Relationship Between Shift Work and Cardiovascular disease Risk Factors in Workers Referred to Occupational Medicine Center of Gonabad University of Medical Sciences

Maryam Moaven Saeidi, M. Saheban Maleki, Behnam Mazlum
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Abstract

Background: There are many well-known biologic and anthropometric risk factor for Developing Cardiovascular Diseases (CVD). Shift Work (SW) may be associated with CVD risk factors. Objectives: This study was performed to investigate the relationship of shift work and some of CVD risk factors. Materials & Methods: This analytical cross-sectional study was done in Occupational Medicine Center of Gonabad University of Medical Sciences from April to December in 2021. A total of 743 workers who referred for periodic health examination were selected by simple random sampling. Those workers with at least one year of work experience who had Satisfaction for participation were included to the study. Having congenital heart disease, heart failure, kidney disease, Taking drugs that increase blood pressure, blood lipid and sugar and pregnant women were excluded. Demographic data, Physical examination and Blood cholesterol, triglyceride and glucose measures were collected. Data analysis was performed using Mann–Whitney U test, student t-test, Chi-Square and Multivariate Linear Regression model with SPSS software version 21 at a significant level of 0.05. Results: Of total, 73.4% were men and 47.3% were shift workers. The Mean±Standard Deviation of age was 33.9±5.07 among shift workers, and 36.32±5.81 among Day-time workers. There was significant independent association between shift work and triglyceride (B=7.5, 95%CI=1.02,1.21, P=0.03) and cholesterol (B=7.2, 95%CI=1.12,1.22, P=0.028) values. Conclusion: The results of the present study showed that the concentration of blood triglycerides and cholesterol is higher in shift workers than day-time workers. Therefore, particular follow-up of shift workers should be recommended for screening and preventing cardiovascular risk factors
戈那巴德医科大学职业医学中心转诊工人轮班工作与心血管疾病危险因素的关系
背景:心血管疾病(CVD)的发生有许多众所周知的生物学和人体测量学危险因素。轮班工作(SW)可能与心血管疾病的危险因素有关。目的:本研究旨在探讨轮班工作与心血管疾病危险因素的关系。材料与方法:本分析性横断面研究于2021年4 - 12月在Gonabad医科大学职业医学中心完成。通过简单随机抽样,共选取743名提交定期健康检查的工人。具有一年以上工作经验且对参与满意度较高的员工被纳入研究。排除患有先天性心脏病、心力衰竭、肾脏疾病、服用升高血压、血脂和血糖的药物以及孕妇。收集人口统计资料、体格检查和血胆固醇、甘油三酯和葡萄糖测量。数据分析采用Mann-Whitney U检验、学生t检验、卡方和多元线性回归模型,采用SPSS软件21版,显著水平为0.05。结果:男性占73.4%,轮班工人占47.3%。轮班工人年龄的均值±标准差为33.9±5.07,白班工人年龄的均值±标准差为36.32±5.81。倒班与甘油三酯(B=7.5, 95%CI=1.02,1.21, P=0.03)和胆固醇(B=7.2, 95%CI=1.12,1.22, P=0.028)值之间存在显著的独立关联。结论:倒班工人血甘油三酯和胆固醇浓度高于白班工人。因此,应建议对轮班工人进行特别随访,以筛查和预防心血管危险因素
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