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Titolo:
Intervention in shift scheduling and changes in biomarkers of heart disease in hospital wards
Autore:
Boggild, H; Jeppesen, HJ;
Indirizzi:
Aalberg Reg Hosp, Dept Occupat Med, Ctr Working Time Res, DK-9100 Aalborg,Denmark Aalberg Reg Hosp Aalborg Denmark DK-9100 me Res, DK-9100 Aalborg,Denmark
Titolo Testata:
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH
fascicolo: 2, volume: 27, anno: 2001,
pagine: 87 - 96
SICI:
0355-3140(200104)27:2<87:IISSAC>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOVASCULAR-DISEASE; SERUM-CHOLESTEROL; RISK-FACTORS; WORKERS;
Keywords:
cardiovascular diseases; epidemiology; intervention studies; lipids; lipoproteins; occupational exposure; prevention; risk factors; tolerance; work; work schedule;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Boggild, H Aalborg Sygehus Nord, Dept Occupat Med, Ctr Working Time Res, AMK, Postbox561, DK-9100 Aalborg, Denmark Aalborg Sygehus Nord Postbox 561 Aalborg Denmark DK-9100 nmark
Citazione:
H. Boggild e H.J. Jeppesen, "Intervention in shift scheduling and changes in biomarkers of heart disease in hospital wards", SC J WORK E, 27(2), 2001, pp. 87-96

Abstract

Objectives The effect of introducing regularity, few consecutive night shifts, more weekends off, and only 2 different types of shifts (day-evening or day-night) into shift scheduling on biomarkers of heart disease was studied. Methods Ergonomic shift criteria were introduced in a quasi-experimental controlled intervention in 4 hospital wards. Six wards participated as controls. Altogether 101 nurses and nurses' aides were followed for 6 months with measurements of cholesterol and triglycerides. The intervention led to more regular schedules and more staff having 2 shifts in 2 of the intervention wards 1 year after the intervention. The schedules among the controls became less regular and less predictable. The number of consecutive night shifts remained unchanged. Results After 6 months the high-density Lipoprotein (HDL) cholesterol level had increased in the intervention group, and the total cholesterol and low-density lipoprotein (LDL) cholesterol levels and the total:HDL cholesterol ratio had decreased. Regardless of the intervention, changes in regularity were associated with the triglyceride and HDL cholesterol levels and alsowith the total:HDL cholesterol ratio. More ergonomic changes were associated with lower LDL cholesterol levels, a lower total:HDL cholesterol ratio, and higher HDL cholesterol levels. Conclusions Increased ergonomic scheduling was possible. Lipids and lipoproteins changed as predicted, both when the changes were assessed in respectto the changes in schedules that resulted from the intervention and the changes that occurred regardless of the intervention. The study suggests thatscheduling based on ergonomic criteria is a possible means for reducing the risk of heart disease among shift workers.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 15:23:20