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O-75 Night and shift work and incident type 2 diabetes and hypertension – preliminary findings from a cohort study of healthcare employees in Stockholm
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O-75 Night and shift work and incident type 2 diabetes and hypertension – preliminary findings from a cohort study of healthcare employees in Stockholm
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O-75 Night and shift work and incident type 2 diabetes and hypertension – preliminary findings from a cohort study of healthcare employees in Stockholm
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Journal Article
O-75 Night and shift work and incident type 2 diabetes and hypertension – preliminary findings from a cohort study of healthcare employees in Stockholm
2023
Overview
IntroductionNight and shift work have been suggested to increase the risk of chronic health issues like hypertension and metabolic disorders. The aim was to evaluate the effects of various aspects of night and shift work on the risk of incident type 2 diabetes (T2D) and hypertension, using detailed and registry-based data on working hours.Material and MethodsThe cohort comprised about 28 000 nurses and nursing assistants (88% women, 12% men) employed for one year or more 2008-2016 in Stockholm, Sweden. Information on daily working hours was obtained from employee registers and information on diagnoses from national and regional registers. Prescribed medication was not used as an outcome. Hazard ratios (HRs) were estimated by discrete-time proportional hazard models, as functions of working hour characteristics the preceding year, adjusted for sex, age, country of birth, and profession.ResultsWe observed 232 cases of T2D and 875 cases of hypertension during follow-up 2013-2017. The risk of T2D was increased among employees who the preceding year had permanent night shifts compared to those with permanent day work (HR=1.59, 95% confidence interval 1.02-2.43). The risk was non-significantly increased among employees with day and afternoon shifts only (HR=1.34, 95% confidence interval 0.97-1.88). No significantly elevated risks were found related to frequency of night shifts, frequent spells of ≥3 consecutive night shifts or frequent quick returns (<28 hours) from night shifts, compared to those who never worked night. There was no trend in risk with number of years of night work. No increased risks were observed for hypertension.ConclusionsWorking permanent night shifts is associated with an increased risk of T2D but not hypertension. The frequency of night shifts or quick returns from night shifts did not significantly affect the results. Organizing work schedules to minimize permanent night work may reduce the risk of T2D.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD
