Shift Work and Heart Rate Variability Coherence: Pilot Study Among Nurses

Burch, James B.; Alexander, Melannie; Balte, Pallavi; Sofge, Jameson; Winstead, James; Kothandaraman, Venkat; Ginsberg, J. P.

doi:10.1007/s10484-018-9419-z

Cited by 23 publications

(23 citation statements)

References 77 publications

(125 reference statements)

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“…In spite of what was expected, night shift working did not influence the HRV parameters, showing no statistically significant differences between the patrolling (NSP) and station-based (NSS) groups compared to the control group. In the literature, in fact, several studies have shown altered circadian rhythms of HRV in night shift workers, which cause imbalance in the autonomic nervous system, increasing the risk of cardiovascular diseases [23,[31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

HRV in Active-Duty Special Forces and Public Order Military Personnel

et al. 2021

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Heart rate variability (HRV) is a simple, non-invasive, real-time analyzable, and highly reproducible measurement that captures incidences for assessing a person’s health and physical condition. Public security jobs are characterized by major exposure to risk factors known to influence the cardiovascular response to stimuli, e.g., night shifts, highly physically demanding activity, and acute stress activity. This study aimed to evaluate the HRV parameters in a population of 112 male personnel of the special forces and public order of the Carabinieri, aged 25–59, when engaged in several duty tasks, such as paratroopers, night shift police station officers, night shift patrol, dynamic precision shooting evaluative team, dynamic precision shooting non-evaluative team, and office clerks (used as control group). During the specific task of each participant, the HRV parameters were collected with wearable devices and processed. The HRV parameters in the time and frequency domains collected were average heart rate, standard deviation of all normal RR intervals, root mean square of successive differences in adjacent normal-to-normal (NN) intervals, very-low-frequency power, low-frequency power, high-frequency power, stress index, parasympathetic nervous system activity index, and sympathetic nervous system activity index. Parametric tests for independent series to compare the HRV parameters by subgroups within the study subjects were used. A multivariate linear regression analysis was conducted to evaluate the association between the HRV parameters and some personal and organizational factors. The comparison between different subgroups showed that activities with a high demand for concentration and precision, as is the case with paratroopers and dynamic precision shooters, differ significantly from activities that can be defined as routine, such as office work. Other activities, such as patrolling or remote management from operations centers, although including critical elements, did not deviate significantly from the control group. The study of HRV parameters is therefore a useful tool for occupational physicians, both for addressing work suitability assessments and for better targeting health promotion campaigns, to be considered as being aimed at monitoring the subject’s physiological parameters, and not at the diagnosis of any pathological condition, which should always be carried out by the medical specialist.

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Section: Discussionmentioning

confidence: 99%

HRV in Active-Duty Special Forces and Public Order Military Personnel

et al. 2021

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“…BMI has been implicated in many metabolic disorders such as diabetes, and this may shed more light on the current understanding of the underlying mechanism of shiftwork-related health outcomes. A dose-response relationship between duration of exposure to shiftwork and changes in BMI has been reported 16,46 . It has been demonstrated that every 5-year-increase in exposure to shiftwork was significantly associated with a 0.17 unit in-crease in BMI among nurses 16,46 .…”

Section: Shiftwork and Cancersmentioning

confidence: 99%

“…A dose-response relationship between duration of exposure to shiftwork and changes in BMI has been reported 16,46 . It has been demonstrated that every 5-year-increase in exposure to shiftwork was significantly associated with a 0.17 unit in-crease in BMI among nurses 16,46 . Moreover, another study (n=1163 nurses) revealed a significant association between working for more than 12 hours per day combined with working for more than 40 hours per week and a higher risk of musculoskeletal diseases.…”

Section: Shiftwork and Cancersmentioning

confidence: 99%

Shift Work Association with Cardiovascular Diseases and Cancers among Healthcare Workers: A Literature Review

Yau¹,

Haque²

2019

MMJ

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The round-the-clock demands of healthcare services, coupled with the shortage of healthcare providers in many parts of the world, have made shiftwork widespread among healthcare workers. Understanding how to mitigate unfavourable effects of shiftwork on well-being is essential to improve health promotion, to prevent disease prevention, and to increase quality of life. This comprehensive review aims to present evidence linking shiftwork with cardiovascular diseases and cancers among healthcare workers. Several studies have demonstrated evidence indicating the relationship between long-term exposure to shiftwork tempo and a higher risk of cardiovascular diseases. Health workers are increasingly witnesing unfavourable effects of shiftwork on their health state. Shiftwork disturbs circadian rhythm and cardiopulmonary processes, leading to adverse health outcomes. Increasing prevalence of shiftwork in healthcare industries due to population expansion and public health threat of cancers call for investigation towards a better understanding of the underlying mechanism of shiftwork-induced diseases. The shift work period has been considered in different studies using various criteria, resulting in inconsistent definition of measurement criteria leading to misclassification of the study population. There is a need for a more considerable and holistic effort towards standardization of shiftwork definition and conduct an assessment to establish a more conveniently appliacable framework for intervention strategies.

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“…HRV is a valid, non-invasive procedure that has been widely applied to understand the physiological autonomic changes during different sleep stages. It has also been applied to understand the effect of sleep-disordered breathing, periodic limb movements, and insomnia, both during sleep and wakefulness [ 12 , 16 , 17 ]. Henelius et al [ 18 ] mentioned that HRV metrics could therefore be exceptionally well suited for measuring sleepiness under normal working conditions.…”

Section: Introductionmentioning

confidence: 99%

“…In turn, HF was higher during sleeping hours [ 24 ]. Therefore, how to mitigate the pathophysiological interference caused by shift work is very important for implementing effective safety and disease prevention strategies [ 16 ]. In a study of healthy male shift workers, spectrum analysis based on heart variability within 24 h showed that lower values of LFnu and LF/HF were suggestive of a reduced cardiac sympathetic modulation and were present when compared with observations when performing work tasks at night and when working in the morning as well as evening [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses

Hsu

Lee

Lin

2021

IJERPH

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The quality of nurses’ work has a direct effect on patient health, and poor sleep has been positively associated with nurses’ medical errors. The aim of this study was to investigate the relationship between quality of sleep and heart rate variability (HRV) among female nurses. A descriptive cross-sectional correlational study design was used in January 2014 to study female nurses (n = 393) employed in a medical center in Taiwan. Data were obtained from several questionnaires. HRV was analyzed with five-minute recordings of heart rate signals obtained using a Heart Rater SA-3000P. Approximately 96% of the participants self-reported a poor quality of sleep. Compared to non-shift nurses, significant decreases were found in total power (TP) and low-frequency HRV among shift-work nurses. However, negative correlations were found between sleep quality and HRV, including total power, low frequency, and the low frequency/high frequency ratio (r = −0.425, p < 0.05; r = −0.269, −0.266, p < 0.05). In a stepwise multiple regression analysis, 23.1% of variance in quality of sleep can be explained by TP and heart rate. The sleep quality of female nurses was poor and this affected their autonomic nervous system, which can contribute unfavorable consequences for their health.

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Shift Work and Heart Rate Variability Coherence: Pilot Study Among Nurses

Cited by 23 publications

References 77 publications

HRV in Active-Duty Special Forces and Public Order Military Personnel

HRV in Active-Duty Special Forces and Public Order Military Personnel

Shift Work Association with Cardiovascular Diseases and Cancers among Healthcare Workers: A Literature Review

Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses

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