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ABSTRACT: Objective
The present study was designed to demonstrate the relationships among shift work, hair cortisol concentration (HCC) and sleep disorders.Design
A cross-sectional study.Setting
Three petroleum administrations in Karamay city of Xinjiang, China.Participants
435 individuals including 164 males and 271 females participated in the research.Outcome measures
Information on shift work was collected by a self-administered questionnaire. HCC was determined using an automatic radioimmunoassay instrument. Sleep quality was measured on the Pittsburgh Sleep Quality Index scale.Results
Shiftwork was associated with an increased prevalence of sleep disorders compared with the fixed day shift (two shifts: OR 3.11, 95% CI 1.57 to 6.19; three shifts: OR 2.87, 95% CI 1.38 to 5.98; four shifts: OR 2.22, 95% CI 1.17 to 4.18; others: OR 3.88, 95% CI= 1.36 to 11.08). Workers with different shift patterns had higher HCC levels than day workers ((fixed day shift: geometric mean±geometric SD=2.33±1.65; two shifts: 3.76±1.47; three shifts: 3.15±1.64; four shifts: 3.81±1.55; others: 3.60±1.33) ng/g hair, η2=0.174) and high HCC was associated with the higher prevalence of sleep disorders (OR 4.46, 95% CI 2.70 to 7.35). The mediating effect of HCC on the relationship between shift work and sleep disorders was 0.25 (95% CI 0.09 to 0.41).Conclusion
We found that, when compared with the fixed day shift, shiftwork was associated with both the higher HCC, and also with an increased risk of sleep disorders. High HCC was associated with the occurrence of sleep disorders. In addition, HCC had mediating effect in shift work and sleep disorders. Thus, HCC can be considered as an early marker of shiftwork circadian disruption to early detection and management of sleep disorders.
SUBMITTER: Zhang Y
PROVIDER: S-EPMC7668377 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Zhang Yu Y Shen Jiayang J Zhou Ziqi Z Sang Lingli L Zhuang Xun X Chu Minjie M Tian Tian T Xiao Jing J Lian Yulong Y
BMJ open 20201114 11
<h4>Objective</h4>The present study was designed to demonstrate the relationships among shift work, hair cortisol concentration (HCC) and sleep disorders.<h4>Design</h4>A cross-sectional study.<h4>Setting</h4>Three petroleum administrations in Karamay city of Xinjiang, China.<h4>Participants</h4>435 individuals including 164 males and 271 females participated in the research.<h4>Outcome measures</h4>Information on shift work was collected by a self-administered questionnaire. HCC was determined ...[more]