Work Stress, Sleep Deficiency, and Predicted 10-Year Cardiometabolic Risk in a Female Patient Care Worker Population

被引:24
作者
Jacobsen, Henrik B. [1 ,2 ]
Reme, Silje E. [1 ,3 ]
Sembajwe, Grace [4 ,5 ]
Hopcia, Karen [1 ,5 ]
Stiles, Tore C. [2 ]
Sorensen, Glorian [1 ,6 ,7 ]
Porter, James H. [8 ]
Marino, Miguel [9 ]
Buxton, Orfeu M. [1 ,8 ,10 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Ctr Work Hlth & Wellbeing, Boston, MA 02115 USA
[2] Norwegian Univ Sci & Technol, N-7034 Trondheim, Norway
[3] Uni Res, Uni Hlth, Bergen, Norway
[4] CUNY, Sch Publ Hlth, Hunter Coll, New York, NY 10021 USA
[5] Partners Hlth Care Syst, Partners Occupat Hlth Serv, Boston, MA USA
[6] Harvard Univ, Sch Publ Hlth, Dept Soc Hlth & Human Dev, Boston, MA 02115 USA
[7] Dana Farber Canc Inst, Boston, MA 02115 USA
[8] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA
[9] Oregon Hlth & Sci Univ, Div Biostat, Dept Family Med Publ Hlth & Prevent Med, Portland, OR 97201 USA
[10] Harvard Univ, Sch Med, Div Sleep Med, Boston, MA USA
关键词
cardiometabolic risk; nurses; sleep maintenance; physical activity; follow-up; work-family conflict; CORONARY-HEART-DISEASE; ALL-CAUSE MORTALITY; PHYSICAL-ACTIVITY; SHIFT WORK; CARDIOVASCULAR-DISEASE; DURATION; OBESITY; ASSOCIATION; ADULTS; HYPERTENSION;
D O I
10.1002/ajim.22340
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives The aim of this study was to investigate the longitudinal effect of work-related stress, sleep deficiency, and physical activity on 10-year cardiometabolic risk among an all-female worker population. Methods Data on patient care workers (n = 99) was collected 2 years apart. Baseline measures included: job stress, physical activity, night work, and sleep deficiency. Biomarkers and objective measurements were used to estimate 10-year cardiometabolic risk at follow-up. Significant associations (P < 0.05) from baseline analyses were used to build a multivariable linear regression model. Results The participants were mostly white nurses with a mean age of 41 years. Adjusted linear regression showed that having sleep maintenance problems, a different occupation than nurse, and/or not exercising at recommended levels at baseline increased the 10-year cardiometabolic risk at follow-up. Conclusions In female workers prone to work-related stress and sleep deficiency, maintaining sleep and exercise patterns had a strong impact on modifiable 10-year cardiometabolic risk. (C) 2014 Wiley Periodicals, Inc.
引用
收藏
页码:940 / 949
页数:10
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