Short rest between shift intervals increases the risk of sick leave: a prospective registry study

Vedaa, Øystein; Pallesen, Ståle; Waage, Siri; Bjorvatn, Bjørn; Sivertsen, Børge; Erevik, Eilin K.; Svensen, Erling; Harris, Anette

doi:10.1136/oemed-2016-103920

Cited by 49 publications

(67 citation statements)

References 25 publications

(48 reference statements)

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“…These definitions of night and evening shifts have also been used in other studies (e.g. Vedaa et al 2017). Archival sick leave records were also retrieved from the employers' records, and included information about the date of every full day of absence due to sickness from 2010 throughout 2013.…”

Section: Registry Datamentioning

confidence: 99%

Long working hours are inversely related to sick leave in the following 3 months: a 4-year registry study

Vedaa

Pallesen

Erevik

et al. 2018

Int Arch Occup Environ Health

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The aim of this study was to investigate the effects of long working hours (≥12 hour shifts) on sick leave using objective records of shift work exposure and of sick leave. Methods A total of 1,538 nurses (mean age: 42.5, SD: 12.0; response rate 42%) participated. Payroll and archival sick leave data over a four-year period were retrieved from employers' records and aggregated over every third calendar month. A multilevel negative binomial model was used to investigate the effects of exposure to long working hours, on subsequent sick leave rates the following three months. Covariates included prior sick leave, number of shifts worked, night and evening shifts, personality, and demographic characteristics. Results Exposure to long working hours was associated with fewer sick leave days in the subsequent three months [adjusted model, incidence rate ratio (IRR)=0.946, 95%CI=0.919-0.973, p<0.001]. The interaction long working hours by a number of work days showed that sick leave days the subsequent three months was higher by long shifts when number of shifts was high compared to when number of shifts was low [adjusted model, IRR=1.002, 95%CI=1.000-1.004, p<0.05]. Discussion Long working hours was associated with fewer sick leave days. The restorative effects of extra days off with long working hours are discussed as possible explanations to this relationship.

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Section: Registry Datamentioning

confidence: 99%

Long working hours are inversely related to sick leave in the following 3 months: a 4-year registry study

Vedaa

Pallesen

Erevik

et al. 2018

Int Arch Occup Environ Health

Self Cite

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“…Schläfrigkeit am Folgetag niederschlägt (Eldevik et al 2013). Langfristig sind Schlafstörungen und Erschöpfungssyndrome (Åkerstedt und Kecklund 2017;Dahlgren et al 2016;Härmä et al 2018) sowie ein erhöhtes Risiko für eine Arbeitsunfähigkeit durch Krankheit (Vedaa et al 2017b) zu beobachten. Negative Auswirkungen ergeben sich auch für das Unfallrisiko und die Fehlerrate (Folkard und Lombardi 2006;Nielsen et al 2019;Vedaa et al 2019).…”

Section: Stand Der Forschung Und Fragestellungenunclassified

Auswirkungen verkürzter Ruhezeiten auf Gesundheit und Work-Life-Balance bei Vollzeitbeschäftigten: Ergebnisse der BAuA-Arbeitszeitbefragung 2017

2019

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Zusammenfassung Flexible Arbeitszeitmodelle gewinnen in der modernen Arbeitswelt zunehmend an Bedeutung. Vielfach wird in Frage gestellt, ob bestehende Regelungen des Arbeitszeitgesetzes den Wandel der Arbeitswelt noch angemessen berücksichtigen. Vor diesem Hintergrund wurde auch eine Diskussion über die gesetzliche Mindestruhezeit von elf Stunden zwischen zwei Arbeitstagen angestoßen. Dieser Beitrag zeigt auf Basis der BAuA-Arbeitszeitbefragung 2017 (n = 6136 Vollzeitbeschäftigte), dass die Verkürzung von Ruhezeiten, über alle Berufe hinweg, negativ mit psychosomatischen Beschwerden und Work-Life-Balance assoziiert ist. Zudem kann gezeigt werden, dass der vielfach bestätigte negative Zusammenhang zwischen täglichen Arbeitszeiten bzw. Überstunden mit Gesundheit und Work-Life-Balance zum Teil auf verkürzte Ruhezeiten zurückzuführen ist. Aus den Analysen wird deutlich, dass bereits eine gelegentliche Unterschreitung der elfstündigen Mindestruhezeit mit Risiken für Gesundheit und einer schlechteren Work-Life-Balance einhergeht. Praktische Relevanz: Verkürzte Ruhezeiten zeigen negative Zusammenhänge zu Gesundheit und Work-Life-Balance. Die gesetzlichen Ruhezeiten stellen aus Sicht des Arbeitsschutzes daher einen notwendigen Mindeststandard dar, dessen Einhaltung für eine gesunde Arbeitszeitgestaltung für alle Tätigkeiten maßgeblich ist. Eine Flexibilisierung der Arbeitszeit, in Form einer Absenkung der Mindestruhezeit, ist aus arbeitswissenschaftlicher Sicht abzulehnen. Darüber hinaus sollten die bestehenden Ausnahmeregelungen kritisch reflektiert werden. Bei der Gestaltung und Bewertung von Arbeitszeiten sollte neben der Länge der Arbeitszeit stets auch die Ruhezeit berücksichtigt werden. Eine Unterschreitung der Mindestruhezeit sollte in jedem Fall vermieden werden.

