The role of night shift work on blood pressure among healthy female nurses

Article Sidebar

PDF
Published: 2008-06-26
DOI: https://doi.org/10.18051/UnivMed.2008.v27.65-71
Keywords:
Shift work, systolic blood pressure, female nurses

Main Article Content

Lie T. Merijanti
Department of Occupational Medicine, Medical Faculty, Trisakti University
Diana Samara
Department of Occupational Medicine, Medical Faculty, Trisakti University
Reza Tandean
Department of Occupational Medicine, Medical Faculty, Trisakti University
Ridwan Harrianto
Department of Occupational Medicine, Medical Faculty, Trisakti University

Abstract

Although hypertension is probably the most common disease on earth, little is known about the association between shift work and hypertension. The aim of this study was to determine the relationship of night shift work and blood pressure among healthy nurses. A cross-sectional study was performed from March to April 2007 among 152 healthy female nurses from one hospital in Central Jakarta. Historical data were obtained from a self-administered detailed questionnaire, while anthropometric and blood pressure variables were measured directly. Shift workers had a significantly lower age (29.2 ± 5.6 years) and shorter job experience (6.9 ± 5.9 years) than day workers (age = 36.5 ± 8.7 years; job experience 15.4 ± 8.4 years). There was a higher prevalence of overweight individuals among shift workers (31/43 = 72.1%) in comparison with day workers (12/43 = 27.9%), even though the difference in prevalence did not reach statistical significance (p=0.121). Analysis of covariance yielded a significant relationship between shift work and systolic blood pressure (p=0.046), even after taking into account age and job experience. Systolic blood pressure was significantly influenced by shift working, while diastolic blood pressure was not (p=0.283). Working in the hospital on a 24-hour shift leads to abnormally high systolic blood pressure in female nurses, thus suggesting that this type of work may be a risk factor for cardiovascular disease.

Article Details

Issue

Vol. 27 No. 2 (2008)

Section

Review Article

The journal allows the authors to hold the copyright without restrictions and allow the authors to retain publishing rights without restrictions.

How to Cite

The role of night shift work on blood pressure among healthy female nurses. (2008). Universa Medicina, 27(2), 65-71. https://doi.org/10.18051/UnivMed.2008.v27.65-71

References

Boisard P, Cartron D, Gollac M, Valeyre A. Temps et travail: la durée du travail. Dublin: European Foundation for the Improvement of Living and Working Conditions, 2002.

Harrington JM. Health effects of shift work and extended hours of work. Occup Environ Med 2001; 58: 68-72.

Nagai K, Nagai N, Sugahara K, Niijima A, Nakagawa H. Circadian rhythms and energy metabolism and special reference to the suprachiasmatic nucleus. Neurosci Biobehav Rev 1994; 18: 579-84.

T Kitamura, K Onishi, K Dohi, T Okinaka, M Ito, N Isaka, et al. Circadian rhythm of blood pressure is transformed from a dipper to a non-dipper pattern in shift workers with hypertension. J Hum Hypertens 2002; 16: 193-7.

A Choobineh, A Rajaeefard, M Neghab. Problems related to shiftwork for health care workers at Shiraz University of Medical Sciences. East Mediterr Health J 2006; 12: 341-6.

Sakata K, Suwazono Y, Harada H, Okubuyu Y, Kobayashi E, Nogawa K. The relationship between shift work and the onset of hypertension in male Japanese workers. J Occup Environ Med 2003; 45: 1002-6.

Oishi M, Suwazono Y, Sakata K, Okubu Y, Harada H, Kobayashi E, et al. A longitudinal study on the relationship between shift work and the progression of hypertension in male Japanese workers. J Hypertens 2005; 23: 2173-8.

Inoue M, Morita H, Inagaki J, Harada N. Influence of differences in their jobs on cardiovascular risk factors in male blue-collar shift workers in their fifties. Int J Occup Environ Health 2004; 10: 313-8.

Murata K, Yano E, Shinuzaki T. Impact of shift work on cardiovascular function in a 10-year follow-up study. Scan J Work Environ Health 1999; 25: 272-7.

Virkkunen H, Harma M, Kauppinen T, Tenkanen L. Shift work, occupational noise and physical workload with ensuing development of blood pressure and their joint effect on the risk of coronary heart disease. Scan J Work Environ Health 2007; 33: 425-34.

Ha M, Park J. Shift work and metabolic risk factors of cardiovascular disease. J Occup Health 2005; 47: 89-95.

Nazri SM, Tengku MA, Winn T. The association of shift work and hypertension among male factory workers in Kota Bharu Kelantan, Malaysia. Southeast Asian J Trop Med Public Health 2008; 39: 176-83.

B Karlsson, A Knutsson, B Lindah. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27 485 people. Occup Environ Med 2001; 58: 747-52.

Bøggild H, Knutsson A. Shiftwork, risk factors and cardiovascular disease. Scand J Work Environ Health 1999; 25: 85-99.

Ohira T, Tanigawa T, Iso H, Odagiri Y, Takamiya T, Shimomitsu T, et al. Effects of shift work on 24-h ambulatory BP and its variability among Japanese workers. Scand J Work Environ Health 2000; 26: 421-6.

Hoshide S, Kario K, Hoshide Y, Umeda Y, Hashimoto T, Kunii O, et al. Association between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives. Am J Hypertens 2003; 16: 434-8.

Budijanto D, Astuti WD, Anggaeini R. Analisis kecenderungan hipertensi dalam hubungannya dengan usia dan body mass index. J Kedokter Trisakti 2000; 19: 47-54.

Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360: 1903-13.