scholarly journals P124 Chronotype and OSA combine to modify risk of hypertension

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A61-A62
Author(s):  
K Sansom ◽  
J Walsh ◽  
P Eastwood ◽  
K Maddison ◽  
B Singh ◽  
...  
Keyword(s):  
Incomplete Data ◽  
Sleep Time ◽  
Limited Data ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Shift Workers ◽  
Average Systolic Blood Pressure ◽  
Adult Participants ◽  
Increased Risk ◽  
Australian Community

Abstract Introduction There are limited data on the association of chronotype and hypertension and on their interaction on hypertension. This study aimed to investigate the independent and combined effects of chronotype and OSA on risk for prevalent hypertension in a middle-aged community population. Methods Baseline data on adult participants (n=1098, female=58%; age mean [range]=56.7[40.8–80.6] years) from an Australian community cohort study were analysed. Shift workers and individuals with incomplete data were excluded. Prevalent hypertension was defined as ‘doctor diagnosed’ and/or an elevated average systolic blood pressure (BP; ≥140mmHg) or diastolic BP (≥90mmHg). OSA was diagnosed when apnoea hypopnoea index (AHI) ≥10 events/hour from in-laboratory polysomnography. Chronotype was determined from actigraphy mid-sleep time on work free days. Tertiles of mid-sleep time were used to categorise morning, intermediate and evening chronotypes. Logistic regression (adjusted for sex, body mass index, age, alcohol consumption and sleep duration) were used to assess the cross-sectional relationship between chronotype, OSA and hypertension. Results After applying exclusion criteria 496 participants were analysed (female=58%; age mean[range]=57.0[42.1–81.6] years). All those with OSA had greater odds of hypertension than those without and there was no difference in risk of hypertension according to chronotype. Compared to morning chronotypes with no OSA (n=84), evening chronotypes with OSA (n=79) had non-significantly increased odds (OR 2.15, 95% CI 1.00–4.76; P=0.054) for hypertension while morning chronotypes with OSA (n=82) had significantly increased odds (OR 3.02, 95% CI 1.44–6.58; P=0.004). Discussion Morning chronotypes with OSA might be at increased risk of hypertension compared to evening chronotypes with OSA.

scholarly journals Consumption of ultra-processed foods is associated with abdominal obesity in rotating shift workers

2021 ◽  
Author(s):  
Luiz Antônio Alves de Menezes Júnior ◽  
Virgínia Capistrano Fajardo ◽  
Jonathas Assis de Oliveira ◽  
George Luiz Lins Machado-Coelho ◽  
Fausto Aloísio Pedrosa Pimenta ◽  
...  
Keyword(s):  
Abdominal Obesity ◽  
Multivariable Analysis ◽  
Saturated Fat ◽  
Cross Sectional Study ◽  
Processed Foods ◽  
Cross Sectional ◽  
Shift Workers ◽  
Logistic Regression Models ◽  
Body Adiposity ◽  
Increased Risk

Abstract Background and aims: Higher intake of ultra-processed foods might be associated with an increased risk of obesity. Our objective was to evaluate the consumption of ultra-processed foods and their association with nutrient intake and excess body adiposity in shift workers.Design: Cross-sectional study conducted in 2016 with 238 male rotating shift workers. Dietary data is obtained by the 24-hour recall and classified according to processing by the NOVA classification system. Body adiposity indicators assessed were waist circumference and body mass index. Logistic regression models were built and adjusted for sociodemographic, lifestyle, and dietary variables.Results: Ultra-processed foods represented on average 22.3% of the total caloric value of the individuals' food consumption, with a maximum value of 66.9%. Participants with the highest tercile of ultra-processed foods consumed more carbohydrate (57%), protein (35%), total fat (96%), saturated fat (79%), cholesterol (68%), and sodium (44%) intake compared to the first tercile (p < 0.001). The most frequencies of ultra-processed foods consumed were bread (81.0%), followed by cookies (45.9%), sweetened beverages (45.7%), processed meats (46.8%), and margarine (46.8%). In multivariable analysis, the highest consumption of ultra-processed foods had 183% higher odds of abdominal obesity (OR = 2.83, 95%CI 1.29-6.22), compared with the lowest consumption. Conclusion: Ultra-processed foods are important contributors to the energy intake of these workers, and higher consumption of ultra-processed foods was associated with abdominal obesity.

scholarly journals Sleep Time Duration Does Not Affect Oral Inflammation and Periodontal Health Status in Night-Shift Workers: A Cross-Sectional Study

