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Shift work and cardiovascular disease.

T Akerstedt, A Knutsson, L Alfredsson

    Scandinavian Journal of Work, Environment & Health
    |December 1, 1984
    PubMed
    Summary
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    Shift work is linked to a higher risk of cardiovascular disease, according to a review of studies. However, methodological flaws in early research mean the evidence is not yet conclusive.

    Area of Science:

    • Occupational Health
    • Cardiology
    • Epidemiology

    Background:

    • Shift work is a common occupational exposure.
    • Cardiovascular disease (CVD) is a leading cause of mortality.
    • Previous research suggests a potential link between shift work and CVD.

    Purpose of the Study:

    • To review and synthesize existing studies on the association between shift work and cardiovascular disease.
    • To evaluate the quality of evidence regarding shift work's impact on cardiovascular health.

    Main Methods:

    • Literature review of studies investigating shift work and cardiovascular disease.
    • Analysis of studies reporting cardiovascular disease incidence in relation to shift work exposure.
    • Assessment of methodological quality of included studies.

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    Main Results:

    • Several studies indicate an increased risk of cardiovascular disease among shift workers compared to day workers.
    • Many earlier studies on this topic suffer from significant methodological limitations, complicating interpretation.
    • The current body of evidence, while suggestive, is not yet considered conclusive.

    Conclusions:

    • While some evidence points to a higher cardiovascular disease risk in shift workers, definitive conclusions are hampered by study limitations.
    • Further high-quality research is needed to clarify the relationship between shift work and cardiovascular outcomes.
    • Addressing methodological flaws in future studies is crucial for accurate risk assessment.