Impact of shift work on blood pressure among emergency medical services clinicians and related shift workers: A systematic review and meta-analysis

Patterson, P. Daniel; Mountz, Kristina A.; Budd, Caitlin T.; Bubb, Jenna L.; Hsin, Austin U.; Weaver, Matthew D.; Turner, Rose; Platt, Thomas E.; Guyette, Francis X; Martin‐Gill, Christian; Buysse, Daniel J.; Callaway, Clifton W.

doi:10.1016/j.sleh.2020.03.006

Cited by 29 publications

(14 citation statements)

References 73 publications

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“…Studies have identified specific sleep features, rotational shift disorders, and appalling sleep quality among construction workers. Sleep deprivation among these laborers was related to many factors, including rotational, night, and extended hours ( 46 ). The average TST reported by the Fitbit meter was 353 ± 58 min, which was lower than previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, shift laborers showed shorter sleep duration in our study, which may be attributed to the fact that the circadian system was poorly adjusted to shift work. Additional research is needed to assess the impact of rotational shifts on sleep duration and quality ( 46 ). However, the probable etiology was an unsatisfactory adaptation of biological systems to change.…”

Section: Discussionmentioning

confidence: 99%

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RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Sathvik

Krishnaraj²,

Irfan³

2022

Front. Public Health

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Approximately 21% of the workers in developing and developed countries are shift laborers. The laborer's work shifts can affect personal life and sleep standards, adversely impacting laborers and their manage. This study assesses the impact of various shift plans (seven evenings/7 days, fixed-night or fixed-day, and backup shifts) on shift laborers, considering four shift schedules. Most laborers were on rotational shifts, whereas others were on a permanent day, permanent night, and standby shifts. In a cross-sectional study, 45 development laborers from the National Construction firm were enlisted. Bio-wearable sensors were provided to monitor sleep. Participants were approached and asked to complete a survey bundle comprising the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). Differences in sleep models were estimated using a Fitbit watch at various shift schedules. The average age of laborers who participated in the study was 37.5 years, and their average experience in the construction company was 6.5 years. The average total sleep time was 346 ± 46 min. The rotational shift laborers yielded the minimum total sleep time compared to the average PSQI and ESS scores of 7.66 ± 1.3 and 6.94 ± 3.4, respectively. Fifteen shift laborers (33.33%) were affected by a sleeping disorder in the present experimental investigation, and 30 participants had inadequate standards of sleep based on the PSQI scores. Poor sleep quality and duration among construction shift laborers decrease productivity at work. Additional studies are expected to assess sleep-related issues affecting construction shift laborers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Sathvik

Krishnaraj²,

Irfan³

2022

Front. Public Health

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“…The pooled effect of all three studies was recently reported in a meta-analysis, 51 which showed that the mean dip in Systolic BP was 14.8% (95% CI, 11.4-18.2) and for Diastolic BP it was 17.1% (95% CI, 13.6-20.6). This pooled effect shows a healthy intra-shift dip of 10% to 20%.…”

Section: The Argument For Intra-shift Nappingmentioning

confidence: 81%

Should public safety shift workers be allowed to nap while on duty?

Patterson

Weaver

Guyette

et al. 2020

American J Industrial Med

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Fatigue and sleep deficiency among public safety personnel are threats to wellness, public and personal safety, and workforce retention. Napping strategies may reduce work‐related fatigue, improve safety and health, yet in some public safety organizations it is discouraged or prohibited. Our aim with this commentary is to define intra‐shift napping, summarize arguments for and against it, and to outline potential applications of this important fatigue mitigation strategy supported by evidence. We focus our discussion on emergency medical services (EMS); a key component of the public safety system, which is comprised of police, fire, and EMS. The personnel who work in EMS stand to benefit from intra‐shift napping due to frequent use of extended duration shifts, a high prevalence of personnel working multiple jobs, and evidence showing that greater than half of EMS personnel report severe fatigue, poor sleep quality, inadequate inter‐shift recovery, and excessive daytime sleepiness. The benefits of intra‐shift napping include decreased sleepiness and fatigue, improved recovery between shifts, decreased anxiety, and reduced feelings of burnout. Intra‐shift napping also mitigates alterations in clinician blood pressure associated with disturbed sleep and shift work. The negative consequences of napping include negative public perception, acute performance deficits stemming from sleep inertia, and the potential costs associated with reduced performance. While there are valid arguments against intra‐shift napping, we believe that the available scientific evidence favors it as a key component of fatigue mitigation and workplace wellness. We further believe that these arguments extend beyond EMS to all sectors of public safety.

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“…In the night shift worker cohort, we found that a higher number of night shifts is associated with increased risk for high blood pressure. A review study observed that blood pressure measured during shift work is elevated compared to blood pressure during sleep period [ 31 ], showing the acute effects of shift work on blood pressure. However, few studies have examined the long-term impact of shift work on blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Night shift work and the risk of metabolic syndrome: Findings from an 8-year hospital cohort

Cheng

Liu

et al. 2021

PLoS ONE

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Objectives Studies concerning the risk of metabolic syndrome associated with night work have shown inconsistent findings, due to imprecise working time data and cross-sectional design. We used register-based daily working time data to examine the risk of incident metabolic syndrome associated with night shift work. Methods Working time data collected between 2010 and 2018 of 5775 Taiwanese hospital workers were used to identify night shift workers and to calculate the number of night shifts. Metabolic syndrome was identified by annual occupational health examination results, which were linked to the working time data. Logistic regression models and generalized estimating equations were used to examine the association between night shift work and metabolic syndrome and the 5 components of metabolic syndrome. Results Night shift work is associated with a higher risk of developing metabolic syndrome (adjusted OR = 1.36, 95% CI = 1.04 to 1.78) and high waist circumference (adjusted OR = 1.27, 95% CI = 1.07 to 1.78) compared to day work. Among night shift workers, increased number of night shifts was associated with high blood pressure (adjusted OR = 1.15, 95% CI = 1.01 to 1.31). Conclusions Night shift work is associated with metabolic risk factors. Long-term effects of circadian rhythm disruption on metabolic disturbances needs to be further studied.

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Impact of shift work on blood pressure among emergency medical services clinicians and related shift workers: A systematic review and meta-analysis

Cited by 29 publications

References 73 publications

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

RETRACTED: Evaluation of sleep quality and duration using wearable sensors in shift laborers of construction industry: A public health perspective

Should public safety shift workers be allowed to nap while on duty?

Night shift work and the risk of metabolic syndrome: Findings from an 8-year hospital cohort

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