2020 ◽  
Vol Volume 12 ◽  
pp. 1083-1090
Author(s):  
Retno Indrawati Roestamadji ◽  
Muhammad Luthfi ◽  
Meircurius Dwi Condro Surboyo ◽  
Rauhansen Bosafino Rumokoi ◽  
Fridaniyanti Khusnul Khotimah
Keyword(s):  
Health Status ◽  
Night Shift ◽  
Sleep Time ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Time Duration ◽  
Periodontal Health ◽  
Cross Sectional ◽  
Shift Workers ◽  
Oral Inflammation

scholarly journals 995 Clinical Outcomes Following Incomplete Colonoscopy

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
K S Khan ◽  
C McCulloch
Keyword(s):  
Colorectal Cancer ◽  
Clinical Outcome ◽  
Incomplete Data ◽  
Significant Risk ◽  
Exclusion Criteria ◽  
Data Set ◽  
Incomplete Colonoscopy ◽  
Increased Risk ◽  
Repeat Colonoscopy

Abstract Introduction Following incomplete colonoscopy (IC) it is reported that there is up to five-fold increased risk of colorectal cancer. Our aim was to determine the final clinical outcome for patients with a prior IC. Method A multi-centre retrospective observational study involving three endoscopy units. All consecutive patients having colonoscopy from over 18 months were analysed. Exclusion criteria included IC was due to obstructing cancer, follow up was not performed due to non-attendance at clinic or investigation and incomplete data set. Electronic notes were analysed to determine patient’s final clinical outcome. All patients were followed up for minimum of six months. Results Of the 8,490 colonoscopies, 733 (8.6%) were IC. 86 (11.7%) were excluded. Of the 647 included, 469 (72.4%) were females and 473 (73.1%) has further colonic investigations. Secondary investigations were: CT colonography 169 (35.7%), repeat colonoscopy 161 (34.0%), barium enema 95 (20.1%) and others 48 (10.1%). The repeat colonoscopy group achieved a complete colonoscopy in 111 (68.9%) patients. For those who had further investigations 15 (3.2%) had colorectal cancer and 12 (2.5%) has polyps ≥1cm. Conclusions There is significant risk of missing colorectal malignancy and large polyps following IC. Further colonic investigations should be carried out in this cohort of patients.

scholarly journals Effects of the endogenous clock and sleep time on melatonin, insulin, glucose and lipid metabolism

1998 ◽  
Vol 157 (3) ◽  
pp. 443-451 ◽  
Author(s):  
L Morgan ◽  
J Arendt ◽  
D Owens ◽  
S Folkard ◽  
S Hampton ◽  
...  
Keyword(s):  
Essential Fatty Acids ◽  
Sleep Time ◽  
Internal Clock ◽  
Inhibitory Peptide ◽  
Shift Workers ◽  
Glucose And Lipid Metabolism ◽  
Increased Risk ◽  
Endogenous Clock ◽  
Light Darkness ◽  
Glucagon Like Peptide 1

This study was undertaken to determine whether the internal clock contributes to the hormone and metabolic responses following food, in an experiment designed to dissociate internal clock effects from other factors. Nine female subjects participated. They lived indoors for 31 days with normal time cues, including the natural light: darkness cycle. For 7 days they retired to bed from 0000 h to 0800 h. They then underwent a 26-h 'constant routine' (CR) starting at 0800 h, being seated awake in dim light with hourly 88 Kcal drinks. They then lived on an imposed 27-h day (18 h of wakefulness, 9 h allowed for sleep), for a total of 27 days. A second 26-h CR, starting at 2200 h, was completed. During each CR salivary melatonin and plasma glucose, triacylglycerol (TAG), non-essential fatty acids (NEFA), insulin, gastric inhibitory peptide (GIP) and glucagon-like peptide-1 (GLP-1) were measured hourly. Melatonin and body temperature data indicated no shift in the endogenous clock during the 27-h imposed schedule. Postprandial NEFA, GIP and GLP-1 showed no consistent effects. Glucose, TAG and insulin increased during the night in the first CR. There was a significant effect of both the endogenous clock and sleep for glucose and TAG, but not for insulin. These findings may be relevant to the known increased risk of cardiovascular disease amongst shift workers.

