| Titre : | A Prospective cohort study of shift work and risk of ischemic heart disease in Japanese male workers. (2006) |
| Auteurs : | Yoshihisa FUJINO ; Yutaka INABA ; Hiroyasu ISO ; Akio KOIZUMI ; Tatsuhiko KUBO ; Akiko TAMAKOSHI ; Takesumi YOSHIMURA ; Japanese Collaborative Cohort Study Group. JPN |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 164, n° 2, 2006) |
| Pagination : | 128-135 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Facteur risque ; Japon ; Asie ; Ouvrier ; Homme ; Appareil circulatoire [pathologie] ; Epidémiologie ; Myocarde [pathologie] ; Vaisseau sanguin [pathologie] ; Biorythme ; Maladie chronique |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0x4k144. Diffusion soumise à autorisation]. This study prospectively examined the association between shift work and the risk of ischemic heart disease among Japanese male workers. A baseline survey, which involved 110,792 inhabitants (age range : 40-79 years) from 45 areas throughout Japan, was conducted between 1988 and 1990. The causes of death were identified from death certificates. The analysis was restricted to 17,649 men (age range : 40-59 years) who were employed at the time of the baseline survey. All subjects were asked to indicate the most regular shift work that they had undertaken previously : day work, rotating-shift work, or fixed-night work. The Cox proportional hazards model was used to estimate the risks of shift work for ischemic heart disease. During the 233,869 person-years of follow-up, a total of 1,363 deaths were recorded, 86 of which were due to ischemic heart disease. Compared with the day workers, the rotating-shift workers had a significantly higher risk of death due to ischemic heart disease (relative risk=2.32,95% confidence interval : 1.37,3.95 ; p=0.002), whereas fixed-night work was not associated with ischemic heart disease (relative risk=1.23,95% confidence interval : 0.49,3.10 ; p=0.658). In addition, subjects with coronary risk factors, such as hypertension, overweight, habitual alcohol consumption, and smoking, were highly susceptible to the effect of rotating-shift work on the risk of death due to ischemic heart disease. |
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