Effect of shift work on hypertension: cross sectional study

Yeom, Jeong Han; Sim, Chang Sun; Lee, Jiho; Yun, Seok Hyeon; Park, Soo‐Jin; Yoo, Cheol-In; Sung, Joo Hyun

doi:10.1186/s40557-017-0166-z

Cited by 49 publications

(44 citation statements)

References 27 publications

(34 reference statements)

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“…Third, our study is an epidemiological study that used existing data from the National Health and Nutrition Survey and therefore we could not assess all known variables related to our research topic. For example, considering the health effects of shift work, the working duration could be an important variable [ 19 , 20 , 33 , 34 ], but the working duration was not applicable because it was not assessed in the survey items.…”

Section: Discussionmentioning

confidence: 99%

Association between serum ferritin and hypertension according to the working type in Korean men: the fifth Korean National Health and nutrition examination survey 2010–2012

Lee¹,

Kang²,

Choi³

et al. 2018

Ann of Occup and Environ Med

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BackgroundSeveral studies suggest that serum ferritin concentrations reflect systemic inflammation, and high ferritin levels can increase the risk of hypertension in adult men. Shift work is also known to increase the risk of hypertension; however, there has been no study about the relationship between serum ferritin levels and the prevalence of hypertension according to the working type.MethodsThis cross-sectional study included 4,442 male participants (3,651 daytime workers and 791 shift workers) who participated in the fifth Korean National Health and Nutrition Examination Survey. Hypertension was defined as a systolic blood pressure greater than or equal to 140 mmHg, a diastolic blood pressure greater than or equal to 90 mmHg or the current use of antihypertensive medications regardless of blood pressure values. For the statistical analyses, serum ferritin levels were reclassified into quartiles, and complex sample analyses were used to evaluate the relationship between serum ferritin levels and the prevalence of hypertension according to the working type in this study.ResultsSerum ferritin and shift work were positively associated with the prevalence of hypertension. The effect of interaction was above multiplicative. When compared to participants in the lowest serum ferritin quartile, the odds ratio for hypertension for participants in the highest serum ferritin quartile was 1.372 (1.027–1.833) in daytime workers and 2.009 (1.042–3.873) in shift workers after adjustment.ConclusionsThe prevalence of hypertension increased as ferritin levels increased in individuals, especially in shift workers.

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Section: Discussionmentioning

confidence: 99%

Association between serum ferritin and hypertension according to the working type in Korean men: the fifth Korean National Health and nutrition examination survey 2010–2012

Lee¹,

Kang²,

Choi³

et al. 2018

Ann of Occup and Environ Med

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“…In particular, those who worked more than 51 hours per week were 29% more likely to report hypertension. In line with other study, Yeom et al (2017) examined workers in a general hospital located in Ulsan about the effects of shift work on hypertension: cross sectional study. They observed that working continuously in creases the risk for hypertension.…”

Section: Discussionmentioning

confidence: 70%

Family Involvement in the Treatment of Hypertensive Patients using Dunn’s Health Grid: A Multiple Case Study

Pratama¹

2019

Proceedings of the 5th International Conference on Health Sciences (ICHS 2018)

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Non-communicable diseases such as hypertension have overtaken infectious diseases as the leading causes of death in the world. However, it is considered to be a preventable disease. Family has a role in preventing and controlling this disease. The study aimed to analyze the involvement of family in the treatment of hypertensive patients in the community in Terban using qualitative research method with a multiple case study design. Using purposive sampling, four families were recruited to participate in this research, each of which represented four quadrants of Dunn's Health Grid. These characteristics include: (1) Case 1 is a family that has a patient with high-level of wellness in a favourable environment, (2) Case 2, has a patient with emergent high-level of wellness in an unfavourable environment, (3) Case 3, has a patient with protected poor health in a favourable environment, and (4) Case 4, has a patient with poor health in an unfavourable environment. To gather the data, this research used audio-recorded interviews, participant observation, field notes and documentation. The participants who were interviewed were 4 hypertensive patients,4 family members (1 each family), a public health nurse and a physician. Data were analyzed using thematic analysis and case descriptions which developed 3 main points; a) family as primary support, b) self-care maintenance, and c) barrier to treatment. This study concluded that family involvement in hypertensive treatment varied from case to case. The family members' involvement includes psychological and instrumental supports which affect the patients' independence in self-care treatment of hypertension. However, there are still some barriers to treatment, especially among families living in unfavourable environment. Therefore, the role of community health nursing becomes important to examine not only the health but also environmental conditions of hypertensive patients and to find out the weak points that need attention so that the role of family in managing hypertension patient can be maximized .

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“…For example, a meta-analysis of 12 studies showed that short sleep duration increases the risk of metabolic syndrome [32]. Cohort or crosssectional studies on night shift employees from different countries evidenced statistically significant coronary heart disease or diabetes risk [9,33,34]. It is also well documented that metabolic syndrome, type 2 diabetes and cardio-vascular disease have a direct association with age.…”

Section: Discussionmentioning

confidence: 99%

The “ECG modifications induced by the disturbance of the circadian rhythm in night-shift workers (ECGNoct)” study protocol

Oțelea

Streinu‐Cercel

Manolache

et al. 2019

Romanian Journal of Occupational Medicine

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In many large cohort studies, the night shift constitutes a risk factor for developing cardiovascular disease and diabetes in workers. Current screening tests for people working in night shift include fasting glycaemia and electrocardiography. In fact, there are few studies focused on the description of the electrocardiographic changes after the night shift. This article describes the protocol of the “ECG modifications induced by the disturbance of the circadian rhythm in night-shift workers (ECGNoct)” study, which was initiated by the National Institute for Infectious Diseases “Prof. Dr. Matei Balș”. Nurses represent the target population. The protocol includes a full medical and occupational history, lifestyle habits (smoking, alcohol, nutrition), anthropometric and blood pressure measurements, blood tests (fasting glycemia, total cholesterol, triglycerides and high density lipoprotein cholesterol) and electrocardiogram recording. For nurses working in (night) shifts, we will record the electrocardiogram before and soon after the night shift. A cross sectional study will analyze the incidence of the metabolic syndrome criteria, the cardio-metabolic diseases and the electrocardiographic modifications and will compare the results between the group of nurses working and the group of nurse who do not. Based on these results, a longitudinal study will test the hypothesis that night shift increases the risk for cardio-metabolic diseases and that the electrocardiographic modifications precede the clinical symptoms. The results of the study will provide data on the association of night shifts and other non-occupational risk factors with the cardio-metabolic diseases in this specific population of healthcare workers that potentially will integrate into the occupational medicine policies.

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Effect of shift work on hypertension: cross sectional study

Cited by 49 publications

References 27 publications

Association between serum ferritin and hypertension according to the working type in Korean men: the fifth Korean National Health and nutrition examination survey 2010–2012

Association between serum ferritin and hypertension according to the working type in Korean men: the fifth Korean National Health and nutrition examination survey 2010–2012

Family Involvement in the Treatment of Hypertensive Patients using Dunn’s Health Grid: A Multiple Case Study

The “ECG modifications induced by the disturbance of the circadian rhythm in night-shift workers (ECGNoct)” study protocol

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