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Association between shift work and hyperhomocysteinemia in male workers

Authors
Kang, DukyunKang, Seong-KyuChoi, Won-JunLee, Sang HaLee, Jun-HyungKwak, Kyeongmin
Issue Date
1-5월-2019
Publisher
KAMJE PRESS, XMLINK, CO
Keywords
Shift work; Homocysteine; Hyperhomocysteinemia; Cardiovascular disease
Citation
ANNALS OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, v.31
Indexed
SCOPUS
KCI
Journal Title
ANNALS OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume
31
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/131436
DOI
10.35371/aoem.2019.31.e1
ISSN
1225-3618
Abstract
Background: Shift work is associated with a higher risk of cardiovascular diseases. Here, we sought to assess the relationship between shift work and plasma homocysteine levels. Determining the correlations between shift work and homocysteine levels may provide a better understanding of the mechanisms underlying cardiovascular diseases. Methods: This study was performed using data from routine health examinations of steel workers in 2017. In total, 431 male workers (70 daytime workers and 361 shift workers) employed on a rolling departure schedule were recruited. Plasma homocysteine levels > 15 mu mol/L were considered elevated. The chi(2), analysis of variance, and multiple logistic regression analyses were used to examine the association between shift work and plasma homocysteine levels. Results: In comparison to daytime workers, the odds ratio (OR) of hyperhomocysteinemia in individuals with < 10 years of shift work was 1.14 (95% confidence interval [CI]: 0.64-2.03), compared to 2.01 (95% CI: 1.14-3.54) for workers with >= 10 years of experience. After adjusting for confounding variables, the adjusted OR for shift workers with < 10 years of experience was 0.95 (95% CI: 0.50-1.80), compared to 2.00 (95% CI: 1.07-3.74) for workers with >= 10 years of experience. Conclusions: The risk of hyperhomocysteinemia was significantly higher in shift workers compared to those working normal daytime hours, particularly among long-term shift workers.
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