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Shift Work and Early Arterial Stiffness: A Systematic Review

Author

Listed:
  • Waléria D. P. Gusmão

    (Department of Health, Life Cycles and Society, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil)

  • Isabele R. O. M. Pureza

    (Department of Nutrition, Campus I—Prof. Eduardo Almeida, Centro Universitário Cesmac, Maceió 57051-160, Brazil)

  • Claudia R. C. Moreno

    (Department of Health, Life Cycles and Society, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil)

Abstract

Shift work is a way of organizing rotating schedules throughout the day. This can include 1–3 shifts for the same person on a rotational basis with other workers. Schedules that include night work have been associated with cardiovascular risk, mainly due to circadian misalignment. This systematic review sought to determine whether shift work is a risk factor for increased arterial stiffness. A systematic review of different databases was performed, using the following keywords: work shift, night work, arteriosclerosis, vascular stiffness, arterial stiffness, pulse wave velocity, and their Medical Subject Headings. We selected and analyzed 11 articles regarding pulse wave velocity as an indicator of arterial stiffness. Two studies identified higher levels of arterial stiffness in shift workers compared to day workers, while two studies found the opposite. In addition, four studies found no differences in arterial stiffness between shifts, two studies associated shorter sleep duration with arterial stiffness, and one study observed that physical activity could prevent adverse cardiovascular outcomes in shift workers. The findings are heterogeneous and preclude any robust conclusions. However, the present review points to the need for further studies to investigate arterial stiffness in shift workers, with greater control for confounding factors and longitudinal design.

Suggested Citation

  • Waléria D. P. Gusmão & Isabele R. O. M. Pureza & Claudia R. C. Moreno, 2022. "Shift Work and Early Arterial Stiffness: A Systematic Review," IJERPH, MDPI, vol. 19(21), pages 1-15, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14569-:d:964916
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    References listed on IDEAS

    as
    1. Dagfinn Matre & Per Anton Sirnes & Elisabeth Goffeng & Øivind Skare & Marit Skogstad, 2022. "Sleep Duration, Number of Awakenings and Arterial Stiffness in Industrial Shift Workers: A Five-Week Follow-Up Study," IJERPH, MDPI, vol. 19(4), pages 1-9, February.
    2. Asgeir Mamen & Reidun Øvstebø & Per Anton Sirnes & Pia Nielsen & Marit Skogstad, 2020. "High-Intensity Training Reduces CVD Risk Factors among Rotating Shift Workers: An Eight-Week Intervention in Industry," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    3. Marit Skogstad & Asgeir Mamen & Lars-Kristian Lunde & Bente Ulvestad & Dagfinn Matre & Hans Christian D. Aass & Reidun Øvstebø & Pia Nielsen & Kari N. Samuelsen & Øivind Skare & Per Anton Sirnes, 2019. "Shift Work Including Night Work and Long Working Hours in Industrial Plants Increases the Risk of Atherosclerosis," IJERPH, MDPI, vol. 16(3), pages 1-11, February.
    4. Lars-Kristian Lunde & Øivind Skare & Asgeir Mamen & Per Anton Sirnes & Hans C. D. Aass & Reidun Øvstebø & Elisabeth Goffeng & Dagfinn Matre & Pia Nielsen & Hanne Siri Amdahl Heglum & Stine Eriksen Ham, 2020. "Cardiovascular Health Effects of Shift Work with Long Working Hours and Night Shifts: Study Protocol for a Three-Year Prospective Follow-Up Study on Industrial Workers," IJERPH, MDPI, vol. 17(2), pages 1-16, January.
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