Long working hours and risk of cardiovascular outcomes and diabetes type II: five-year follow-up of the Gutenberg Health Study (GHS)

Objectives The aims of this study were to determine if there was an increased risk of incident cardiovascular disease (CVD) and diabetes and an increase in arterial stiffness in participants who reported working 41–54 h per week and more than 55 h compared to those who worked 40 h or less over a tim...

Full description

Saved in:
Bibliographic Details
Published in:International archives of occupational and environmental health 2022-01, Vol.95 (1), p.303-312
Main Authors: K, Rossnagel, S, Jankowiak, F, Liebers, A, Schulz, P, Wild, N, Arnold, A, Seidler, J, Hegewald, K, Romero Starke, S, Letzel, M, Riechmann-Wolf, M, Nübling, M, Beut-el, N, Pfeiffer, K, Lackner, T, Münzel, A, Poplawski, U, Latza
Format: Article
Language:English
Subjects:
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cohort analysis
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Earth and Environmental Science
Environment
Environmental Health
Follow-Up Studies
Health risks
Heart diseases
Humans
Occupational Medicine/Industrial Medicine
Original
Original Article
Prospective Studies
Regression analysis
Regression models
Rehabilitation
Risk Factors
Stiffness
Vascular Stiffness
Working hours
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives The aims of this study were to determine if there was an increased risk of incident cardiovascular disease (CVD) and diabetes and an increase in arterial stiffness in participants who reported working 41–54 h per week and more than 55 h compared to those who worked 40 h or less over a time interval of 5 years. Methods In a subsample of the population-based prospective Gutenberg Health Study (GHS) study, we examined working participants younger than 65 years at baseline ( n  = 7241) and after 5 years. To test the association of working time at baseline and incident cardiovascular events and diabetes type II, we estimated hazard ratios (HR) using competing risks models. For a change in the arterial stiffness index (SI) based on assessment using a Pulse Trace PCA2 device, we used multivariate linear regression models. Results The SI increased in those working more than 55 h per week (beta coefficiant = 0.32 m/s (95% CI 0.07–0.58) compared to those working 40 h and less after adjustment for sex, age and SES. Due to small numbers there was no significant association of working hours and clinically manifest cardiovascular events and diabetes type II in the 5-year follow-up time. Conclusions Further studies are needed to confirm the results on working hours and arterial stiffness. Analyses of the 10-year follow-up with more events may clarify the results for incident cardiovascular events and metabolic outcomes.
ISSN:0340-0131
1432-1246
DOI:10.1007/s00420-021-01786-9