Sleep time and homework hours/daily are associated with reduced visual acuity among school students aged 9–18 in Shenyang in 2016

2021 ◽  
pp. 112067212110080
Author(s):  
Hezuo Liu ◽  
Shi Ren ◽  
Qi Sun ◽  
Yinglong Bai ◽  
Lingling Zhai ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Associated Factors ◽  
Sleep Time ◽  
Cross Sectional Study ◽  
Education Student ◽  
Lifestyle Behaviors ◽  
School Students ◽  
Cross Sectional ◽  
Increased Risk ◽  
Using Data

Purpose: The purpose of this survey was to explore the prevalence of reduced visual acuity and its associated factors among school students in Shenyang in 2016. Methods: This was a cross-sectional study using data from the Ministry of Education’ Student Physical Fitness (MESPF) monitoring in 2016. A total of 13,642 students aged 9–18 years were surveyed in Shenyang. The unaided distance visual acuity was measured, and questionnaire on lifestyle behaviors that may affect visual acuity was investigated among students. The prevalence of reduced visual acuity and its associated factors were analyzed. Results: The average prevalence of reduced visual acuity among students aged 9–18 years was 65.8%, and severe reduced visual acuity was main (42.9%), and there were statistical effect of age, gender, and region on the prevalence of reduced visual acuity. Binary and multi variable logistic regression results revealed that students sleeping <8 h, homework hours ⩾1 h, and parental myopia had an increased risk of reduced visual acuity. Conclusions: Sleep time <8 h and homework time ⩾1 h may be associated with reduced visual acuity among students in Shenyang. Therefore, it is benefit for student to get enough sleep and decreasing studying time in order to prevent and reduce poor vision.

scholarly journals SARS-CoV-2 infection and transmission in educational settings: cross-sectional analysis of clusters and outbreaks in England

2020 ◽  
Author(s):  
Sharif A Ismail ◽  
Vanessa Saliba ◽  
Jamie A Lopez Bernal ◽  
Mary E Ramsay ◽  
Shamez N Ladhani
Keyword(s):  
Strong Correlation ◽  
Educational Setting ◽  
Limited Data ◽  
Educational Settings ◽  
Cross Sectional ◽  
Policy Makers ◽  
Staff Members ◽  
Increased Risk ◽  
Community Transmission ◽  
Sectional Analysis

BACKGROUND There are limited data on SARS-CoV-2 infection and transmission in educational settings. This information is critical for policy makers and practitioners to ensure the safety of staff, students and the wider community during the COVID-19 pandemic. METHODS Public Health England initiated enhanced national surveillance following the reopening of educational settings during the summer mini-term on 01 June 2020. COVID-19 related situations in educational settings across England were reviewed daily and followed-up until 31 July 2020. SARS-CoV-2 infection and outbreak rates were calculated for staff and students attending early year settings, primary and secondary schools during June 2020. FINDINGS There were 67 single confirmed cases, 4 co-primary cases and 30 COVID-19 outbreaks during June 2020, with a strong correlation between number of outbreaks and regional COVID-19 incidence (0.51 outbreaks for each SARS-CoV-2 infection per 100,000 in the community; p=0.001). Overall, SARS-CoV-2 infections and outbreaks were uncommon across all educational settings. Staff members had an increased risk of SARS-CoV-2 infections compared to students in any educational setting, and the majority of cases linked to outbreaks were in staff. The probable transmission direction for the 30 confirmed outbreaks was: staff-to-staff (n=15), staff-to-student (n=7), student-to-staff (n=6) and student-to-student (n=2). INTERPRETATION SARS-CoV-2 infections and outbreaks were uncommon in educational settings during the first month after the easing of national lockdown in England. The strong correlation with regional SARS-CoV-2 incidence emphasises the importance of controlling community transmission to protect educational settings. Additional interventions should focus on reducing transmission in and among staff members. FUNDING None.

scholarly journals Shift Work Including Night Work and Long Working Hours in Industrial Plants Increases the Risk of Atherosclerosis

2019 ◽  
Vol 16 (3) ◽  
pp. 521 ◽  
Author(s):  
Marit Skogstad ◽  
Asgeir Mamen ◽  
Lars-Kristian Lunde ◽  
Bente Ulvestad ◽  
Dagfinn Matre ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Stiffness ◽  
Shift Work ◽  
Glycosylated Hemoglobin ◽  
Bicycle Ergometry ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Shift Workers ◽  
Industrial Plants ◽  
Increased Risk

There is an abundance of literature reporting an association between shift work and cardiovascular disease (CVD). Few studies have examined early manifestation of CVD using advanced modern methodology. We established a group of 65 shift workers and 29 day workers (controls) in two industrial plants. For the shift workers, the shift schedule includes rotating shifts with day, evening and nightshifts, some day and nightshifts lasting for 12 h. The current paper describes cross-sectional data in a study running for three years. We collected background data by questionnaire and measured blood pressure, heart rate, lipids, glycosylated hemoglobin (HbA1c) and C-reactive protein (CRP). We examined arterial stiffness (central blood pressure, augmentation pressure and index, and pulse wave velocity) by the use of SphygmoCor® (AtCor Medical Pty Ltd, Sydney, Australia) and the carotid arteries by ultrasound. We assessed VO2max by bicycle ergometry. We applied linear and logistic regression to evaluate associations between total number of years in shift work and cardiovascular outcome measures. The day workers were older and had more pronounced arterial stiffness compared to the shift workers. Number of years as a shift worker was associated with increased carotid intima media thickness (max IMT) (B = 0.015, p = 0.009) and an elevated CRP (B = 0.06, p = 0.03). Within the normal range for this age group, VO2max was 41 (9) ml/kg/min. Rotating shift work including day and night shifts lasting up to 12 h and evening shifts are associated with CVD-risk factors. This could imply an increased risk for coronary heart disease and stroke among these workers. Therefore, preventive measures should be considered for these groups of workers in order to prevent such diseases.

