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The impact of different types of shift work on blood pressure and hypertension: a systematic review and meta-analysis

2021Artigo científico Acesso aberto
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dc.contributor.authorMadeira, Sara Alexandra Gamboa
dc.contributor.authorFernandes, Carina
dc.contributor.authorPaiva, Teresa
dc.contributor.authorSantos Moreira, Carlos
dc.contributor.authorCaldeira, Daniel
dc.date.accessioned2021-09-16T15:41:56Z
dc.date.available2021-09-16T15:41:56Z
dc.date.issued2021
dc.description© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).pt_PT
dc.description.abstractShift work (SW) encompasses 20% of the European workforce. Moreover, high blood pressure (BP) remains a leading cause of death globally. This review aimed to synthesize the magnitude of the potential impact of SW on systolic blood pressure (SBP), diastolic blood pressure (DBP) and hypertension (HTN). MEDLINE, EMBASE and CENTRAL databases were searched for epidemiological studies evaluating BP and/or HTN diagnosis among shift workers, compared with day workers. Random-effects meta-analyses were performed and the results were expressed as pooled mean differences or odds ratios and 95% confidence intervals (95% CI). The Newcastle-Ottawa Scale was used to assess the risk of bias. Forty-five studies were included, involving 117,252 workers. We found a significant increase in both SBD and DBP among permanent night workers (2.52 mmHg, 95% CI 0.75-4.29 and 1.76 mmHg, 95% CI 0.41-3.12, respectively). For rotational shift workers, both with and without night work, we found a significant increase but only for SBP (0.65 mmHg, 95% CI 0.07-1.22 and 1.28 mmHg, 95% CI 0.18-2.39, respectively). No differences were found for HTN. Our findings suggest that SW is associated with an increase of BP, mainly for permanent night workers and for SBP. This is of special interest given the large number of susceptible workers exposed over time.pt_PT
dc.description.sponsorshipThis work was supported by the Ph.D. research Grant PDE/BDE/127787/2016 from Fundação para a Ciência e Tecnologia (FCT) /Fundo Social Europeu.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Environ Res Public Health. 2021 Jun 23;18(13):6738pt_PT
dc.identifier.doi10.3390/ijerph18136738pt_PT
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttp://hdl.handle.net/10451/49530
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/journal/ijerphpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBlood pressurept_PT
dc.subjectCardiovascular diseasept_PT
dc.subjectNight shiftpt_PT
dc.subjectOccupational healthpt_PT
dc.subjectPermanent shiftpt_PT
dc.subjectRotating shiftpt_PT
dc.subjectSystematic reviewpt_PT
dc.subjectWork schedulept_PT
dc.titleThe impact of different types of shift work on blood pressure and hypertension: a systematic review and meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumber57424
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/57424/PT
oaire.citation.issue13pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume18pt_PT
oaire.fundingStreamOE
person.familyNameGamboa Madeira
person.familyNameTeixeira Fernandes
person.familyNamePaiva
person.familyNameSantos Moreira
person.familyNameCaldeira
person.givenNameSara
person.givenNameCarina Sofia
person.givenNameMaria Teresa Aguiar dos Santos
person.givenNameCarlos
person.givenNameDaniel
person.identifier988383
person.identifierLQrM6b0AAAAJ
person.identifier1465255
person.identifier.ciencia-idD617-DADD-EDB9
person.identifier.ciencia-id5A1B-358C-C56C
person.identifier.ciencia-id7B10-224A-DB1D
person.identifier.ciencia-idD01C-A3D1-B032
person.identifier.ciencia-idAA19-EC35-8D01
person.identifier.orcid0000-0003-0764-571X
person.identifier.orcid0000-0002-8258-1448
person.identifier.orcid0000-0002-7937-7841
person.identifier.orcid0000-0003-1816-9579
person.identifier.orcid0000-0002-2520-5673
person.identifier.scopus-author-id7005950248
person.identifier.scopus-author-id36623384200
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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