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The relationship between anthropometric measures and cardiometabolic health in shift work: findings from the Atlantic PATH Cohort Study

Sweeney, Ellen; Yu, Zhijie Michael; Dummer, Trevor J. B.; Cui, Yunsong; DeClercq, Vanessa; Forbes, Cynthia; Grandy, Scott A.; Keats, Melanie; Parker, Louise; Adisesh, Anil

Authors

Ellen Sweeney

Zhijie Michael Yu

Trevor J. B. Dummer

Yunsong Cui

Vanessa DeClercq

Scott A. Grandy

Melanie Keats

Louise Parker

Anil Adisesh



Abstract

Purpose
To evaluate the relationship between anthropometric measures and cardiometabolic health in shift workers compared to non-shift workers.

Methods
A population health study was conducted with 4155 shift workers and 8258 non-shift workers from the Atlantic Partnership for Tomorrow’s Health (PATH) cohort. Linear and logistic regression models were used to assess the differences in anthropometric measures (body adiposity) and self-reported cardiometabolic disease outcomes (obesity, diabetes, and cardiovascular disease) between shift workers and non-shift workers.

Results
There was a significant increased risk of cardiovascular disease, obesity, and diabetes among shift workers compared to matched controls despite higher levels of physical activity and lower levels of sedentary behaviour. Shift workers were 17% more likely to be obese (95% CI 7–27) and 27% more likely to have diabetes (95% CI 8–51). The strength of this association was demonstrated by also controlling for body mass index and fat mass index.

Conclusions
Shift work is associated with obesity, cardiovascular disease, and diabetes despite higher levels of physical activity and lower levels of sedentary behaviour. The association between shift work and cardiometabolic health was independent of body mass index for cardiovascular disease and diabetes, and independent of fat mass index for diabetes.

Journal Article Type Article
Journal International Archives of Occupational and Environmental Health
Print ISSN 0340-0131
Electronic ISSN 1432-1246
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
APA6 Citation Sweeney, E., Yu, Z. M., Dummer, T. J. B., Cui, Y., DeClercq, V., Forbes, C., …Adisesh, A. (in press). The relationship between anthropometric measures and cardiometabolic health in shift work: findings from the Atlantic PATH Cohort Study. International Archives of Occupational and Environmental Health, https://doi.org/10.1007/s00420-019-01459-8
DOI https://doi.org/10.1007/s00420-019-01459-8
Keywords Atlantic PATH; Shift work; Anthropometric measures; Body mass index; Fat mass index; Cardiometabolic health; Diabetes; Obesity; Cardiovascular disease
Publisher URL https://link.springer.com/article/10.1007%2Fs00420-019-01459-8#enumeration
Additional Information This is a post-peer-review, pre-copyedit version of an article published in International Archives of Occupational and Environmental Health. The final authenticated version is available online at: http://dx.doi.org/[10.1007/s00420-019-01459-8

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