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Effect of night shift work on the control of hypertension and diabetes in workers taking medication

BACKGROUND: Night shift work induces physiological and psychological stress by altering sleep and biological rhythms and is associated with hypertension, diabetes, obesity, and cardiovascular diseases. Few studies have been conducted on the control of hypertension and diabetes. This study aimed to e...

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Autores principales: Park, Juha, Shin, Sang-Yeop, Kang, Yangwon, Rhie, Jeongbae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Occupational & Environmental Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850788/
https://www.ncbi.nlm.nih.gov/pubmed/31737282
http://dx.doi.org/10.35371/aoem.2019.31.e27
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author Park, Juha
Shin, Sang-Yeop
Kang, Yangwon
Rhie, Jeongbae
author_facet Park, Juha
Shin, Sang-Yeop
Kang, Yangwon
Rhie, Jeongbae
author_sort Park, Juha
collection PubMed
description BACKGROUND: Night shift work induces physiological and psychological stress by altering sleep and biological rhythms and is associated with hypertension, diabetes, obesity, and cardiovascular diseases. Few studies have been conducted on the control of hypertension and diabetes. This study aimed to examine the effect of night shift work on the control rate of hypertension and diabetes. METHODS: Subjects comprised workers aged 20–65 years who underwent specific health examination at a single facility in seven different affiliated examination centers from 1 January to 31 December 2016. Workers were categorised into day workers and night shift workers. Demographic and medical history were taken, and physical examination was done. Blood pressure (BP) and fasting glucose were measured. The control rate of each disease was evaluated based on treatment goals presented in the treatment guidelines of the Korean Society of Hypertension and the Korean Diabetes Association (systolic BP < 140 mmHg and diastolic BP < 90 mmHg; fasting glucose ≤ 130 mg/dL). RESULTS: Among 631,418 subjects, 11.2% (70,450) were night shift workers. Of whom 6.1% (4,319) were taking antihypertensive medication and 2.5% (1,775) were taking diabetes medication. Among patients taking antihypertensive medications, the proportion of those whose BP was controlled to suit treatment goals was 81.7% (26,635) of day workers and 77.4% (3,343) of night shift workers, which was significantly different (p < 0.001). Among patients taking diabetes medications, the proportion of those whose blood glucose was controlled to suit treatment goals was 37.4% (4,489) of day workers and 36.5% (647) of night shift workers, but the difference was not significant. The control rates for patients taking antihypertensive medications (odds ratio [OR]: 0.74, 95% confidence interval [CI]: 0.68–0.80) were lower among night shift workers than day workers with adjustment for age, sex, smoking history, alcohol consumption, exercise, and obesity. However, there were no differences in control rates for patients taking diabetes medications (OR: 0.99, 95% CI: 0.87–1.10) between day workers and night shift workers. CONCLUSIONS: Night shift work can have an effect on the uncontrolled BP in workers taking antihypertensive medications. Therefore, additional efforts for disease control are necessary for night shift workers with hypertension.
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spelling pubmed-68507882019-11-16 Effect of night shift work on the control of hypertension and diabetes in workers taking medication Park, Juha Shin, Sang-Yeop Kang, Yangwon Rhie, Jeongbae Ann Occup Environ Med Research Article BACKGROUND: Night shift work induces physiological and psychological stress by altering sleep and biological rhythms and is associated with hypertension, diabetes, obesity, and cardiovascular diseases. Few studies have been conducted on the control of hypertension and diabetes. This study aimed to examine the effect of night shift work on the control rate of hypertension and diabetes. METHODS: Subjects comprised workers aged 20–65 years who underwent specific health examination at a single facility in seven different affiliated examination centers from 1 January to 31 December 2016. Workers were categorised into day workers and night shift workers. Demographic and medical history were taken, and physical examination was done. Blood pressure (BP) and fasting glucose were measured. The control rate of each disease was evaluated based on treatment goals presented in the treatment guidelines of the Korean Society of Hypertension and the Korean Diabetes Association (systolic BP < 140 mmHg and diastolic BP < 90 mmHg; fasting glucose ≤ 130 mg/dL). RESULTS: Among 631,418 subjects, 11.2% (70,450) were night shift workers. Of whom 6.1% (4,319) were taking antihypertensive medication and 2.5% (1,775) were taking diabetes medication. Among patients taking antihypertensive medications, the proportion of those whose BP was controlled to suit treatment goals was 81.7% (26,635) of day workers and 77.4% (3,343) of night shift workers, which was significantly different (p < 0.001). Among patients taking diabetes medications, the proportion of those whose blood glucose was controlled to suit treatment goals was 37.4% (4,489) of day workers and 36.5% (647) of night shift workers, but the difference was not significant. The control rates for patients taking antihypertensive medications (odds ratio [OR]: 0.74, 95% confidence interval [CI]: 0.68–0.80) were lower among night shift workers than day workers with adjustment for age, sex, smoking history, alcohol consumption, exercise, and obesity. However, there were no differences in control rates for patients taking diabetes medications (OR: 0.99, 95% CI: 0.87–1.10) between day workers and night shift workers. CONCLUSIONS: Night shift work can have an effect on the uncontrolled BP in workers taking antihypertensive medications. Therefore, additional efforts for disease control are necessary for night shift workers with hypertension. Korean Society of Occupational & Environmental Medicine 2019-10-10 /pmc/articles/PMC6850788/ /pubmed/31737282 http://dx.doi.org/10.35371/aoem.2019.31.e27 Text en Copyright © 2019 Korean Society of Occupational & Environmental Medicine https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Park, Juha
Shin, Sang-Yeop
Kang, Yangwon
Rhie, Jeongbae
Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title_full Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title_fullStr Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title_full_unstemmed Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title_short Effect of night shift work on the control of hypertension and diabetes in workers taking medication
title_sort effect of night shift work on the control of hypertension and diabetes in workers taking medication
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850788/
https://www.ncbi.nlm.nih.gov/pubmed/31737282
http://dx.doi.org/10.35371/aoem.2019.31.e27
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