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Shiftwork and Biomarkers of Subclinical Cardiovascular Disease: The BCOPS Study

  • Meghan M. Holst
  • , Michael D. Wirth
  • , Anna Mnatsakanova
  • , James B. Burch
  • , Luenda E. Charles
  • , Cathy Tinney-Zara
  • , Desta Fekedulegn
  • , Michael E. Andrew
  • , Tara A. Hartley
  • , John M. Violanti
  • University of South Carolina
  • National Institute for Occupational Safety and Health
  • Department of Veterans Affairs

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Objective:To assess the association of shiftwork with biomarkers of subclinical cardiovascular disease and examine the moderating role of body mass index (BMI) in a police cohort.Methods:A cross-sectional analysis was conducted among officers who were categorized as working the day, evening, or night shift. Comparisons with inflammatory biomarkers were performed among shifts using analysis of variance/covariance and further stratified by BMI to assess potential effect modification.Results:Associations were observed between day and night shiftworkers for leukocytes, tumor necrosis factor alpha, and homocysteine. After BMI stratification, higher c-reactive protein (CRP) levels were observed among evening shiftworkers with a BMI more than or equal to 30kg/m2 versus the day shift.Conclusions:Future studies examining prospective changes in these markers will allow for more comprehensive evaluation of their association with shiftwork.

Original languageEnglish
Pages (from-to)391-396
Number of pages6
JournalJournal of Occupational and Environmental Medicine
Volume61
Issue number5
DOIs
StatePublished - May 1 2019

Keywords

  • Cardiovascular disease
  • Inflammation
  • Police work
  • Shiftwork

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