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Ambulatory Blood Pressure Monitoring in Bakery Professionals

  • J. Pereira
  • A. Margarido
  • H. SimõesEmail author
  • T. Pereira
Chapter
  • 110 Downloads
Part of the Studies in Systems, Decision and Control book series (SSDC, volume 277)

Abstract

Nighttime work is associated with changes in the chronobiological pattern of most physiological variables, including those related to the cardiovascular system, mainly blood pressure (BP) and heart rate (HR). Objectives. To evaluate BP in baking professionals working on a fixed night regimen, in order to study the circadian profile and the adaptation of the BP to the professional schedules. Methods. Thirty male and female individuals, aged between 22 and 66 years old, who work in the bakery sector in a permanent night regimen with work hours between 23 and 7 h were enrolled in a cross-sectional study. Ambulatory blood pressure monitoring (ABPM) was used to automatically obtain multiple indirect measurements of BP in a 24-hour period. Results. Ambulatory BP parameters showed average values within normal range to the majority of the study population. Females presented higher values compared to males. With the analysis of the questionnaires, it was possible to find out that 73.6% of the participants had smoking habits, 90% had coffee drinking habits and 30% consume caffeinated soft drinks. The 24 h BP pattern depicted a chronobiological adaptation to the activity/sleep cycles, and a similar pattern was accordingly found for HR. Conclusions. Nocturnal working activity promotes an adaptation of the chronobiological variation of BP through the 24 h, with higher average BP values during the activity periods and a sleep-related dipping of both systolic and diastolic BP. Long-term effect of such permanent adaptation is yet to be ascertained.