scholarly journals Are Daycare Workers at a Higher Risk of Parvovirus B19 Infection? A Systematic Review and Meta-Analysis

2019 ◽  
Vol 16 (8) ◽  
pp. 1392 ◽  
Author(s):  
Romero Starke ◽  
Kofahl ◽  
Freiberg ◽  
Schubert ◽  
Groß ◽  
...  
Keyword(s):  
Systematic Review ◽  
General Population ◽  
Parvovirus B19 ◽  
Meta Analysis ◽  
Seroconversion Rate ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Manual Search ◽  
Increased Risk ◽  
Parvovirus B19 Infection

Objective: In this systematic review, we aimed to summarize the evidence on the association between being a daycare educator working with children and the possible increased risk of parvovirus B19 infection compared to the general population. Methods: The Medline and Embase databases were searched using a defined search to find studies published since 2000. Two reviewers evaluated the search hits using predefined inclusion and exclusion criteria. The resulting studies were extracted and were assessed in eight domains of bias. A pooled relative risk (RR) of parvovirus infection for daycare workers compared to the general population was calculated. Results: After evaluating the 7781 search hits and manual search, four methodologically-adequate studies were identified: three cross-sectional studies and one retrospective cohort study. Of the three studies investigating the risk of infection, one evaluated parvovirus B19 seroconversion rates for daycare workers. There was an indication for an increased risk for daycare workers compared to the unexposed population (RR = 1.12, 95% CI 0.98–1.27) using prevalence estimators. Furthermore, daycare workers had a higher seroconversion rate compared to the unexposed population (RR = 2.63, 95% 1.27–5.45) in the low risk of bias study. Conclusions: Our findings suggest a higher risk of parvovirus B19 infection for daycare workers compared to an unexposed comparison population, which necessitate preventative efforts. Considering the underestimation of the occupational seroconversion risk by prevalence-based estimators, parvovirus B19 infections among daycare workers might mostly be occupationally acquired.

scholarly journals Sleep Time Duration Does Not Affect Oral Inflammation and Periodontal Health Status in Night-Shift Workers: A Cross-Sectional Study [Retraction]

2021 ◽  
Vol Volume 13 ◽  
pp. 1179-1180
Author(s):  
Retno Indrawati Roestamadji ◽  
Muhammad Luthfi ◽  
Meircurius Dwi Condro Surboyo ◽  
Rauhansen Bosafino Rumokoi ◽  
Fridaniyanti Khusnul Khotimah
Keyword(s):  
Health Status ◽  
Night Shift ◽  
Sleep Time ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Time Duration ◽  
Periodontal Health ◽  
Cross Sectional ◽  
Shift Workers ◽  
Oral Inflammation

A Silenced Population

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Kim Gryglewicz ◽  
Melanie Bozzay ◽  
Brittany Arthur-Jordon ◽  
Gabriela D. Romero ◽  
Melissa Witmeier ◽  
...  
Keyword(s):  
At Risk ◽  
Depressive Symptomatology ◽  
The United States ◽  
Future Research ◽  
At Risk Youth ◽  
Peer Relationship ◽  
Student Records ◽  
Cross Sectional ◽  
Increased Risk ◽  
Method Student

Abstract. Background: Given challenges that exceed the normal developmental requirements of adolescence, deaf and hard-of-hearing (DHH) youth are believed to be at elevated risk for engaging in suicide-related behavior (SRB). Unfortunately, little is known about the mechanisms that put these youth potentially at risk. Aims: To determine whether peer relationship difficulties are related to increased risk of SRB in DHH youth. Method: Student records (n = 74) were retrieved from an accredited educational center for deaf and blind students in the United States. Results: Peer relationship difficulties were found to be significantly associated with engagement in SRB but not when accounting for depressive symptomatology. Limitations: The restricted sample limits generalizability. Conclusions regarding risk causation cannot be made due to the cross-sectional nature of the study. Conclusion: These results suggest the need for future research that examines the mechanisms of the relationship between peer relationship difficulties, depression, and suicide risk in DHH youth and potential preventive interventions to ameliorate the risks for these at-risk youth.

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