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Serum lipoproteins in day and shift workers: a prospective study
A Knutson1, H Andersson, U Berglund
1National Institute for Psychosocial Factors and Health, Stockholm, Sweden.
British Journal of Industrial Medicine
|February 1, 1990
Summary
Shift work alters lipoprotein profiles, increasing the apoB/apoA-1 ratio, particularly with lower dietary fiber intake. This highlights potential cardiovascular risks associated with shift work and diet.
Area of Science:
- Occupational Health
- Cardiovascular Health
- Nutritional Science
Background:
- Shift work is increasingly prevalent and associated with adverse health outcomes.
- Dietary habits and serum lipoproteins are critical factors in cardiovascular health.
- Understanding the impact of shift work on metabolic markers is essential for preventative strategies.
Purpose of the Study:
- To investigate the effects of shift work on dietary patterns and serum lipoproteins.
- To compare changes in lipoproteins between shift workers and day workers over six months.
- To explore the relationship between dietary fiber intake and lipoprotein changes in shift workers.
Main Methods:
- A longitudinal study comparing 12 shift workers and 13 day workers.
- Measurements of diet and serum lipoproteins (including apoB and apoA-1) were taken at baseline and after six months.
- Analysis included changes in total cholesterol, triglycerides, systolic blood pressure, and the apoB/apoA-1 ratio.
Main Results:
- No significant changes in total cholesterol or serum triglycerides were observed in either group.
- Both groups showed a decrease in systolic blood pressure.
- The apoB/apoA-1 ratio increased significantly more in shift workers (18%) than in day workers (5%).
- This increase in the apoB/apoA-1 ratio correlated inversely with changes in dietary fiber intake.
Conclusions:
- Shift work is associated with unfavorable changes in lipoprotein profiles, indicated by an increased apoB/apoA-1 ratio.
- Reduced dietary fiber intake may exacerbate these adverse lipoprotein changes in shift workers.
- Findings suggest a need for dietary interventions to mitigate cardiovascular risks in shift workers.