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“…Coupled with shortened hours of work, ensuring a daily rest period can be a promising measure. Empirical data to support fatigue recovery with a daily rest period were limited except for shift‐working individuals . Recent studies for daytime workers indicate that fatigue is more likely to be recovered as the daily rest period becomes longer in terms of stress responses, sleep duration and quality, and blood pressure .…”

Section: Discussionmentioning

confidence: 99%

“…Empirical data to support fatigue recovery with a daily rest period were limited except for shift-working individuals. [28][29][30] Recent studies for daytime workers indicate that fatigue is more likely to be recovered as the daily rest period becomes longer in terms of stress responses, sleep duration and quality, and blood pressure. [31][32][33] In particular, adequate sleep plays a core role in maintaining the health, productivity, and the quality of life among working populations.…”

Section: Potential Strategies To Reduce the Risk Of Overwork-relatementioning

confidence: 99%

Sociomedical problems of overwork‐related deaths and disorders in Japan

Takahashi

2019

Journal of Occupational Health

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Objectives Cerebrovascular and cardiovascular diseases (CCVDs) and mental disorders, including suicide, are prevalent among overworked individuals in Japan. The 2014 legislation regarding the prevention of overwork‐related deaths and disorders has accelerated the research in this field and ultimately the implementation of preventive actions. Methods To understand the current problematic situations, the Research Center for Overwork‐Related Disorders of the National Institute of Occupational Safety and Health, Japan, conducted analyses of compensated claims for overwork‐related CCVDs and mental disorders that were recognized from January 2010 to March 2015. Results The majority of CCVD cases were the men in their 50s. Transport and postal activities was the highest risk industry. Cerebrovascular cases were higher than cardiovascular ones. Long working hours was the principal factor for CCVDs. The mental disorder cases comprised approximately 70% men and affected younger age groups (peak in the third decade) with various industries at risk. In men, there was an almost equal number of F3 (Mood [affective] disorders) and F4 (Neurotic, stress‐related, and somatoform disorders) diagnoses according to the 10th revision of the International Classification of Diseases and Related Health Problems. A larger number of women were diagnosed to have F4. The mental disorder cases were associated not only with long working hours, but also with injuries and disasters as well as interpersonal conflict at work. Conclusions Multiple, simultaneous actions need to be made by employees, employers, researchers, and the authorities to achieve the goal of reducing the number of workers suffering from the overwork‐related CCVDs and mental disorders.

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Short rest between shift intervals increases the risk of sick leave: a prospective registry study

Abstract: We found a positive linear relationship between QR and sick leave. Avoiding QR may help reduce workers' sick leave. The restricted recovery opportunity associated with QR may give little room for beneficial effects of individual characteristics usually associated with shift work tolerance.

Cited by 49 publications

References 25 publications

Long working hours are inversely related to sick leave in the following 3 months: a 4-year registry study

Long working hours are inversely related to sick leave in the following 3 months: a 4-year registry study

Auswirkungen verkürzter Ruhezeiten auf Gesundheit und Work-Life-Balance bei Vollzeitbeschäftigten: Ergebnisse der BAuA-Arbeitszeitbefragung 2017

Sociomedical problems of overwork‐related deaths and disorders in Japan

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