolic syndrome and abdominal obesity associated with shift work.

Main Methods:

  • A cross-sectional study involving 193 shift workers and 221 day workers.
  • Data collection included medical history, anthropometric measurements, blood pressure, health behaviors questionnaire, and biochemical determinations (fasting plasma glucose, HDL-cholesterol, triglycerides).
  • Metabolic syndrome was assessed using International Diabetes Federation criteria.

Main Results:

  • 20% of shift workers had metabolic syndrome compared to 12% of day workers.
  • Abdominal obesity was more prevalent in shift workers (70%) than day workers (58%).
  • Shift work was associated with a higher relative risk for metabolic syndrome (OR 2.9) and abdominal obesity (OR 1.9) after adjusting for confounding factors.

Conclusions:

  • Shift work poses a significant risk for developing metabolic syndrome and abdominal obesity.
  • Healthcare professionals engaged in shift work require targeted health interventions to mitigate these risks.
  • Further research into the mechanisms linking shift work to metabolic disturbances is warranted.