ArticleScandinavian journal of work, environment & health2024
Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study.
Article in Scandinavian journal of work, environment & health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between night shift work and cardiovascular disease: a systematic review and dose-response meta-analysis.Frontiers in public health · 2025Pooled it
- The Risk of Cardiovascular Diseases for Shift Workers in the Prospective Heinz Nixdorf Recall Study.American journal of industrial medicine · 2026Article
- The effect of night shift work on daytime sleepiness and physiological health among pediatric nurses in Northern Ghana: a cross-sectional survey.Scientific reports · 2026Article
- The mediating effect of immune-inflammatory indices in shift work and hypertension: a cohort study in China.Scandinavian journal of work, environment & health · 2026Article
- The association between shift work, occupational physical activity and cardiovascular-kidney-metabolic syndrome: a cohort study in China.Frontiers in public health · 2026Article
- Factors influencing heart rate variability in nurses following night shifts: a prospective observational clinical study.BMC nursing · 2025Article
- Psychosocial risk factors at work: perspectives of master's and doctoral students working in the health sector.Revista da Escola de Enfermagem da U S P · 2025Article
- The impact of working night shifts on cardiac autonomic nervous regulation during the six-minute walk test in nurses.BMC nursing · 2024Article
- The independent and interactive effects of changes in overtime and night shifts during the COVID-19 pandemic on burnout among nurses: a longitudinal study.Scandinavian journal of work, environment & health · 2024Article
- Working hours and cardiovascular disease.Scandinavian journal of work, environment & health · 2024Article
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Authors and funding
19 authors.
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Abstract
objectiveThis study aimed to determine if there is an increased risk of incident cardiovascular diseases (CVD) resulting from cumulative night shift work in the German population-based Gutenberg Health Study (GHS).
methodsWe examined working participants of the GHS at baseline and after five years. Cumulative night shift work in the 10 years before baseline was assessed and categorized as low (1-220 nights ≙ up to 1 year), middle (221-660 nights ≙ 1-3 years), and high (>660 nights ≙ more than 3 years) night shift exposure. Hazard ratios (HR) were estimated for incident "quality-assured CVD events" using Cox proportional hazard models.
resultsAt baseline, 1092 of 8167 working participants performed night shift work. During the follow-up, 202 incident cardiovascular events occurred. The crude incidence rates for CVD per 1000 person-years were 6.88 [95% confidence interval (CI) 4.80-9.55] for night shift workers and 5.19 (95% CI 4.44-6.04) for day workers. Cumulative incidence curves showed a higher cumulative incidence in workers exposed to night shift work compared to day workers after five years. The adjusted HR for incident CVD events were 1.26 (95% CI 0.68-2.33), 1.37 (95% CI 0.74-2.53) and 1.19 (95% CI 0.67-2.12) for employees in the low, middle and high night shift categories compared to employees without night shift work, respectively.
conclusionsThe observed tendencies indicate that night shift work might be negatively associated with cardiovascular health. We expect the continued follow-up will clarify the long-term impact of night shift work.
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