ArticleScandinavian journal of work, environment & health2022
Night and shift work characteristics and incident ischemic heart disease and atrial fibrillation among healthcare employees - a prospective cohort study.
Article in Scandinavian journal of work, environment & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Long-term night shift work and cardiometabolic health in healthcare workers: a review of mechanisms and precision intervention strategies.Frontiers in public health · 2026Pooled it
- Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis.Frontiers in public health · 2025Pooled it
- Occupational Risk for Coronary Artery Disease in Shift Workers - A Systematic Review.La Medicina del lavoro · 2024Pooled it
- Organisational-level risk and health-promoting factors within the healthcare sector-a systematic search and review.Frontiers in medicine · 2024Pooled it
- Shift work and medically certified sickness absence due to common mental disorders among nursing staff: a prospective cohort study.European journal of public health · 2026Article
- Working time traffic light recommendations: development, use, and implementation in the Finnish social and healthcare.Industrial health · 2026Article
- Effectiveness of rosemary extract on the cardiovascular risk of emergency nursing professionals - an intervention study.Revista da Escola de Enfermagem da U S P · 2026Article
- Changes in shift patterns due to the COVID-19 pandemic: a prospective cohort study of the intensive care nursing staff in hospitals in Stockholm.International journal of nursing studies advances · 2025Article
- Impact of nocturnal duty on cardiometabolic health: Insights across professions.World journal of cardiology · 2025Article
- Diurnal Variation in Melatonin-Mediated Cardiac Protection via Per2 Expression in Heart.Journal of pineal research · 2025Article
- The impact of night shift workload on nurses' depressive symptoms: a chain mediation analysis of sleep disturbances, social avoidance and fear of missing out.Frontiers in public health · 2025Article
- The consequences of after-hours work: a fixed-effect study of burnout, pain, detachment and work-home conflict among Norwegian workers.Scandinavian journal of work, environment & health · 2025Article
- The impact of working night shifts on cardiac autonomic nervous regulation during the six-minute walk test in nurses.BMC nursing · 2024Article
- Concurrent Trajectories of Objectively Measured Insufficient Recovery and Workload Among a Cohort of Shift Working Hospital Employees: Quantitative Empirical Research.Nursing open · 2024Article
- Review
- The Impact of Night Work on the Sleep and Health of Medical Staff-A Review of the Latest Scientific Reports.Journal of clinical medicine · 2024Review
- Working hours and health - key research topics in the past and future.Scandinavian journal of work, environment & health · 2024Review
- Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study.Scandinavian journal of work, environment & health · 2024Article
- Working hours and cardiovascular disease.Scandinavian journal of work, environment & health · 2024Article
- Fifty years of research in the Scandinavian Journal of Work, Environment & Health.Scandinavian journal of work, environment & health · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to examine the effects of various aspects of night and shift work on the risk of incident ischemic heart disease (IHD) and atrial fibrillation (AF) using detailed and registry-based exposure data.
methodsThis prospective cohort study included >30 300 healthcare employees (eg, nurses, nursing assistants) employed for at least one year in Region Stockholm 2008-2016. Information on daily working hours was obtained from a computerized administrative employee register and outcomes from national and regional registers. Using discrete-time proportional hazard models, we analyzed the outcomes as functions of working hour characteristics the preceding year, adjusted for sex, age, country of birth, education, and profession.
resultsWe observed 223 cases of IHD and 281 cases of AF during follow-up 2009-2016. The risk of IHD was increased among employees who the preceding year had permanent night shifts compared to those with permanent day work [hazard ratio (HR) 1.61, 95% confidence interval (CI) 1.06-2.43] and among employees working night shifts >120 times per year compared to those who never worked night (HR 1.53, 95% CI 1.05-2.21). When restricted to non-night workers, the risk of IHD was increased for employees having frequent quick returns from afternoon shifts. No increased risks were observed for AF.
conclusionsNight work, especially working permanent night shifts and frequent night shifts, is associated with an increased risk of incident IHD but not AF. Moreover, frequent quick returns from afternoon shifts (among non-night workers) increased IHD risk. Organizing work schedules to minimize these exposures may reduce IHD risk.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.