Keywords

Blood pressure Circadian rhythm Permanent night work 

References

  1. 1.
    Rutenfranz, J., Knauth, P., Fisher, F.M.: Trabalho em turnos e noturno. São Paulo: Ed. Hucitec (1989)Google Scholar
  2. 2.
    Eurofound: Sexto Inquérito Europeu sobre as Condições de Trabalho (2015)Google Scholar
  3. 3.
    Burch, J.B., Tom, J., Zhai, Y., Criswell, L., Leo, E., Ogoussan, K.: Shiftwork impacts and adaptation among health care workers. Occup. Med. 59(3), 159–166 (2009). (Lond)CrossRefGoogle Scholar
  4. 4.
    Berger, A.M., Hobbs, B.B.: Impact of shift work on the health and safety of nurses and patients. Clin. J. Oncol. Nurs. 10(4), 465–471 (2006)CrossRefGoogle Scholar
  5. 5.
    Morris, C.J., Aeschbach, D., Scheer, F.A.J.L.: Circadian system, sleep and endocrinology. Mol. Cell. Endocrinol. 349(1), 91–104 (2012)CrossRefGoogle Scholar
  6. 6.
    Gooley, J.J., Lu, J., Chou, T.C., Scammell, T.E., Saper, C.B.: Melanopsin in cells of origin of the retinohypothalamic tract. Nat. Neurosci. 4(12), 1165 (2001)CrossRefGoogle Scholar
  7. 7.
    Lucas, R.J., Freedman, M.S., Lupi, D., Munoz, M., David-Gray, Z.K., Foster, R.G.: Identifying the photoreceptive inputs to the mammalian circadian system using transgenic and retinally degenerate mice. Behav. Brain Res. 125(1–2), 97–102 (2001)CrossRefGoogle Scholar
  8. 8.
    Van Someren, E.J., Riemersma-Van Der Lek, R.F.: Live to the rhythm, slave to the rhythm. Sleep Med. Rev. 11(6), 465–484 (2007)CrossRefGoogle Scholar
  9. 9.
    Borjigin, J., Zhang, L.S., Calinescu, A.A.: Circadian regulation of pineal gland rhythmicity. Mol. Cell. Endocrinol. 349(1), 13–19 (2012)CrossRefGoogle Scholar
  10. 10.
    Gamble, K.L., Berry, R., Frank, S.J., Young, M.E.: Circadian clock control of endocrine factors. Nat. Rev. Endocrinol. 10(8), 466–475 (2014)CrossRefGoogle Scholar
  11. 11.
    Smyth, J.M., Ockenfels, M.C., Gorin, A.A., Catley, D., Porter, L.S., Kirschbaum, C., Hellhammer, D.H., Stone, A.A.: Individual differences in the diurnal cycle of cortisol. Psychoneuroendocrinology. 22(2), 89–105 (1997)CrossRefGoogle Scholar
  12. 12.
    Van Mark, A., Weiler, S.W., Schröder, M., Otto, A., Jauch-Chara, K., Groneberg, D.A., Spallek, M., Kessel, R., Kalsdorf, B.: The impact of shift work induced chronic circadian disruption on IL-6 and TNF-alpha immune responses. J. Occup. Med. Toxicol. 5, 18 (2010)CrossRefGoogle Scholar
  13. 13.
    Rudic, R.D., Fulton, D.J.: Pressed for time: the circadian clock and hypertension. J. Appl. Physiol. (1985) 107(4), 1328–1338 (2009)CrossRefGoogle Scholar
  14. 14.
    Costa, G.: Saúde e segurança dos trabalhadores. In: Fischer, F.M., Moreno, C.R. de C., Rotenberg. Trabalho em turnos e noturno na sociedade 24 horas. São Paulo: Atheneu (2003)Google Scholar
  15. 15.
    Chobanian, A., Bakris, G., Black, H., Cushman, W., Green, L., Izzo, J., Jones, D., Materson, B., Oparil, S., Wright, J., Roccella, E.: Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 42(6), 1206–1252 (2003)CrossRefGoogle Scholar
  16. 16.
    O'Brien, E.: Dipping comes of age. The importance of nocturnal blood pressure. American Heart Association. Hypertension. 53, 446–447 (2009)CrossRefGoogle Scholar
  17. 17.
    Barreto, D.F.: Implicações do trabalho por turnos na saúde na vida social e familiar dos trabalhadores de turnos industriais (2008)Google Scholar
  18. 18.
    Filho, G.: Síndrome da Má-Adaptação ao Trabalho em Turnos - uma abordagem ergonómica. Revista Produção. 11(2) (2002)Google Scholar
  19. 19.
    Sternberc, H., Rosenthal, T., Shamiss, A., et al.: Altered circadian Rhythm of blood pressure in shift workers. J. Hum. Hypertens. 9, 349–353 (1995)Google Scholar
  20. 20.
    Hakola, T., Härmä, M.I., Laitinen, J.T.: Circadian adjustment of men and women to night work. Scand. J. Work Environ. Health. 22(2), 133–138 (1996)CrossRefGoogle Scholar
  21. 21.
    Suwazono, Y., Dochi, M., Sakata, K., Okubo, Y., Oishi, M., Tanaka, K., Kobayashi, E., Nogawa, K.: Shift work is a risk factor for increased blood pressure in Japanese men: a 14-year historical cohort study. Hypertension 52(3), 581–586 (2008)CrossRefGoogle Scholar
  22. 22.
    Gan, Y., Yang, C., Tong, X., Sun, H., Cong, Y., Yin, X., Li, L., Cao, S., Dong, X., Gong, Y., Shi, O., Deng, J., Bi, H., Lu, Z.: Shift work and diabetes mellitus: a meta-analysis of observational studies. Occup. Environ. Med. 72(1), 72–78 (2015)CrossRefGoogle Scholar
  23. 23.
    Mosendane, T., Mosendane, T., Raal, F.J.: Shift work and its effects on the cardiovascular system. Cardiovasc. J. Afr. 19(4), 210–215 (2008)Google Scholar
  24. 24.
    Yeom, J.H., Sim, C.S., Lee, J., Yun, S.H., Park, S.J., Yoo, C.I., Sung, J.H.: Effect of shift work on hypertension: cross sectional study. Ann. Occup. Environ. Med. 29, 11 (2017)CrossRefGoogle Scholar
  25. 25.
    Sousa Uva, M., Victorino, P., Roquette, R., Machado, A., Matias, Dias C.: Epidemiological research on the incidence and prevalence of arterial hypertension in the Portuguese population: a scoping review. Rev. Port. Cardiol. 33(7–8), 451–463 (2014)CrossRefGoogle Scholar
  26. 26.
    Kitamura, T., Onishi, K., Dohi, K., Okinaka, T., Ito, M., Isaka, N., Nakano, T.: Circadian rhythm of blood pressure is transformed from a dipper to a non-dipper pattern in shift workers with hypertension. J. Hum. Hypertens. 16(3), 193–197 (2002)CrossRefGoogle Scholar
  27. 27.
    Chinoy, E.D., Harris, M.P., Kim, M.J., Wang, W., Duffy, J.F.: Scheduled evening sleep and enhanced lighting improve adaptation to night shift work in older adults. Occup. Environ. Med. 73(12), 869–876 (2016)Google Scholar
  28. 28.
    Smith, M.R., Fogg, L.F., Eastman, C.I.: Practical interventions to promote circadian adaptation to permanent night shift work: study 4. J. Biol. Rhythms 24(2), 161–172 (2009)CrossRefGoogle Scholar
  29. 29.
    Sfreddo, C., Fuchs, S.C., Merlo, A.R., Fuchs, F.D.: Shift work is not associated with high blood pressure or prevalence of hypertension. PLoS One 5(12), e15250 (2010)CrossRefGoogle Scholar
  30. 30.
    Hublin, C., Partinen, M., Koskenvuo, K., Silventoinen, K., Koskenvuo, M., Kaprio, J.: Shift-work and cardiovascular disease: a population-based 22-year follow-up study. Eur. J. Epidemiol. 25(5), 315–323 (2010)CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • J. Pereira
    • 1
  • A. Margarido
    • 1
  • H. Simões
    • 1
    Email author
  • T. Pereira
    • 1
  1. 1.Polytechnic Institute of Coimbra—Coimbra Health SchoolCoimbraPortugal

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