The Impact of Different Types of Shift Work on Blood Pressure and Hypertension: A Systematic Review and Meta-Analysis
| Autor: | Madeira, Sara Alexandra Gamboa, Fernandes, Carina, Paiva, Teresa, Santos Moreira, Carlos, Caldeira, Daniel |
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| Přispěvatelé: | Repositório da Universidade de Lisboa |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
night shift Health Toxicology and Mutagenesis 030204 cardiovascular system & hematology Night shift Rotating shift Shift work 03 medical and health sciences 0302 clinical medicine Bias cardiovascular disease Internal medicine Epidemiology medicine Humans Cause of death Occupational health business.industry Public Health Environmental and Occupational Health Shift Work Schedule blood pressure Odds ratio rotating shift Cardiovascular disease 030210 environmental & occupational health Confidence interval Permanent shift permanent shift Blood pressure Pooled variance Meta-analysis Hypertension occupational health work schedule Systematic review Work schedule Medicine Systematic Review business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 6738, p 6738 (2021) Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP International Journal of Environmental Research and Public Health |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Shift work (SW) encompasses 20% of the European workforce. Moreover, high blood pressure (BP) remains a leading cause of death globally. This review aimed to synthesize the magnitude of the potential impact of SW on systolic blood pressure (SBP), diastolic blood pressure (DBP) and hypertension (HTN). MEDLINE, EMBASE and CENTRAL databases were searched for epidemiological studies evaluating BP and/or HTN diagnosis among shift workers, compared with day workers. Random-effects meta-analyses were performed and the results were expressed as pooled mean differences or odds ratios and 95% confidence intervals (95% CI). The Newcastle-Ottawa Scale was used to assess the risk of bias. Forty-five studies were included, involving 117,252 workers. We found a significant increase in both SBD and DBP among permanent night workers (2.52 mmHg, 95% CI 0.75-4.29 and 1.76 mmHg, 95% CI 0.41-3.12, respectively). For rotational shift workers, both with and without night work, we found a significant increase but only for SBP (0.65 mmHg, 95% CI 0.07-1.22 and 1.28 mmHg, 95% CI 0.18-2.39, respectively). No differences were found for HTN. Our findings suggest that SW is associated with an increase of BP, mainly for permanent night workers and for SBP. This is of special interest given the large number of susceptible workers exposed over time. This work was supported by the Ph.D. research Grant PDE/BDE/127787/2016 from Fundação para a Ciência e Tecnologia (FCT) /Fundo Social Europeu. |
| Databáze: | OpenAIRE |
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