Night and rotational work exposure within the last 12 months and risk of incident hypertension

Source avec lien : Ferguson, J. M., Costello, S., Neophytou, A. M., Balmes, J. R., Bradshaw, P. T., Cullen, M. R., & Eisen, E. A. (2018). Night and rotational work exposure within the last 12 months and risk of incident hypertension. Scandinavian Journal of Work, Environment & Health, Prépublication. https://doi.org/10.5271/sjweh.3788

Le travail posté, tel que l’alternance du jour et de la nuit, provoque des perturbations chronobiologiques pouvant entraîner une augmentation du risque d’hypertension. Cependant, les contributions relatives des composantes du travail posté – telles que le type de poste (par exemple, le travail de nuit) et les rotations (c’est-à-dire le changement d’horaire de travail; de jour en soir) – sur cette association ne sont pas claires. Pour répondre à cette question, nous avons élaboré de nouvelles définitions du travail de nuit et du travail en rotation et évalué leurs associations avec le risque d’hypertension incidente.

Objectives Shift work, such as alternating day and nights, causes chronobiologic disruptions which may cause an increase in hypertension risk. However, the relative contributions of the components of shift work ‒ such as shift type (eg, night work) and rotations (ie, switching of shift times; day to night) ‒ on this association are not clear. To address this question, we constructed novel definitions of night work and rotational work and assessed their associations with risk of incident hypertension.

Methods A cohort of 2151 workers at eight aluminum manufacturing facilities previously studied for cardiovascular disease was followed from 2003 through 2013 for incident hypertension, as defined by ICD-9 insurance claims codes. Detailed time-registry data was used to classify each worker’s history of rotational and night work. The associations between recent rotational work and night work in the last 12 months and incident hypertension were estimated using adjusted Cox proportional hazards models.

Results Elevated hazard ratios (HR) were observed for all levels of recent night work (>0–5, >5–50, >50–95, >95–100%) compared with non-night workers, and among all levels of rotational work (<1, 1–10, >10–20, >20–30, and >30%) compared with those working <1% rotational work. In models for considering the combination of night and rotational work, workers with mostly night work and frequent rotations (≥50% night and ≥10% rotation) had the highest risk of hypertension compared to non-night workers [HR 4.00, 95% confidence interval (CI )1.69–9.52].

Conclusions Our results suggest recent night and rotational work may both be associated with higher rates of incident hypertension.

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