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Overwork and cerebrocardiovascular disease in Korean adult workers
Tae-Won Jang1, Hyoung-Ryoul Kim, Hye-Eun Lee
1Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea.
Insights
Overwork increases cerebrocardiovascular disease risk, especially with high physical demands and poor fitness. Adjusting work hours to individual capacity is crucial for prevention.
Area of Science:
- Occupational Health
- Cardiovascular Epidemiology
- Work Physiology
Background:
- Long work hours and overwork can elevate cardiovascular load.
- Cardiovascular strain is influenced by work's physical demand, worker's fitness, and hours worked.
- Distinguishing between long hours and overwork is essential for accurate risk assessment.
Purpose of the Study:
- To investigate the association between overwork and cerebrocardiovascular disease.
- To account for physical work demand, physical fitness, and actual work hours in the analysis.
- To identify specific risk factors contributing to occupational cerebrocardiovascular disease.
Main Methods:
- Cross-sectional study utilizing surveillance data on occupational cerebrocardiovascular disease.
- Questionnaire surveys collected general and work-related characteristics.
- Calculated an overwork index based on maximum acceptable work time relative to actual work hours, considering physical demands and fitness.
Main Results:
- In moderate to high physical demand work, elevated overwork indexes (1.01-1.20, 1.21-1.50, >1.50) showed significantly increased odds ratios for cerebrocardiovascular disease.
- Adjusted odds ratios for overwork indexes were 2.679, 3.124, and 4.331, respectively.
- The risk escalated with higher levels of overwork.
Conclusions:
- Workers with long hours, high physical demand, and poor fitness face elevated cerebrocardiovascular disease risk.
- Recommends aligning work hours with individual physical fitness and job demands.
- Proposes that tailored work hour adjustments can mitigate cerebrocardiovascular disease risks.
Objectives:
Long work hours and overwork may increase the cardiovascular load of workers. But long work hours and overwork are not the same. Cardiovascular overload from working is dependent on the physical demand of the work and the worker's physical fitness, as well as the working hours. This cross-sectional study was designed to identify the association between overwork and cerebrocardiovascular disease, taking into account the physical demand of work, physical fitness, and work hours.
Methods:
Study data were obtained from surveillance of occupational cerebrocardiovascular disease. Questionnaire surveys including general and work-related characteristics were conducted. Maximum acceptable work time was estimated using the physical work demand and physical fitness of the subjects. The overwork index, which was the ratio of maximum acceptable work time and actual work hours of the subjects, was calculated.
Results:
In the workers with a moderate or high physical demand of work, the adjusted odds ratios for overwork indexes of 1.01-1.20, 1.21-1.50, and >1.50 were 2.679 (95% confidence interval (CI) 1.025-6.999), 3.124 (95% CI 1.111-8.783), and 4.331 (95% CI 1.719-10.908), respectively.
Conclusions:
The results indicate that the risk of cerebrocardiovascular disease might be high in the workers with long working hours, high physical demand of work, and poor physical fitness engaged in work with a moderate to high physical work demand. Work hours should be accommodated according to the worker's physical fitness and the physical demand of work, and this could lower the risk of cerebrocardiovascular disease.
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