Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers

OBJECTIVE: We aimed to investigate the association between low-grade inflammation as indicated by high-sensitivity C-reactive protein (hsCRP) level and organizational factors, such as work hours and shift work. METHODS: We evaluated 7470 young and middle-aged workers who participated in the Korea Na...

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Main Authors: Wanhyung Lee, Seong-Kyu Kang, Won-Jun Choi
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2021-04-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3933
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author Wanhyung Lee
Seong-Kyu Kang
Won-Jun Choi
author_facet Wanhyung Lee
Seong-Kyu Kang
Won-Jun Choi
author_sort Wanhyung Lee
collection DOAJ
description OBJECTIVE: We aimed to investigate the association between low-grade inflammation as indicated by high-sensitivity C-reactive protein (hsCRP) level and organizational factors, such as work hours and shift work. METHODS: We evaluated 7470 young and middle-aged workers who participated in the Korea National Health and Nutrition Examination Surveys from 2015–2018. Work hours were determined from self-reported questionnaires. Shift work was defined as a non-daytime fixed work schedule. An interaction effect between shift work and long work hours on the hsCRP level was estimated using relative excess risk due to interaction (RERI) and attributable proportion (AP) with 95% confidence intervals (CI). RESULTS: Increased hsCRP levels were prevalent in 25.2% of the study population. There was a significant association between long work hours and increased hsCRP, especially among middle-aged men [odds ratio (OR) 1.50 (95% CI 1.20–1.87) for moderately increased hsCRP and OR 1.62 (95% CI 1.14–2.30) for highly increased hsCRP]. There was a significant interaction effect between long work hours and shift work on increased hsCRP among middle-aged workers. The RERI were 0.03 (95% CI 0.02–0.04) and 0.56 (95% CI 0.45–0.68) among middle-aged men and women, respectively. The AP were 0.02 (95% CI 0.01–0.03) and 0.36 (95% CI 0.31–0.40) among middle-aged men and women, respectively. CONCLUSION: There was no significant association between shift work and the level of hsCRP. Long work hours were related to low-grade inflammatory processes, but only in middle-aged workers. There was an interaction effect between long work hours and shift work for increased hsCRP, especially in middle-aged women.
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spelling doaj.art-7c3b0bb4eddc4d479f85426b561a9a862022-12-21T19:57:56ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2021-04-0147320020710.5271/sjweh.39333933Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workersWanhyung LeeSeong-Kyu KangWon-Jun Choi0Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.OBJECTIVE: We aimed to investigate the association between low-grade inflammation as indicated by high-sensitivity C-reactive protein (hsCRP) level and organizational factors, such as work hours and shift work. METHODS: We evaluated 7470 young and middle-aged workers who participated in the Korea National Health and Nutrition Examination Surveys from 2015–2018. Work hours were determined from self-reported questionnaires. Shift work was defined as a non-daytime fixed work schedule. An interaction effect between shift work and long work hours on the hsCRP level was estimated using relative excess risk due to interaction (RERI) and attributable proportion (AP) with 95% confidence intervals (CI). RESULTS: Increased hsCRP levels were prevalent in 25.2% of the study population. There was a significant association between long work hours and increased hsCRP, especially among middle-aged men [odds ratio (OR) 1.50 (95% CI 1.20–1.87) for moderately increased hsCRP and OR 1.62 (95% CI 1.14–2.30) for highly increased hsCRP]. There was a significant interaction effect between long work hours and shift work on increased hsCRP among middle-aged workers. The RERI were 0.03 (95% CI 0.02–0.04) and 0.56 (95% CI 0.45–0.68) among middle-aged men and women, respectively. The AP were 0.02 (95% CI 0.01–0.03) and 0.36 (95% CI 0.31–0.40) among middle-aged men and women, respectively. CONCLUSION: There was no significant association between shift work and the level of hsCRP. Long work hours were related to low-grade inflammatory processes, but only in middle-aged workers. There was an interaction effect between long work hours and shift work for increased hsCRP, especially in middle-aged women. https://www.sjweh.fi/show_abstract.php?abstract_id=3933 long work hourknhaneshscrpkorean workercardiovascular diseaseinflammationshift workerc-reactive proteinkoreaworking hourwork hour
spellingShingle Wanhyung Lee
Seong-Kyu Kang
Won-Jun Choi
Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
Scandinavian Journal of Work, Environment & Health
long work hour
knhanes
hscrp
korean worker
cardiovascular disease
inflammation
shift worker
c-reactive protein
korea
working hour
work hour
title Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
title_full Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
title_fullStr Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
title_full_unstemmed Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
title_short Effect of long work hours and shift work on high-sensitivity C-reactive protein levels among Korean workers
title_sort effect of long work hours and shift work on high sensitivity c reactive protein levels among korean workers
topic long work hour
knhanes
hscrp
korean worker
cardiovascular disease
inflammation
shift worker
c-reactive protein
korea
working hour
work hour
url https://www.sjweh.fi/show_abstract.php?abstract_id=3933
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