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Ischemic stroke and shift work
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.ORCID-id: 0000-0003-2148-8044
Umeå Universitet.
Umeå Universitet.
Visa övriga samt affilieringar
2007 (Engelska)Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 33, nr 6, s. 435-439Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: This study analyzed the potential association between shift work and ischemic stroke. METHODS: The analysis was carried out using a nested case-control study consisting of 138 shift workers and 469 day workers from the register of the Northern Sweden Monitoring of Trends and Determinants in Cardiovascular Diseases (MONICA) study and the Vasterbotten Intervention Programme. Logistic regression analysis was used to analyze the risk estimate for day workers in a comparison with shift workers and the risk of ischemic stroke. RESULTS: The crude odds ratio for shift workers' risk of experiencing an ischemic stroke was 1.0 (95% confidence interval 0.6-1.8) for both the men and the women. The risk estimates were consistent despite the introduction of several recognized risk factors for ischemic stroke in the logistic regression models. CONCLUSIONS: In the present study, none of the findings indicated a higher risk of shift workers undergoing an ischemic stroke than day workers.

Ort, förlag, år, upplaga, sidor
2007. Vol. 33, nr 6, s. 435-439
Nyckelord [en]
Ischemic stroke, shift work
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:miun:diva-4088ISI: 000253834000004PubMedID: 18327511Scopus ID: 2-s2.0-40749141220Lokalt ID: 4646OAI: oai:DiVA.org:miun-4088DiVA, id: diva2:29120
Tillgänglig från: 2008-12-09 Skapad: 2008-12-09 Senast uppdaterad: 2017-10-20Bibliografiskt granskad
Ingår i avhandling
1. Shift work and cardiovascular disease
Öppna denna publikation i ny flik eller fönster >>Shift work and cardiovascular disease
2012 (Engelska)Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Shift work is a work schedule being the opposite of normal daytime work, often defined as working time outside normal daytime hours (06:00 to 18:00). In recent years, shift work has been associated with an increased risk of numerous chronic conditions including for example cardiovascular disease, some types of cancer, type II diabetes, and the metabolic syndrome. While some studies on the association between shift work and chronic disease have found results supporting it, others have not. Therefore, more research is needed to clarify potential associations.The aim of this thesis was to further study the proposed association between shift work and cardiovascular disease. This was addressed by performing two studies, one analysing if shift workers had an increased risk of ischemic stroke compared to day workers. The other study analysed whether shift workers had an increased risk of short-term mortality (case fatality) after a myocardial infarction compared to day workers. The studies were performed using logistic regression analysis in two different case-control databasesThe findings from the first study indicated that shift workers did not have an increased risk of ischemic stroke. The findings from the second study showed that male shift workers had an increased risk of death within 28 days after a myocardial infarction; the results did not indicate an increased risk for female shift workers. The results from both studies were adjusted for both behavioural and medical risk factors without affecting the results. The findings from this thesis provide new evidence showing that male shift workers have an increased risk of death 28 days after a myocardial infarction, however more research is needed to clarify and characterise any such potential associations.

Ort, förlag, år, upplaga, sidor
Sundsvall: Mid Sweden University, 2012. s. 26
Serie
Mid Sweden University licentiate thesis, ISSN 1652-8948 ; 89
Nyckelord
Shift work, epidemiology, cardiovascular disease, stroke, case fatality
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:miun:diva-17466 (URN)978-91-87103-32-2 (ISBN)
Handledare
Tillgänglig från: 2012-11-28 Skapad: 2012-11-28 Senast uppdaterad: 2012-11-30Bibliografiskt granskad
2. Shift work and cardiovascular disease
Öppna denna publikation i ny flik eller fönster >>Shift work and cardiovascular disease
2015 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Shift work is often defined as working time outside daytime hours (06:00 to 18:00). In recent years, shift work has been associated with an increased risk of cardiovascular disease (CVD), type II diabetes, and the metabolic syndrome. While some studies support the associations, others do not. Therefore, more research is needed. The aim of this thesis was to further study the association between shift work and CVD. This was addressed by performing four studies, one analysed if shift workers had an increased risk of ischemic stroke, the second study analysed whether shift workers had an increased risk of short-term mortality (case fatality)after a myocardial infarction (MI). The third study analysed if shift work interacts with other risk factors for MI and the fourth study analysed if parental history of CVD interacted with shift work on the risk of MI. The studies were performed using logistic regression analyses and additive interaction analyses in two different case-control databases. Shift workers did not have an increased risk of ischemic stroke. Male shift workers had an increased risk of death within 28 days after a MI. Shift work interacts with some CVD risk factors and interacts with paternal history of CVD and the risk of MI for males. The findings from this thesis provide new evidence showing that shift work is in different ways associated with an increased risk of MI and related mortality, but not with ischemic stroke. However, more research is needed to clarify and characterise these results.

Ort, förlag, år, upplaga, sidor
Sundsvall: Mid Sweden University, 2015. s. 77
Serie
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 231
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:miun:diva-26219 (URN)978-91-88025-41-8 (ISBN)
Disputation
2015-11-27, Lubbesalen, Sundsvall, 13:15 (Svenska)
Handledare
Anmärkning

Vid tidpunkten för disputationen var följande delarbeten opublicerade: delarbete 3 manuskript, delarbete 4 manuskript

At the time of the doctoral defence the following papers were unpublished: paper 3 manuscript, paper 4 manuscript

Tillgänglig från: 2015-11-05 Skapad: 2015-11-05 Senast uppdaterad: 2015-12-22Bibliografiskt granskad

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Scandinavian Journal of Work, Environment and Health
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