Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/14822
Title: Gender-specific association between night-work exposure and type-2 diabetes: results from longitudinal study of adult health, ELSA-Brasil
Authors: Costa, Aline Silva
Rotenberg, Lúcia
Nobre, Aline Araújo
Schmidt, Maria Inês
Chor, Dóra
Griep, Rosane Härter
Affilliation: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação Ambiental e em Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio Grande do Sul. Escola de Medicina. Programa de Pós-Graduação em Epidemiologia. Porto Alegre, RS, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação Ambiental e em Saúde. Rio de Janeiro, RJ, Brasil.
Abstract: Objectives: Diabetes is a multifactorial disease of increasing prevalence. The literature suggests an impact of night work on metabolic components, though the relationship with diabetes is unclear. Our aim was to investigate gender-specific associations between night work and type-2 diabetes (DM2) or impaired glucose tolerance (IGT) using baseline data of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods: The cohort comprised 15 105 civil servants, aged 35–74 years. Baseline assessments (2008–2010) included clinical and laboratory measurements and interviews on sociodemographic, occupational, and health characteristics. Results: In the baseline sample (N=14 427), 19.6% were classified as having DM2 and 20.5% as having IGT. Mean age was 52.1 (SD 9.1) years. A total of 2041 participants worked at night for 1–20 years and 687 for >20 years. Among women exposed to night work for >20 years compared with no night work after adjustments for potential confounders, including obesity, the odds ratios (OR) derived from multinomial logistic regression for DM2 and IGT were 1.42 [95% confidence interval (95% CI) 1.39–1.45] and 0.96 (95% CI 0.94–0.99), respectively. Among men exposed to night work for >20 years compared with no night work, the OR for DM2 and IGT were 1.06 (95% CI 1.04–1.08) and 0.99 (95% CI 0.98–1.01), respectively. Conclusions: The association between years of night work and diabetes is stronger among women than men. Longitudinal studies from ELSA-Brasil will be able to corroborate or refute these findings.
Keywords: Brazil
Diabetes
ELSA-Brasil
Gender
Night work
Sex difference
type-2 diabetes
longitudinal study
impaired glucose tolerance
keywords: Diabetes
Diabetes Tipo 2
Gênero
Trabalho noturno
Estudo longitudinal
Issue Date: 2015
Publisher: Nordic Association of Occupational Safety and Health (NOROSH)
Citation: COSTA, Aline Silva et al. Gender-specific association between night-work exposure and type-2 diabetes: results from longitudinal study of adult health, ELSA-Brasil. Scandinavian Journal of Work, Environment and Health, v. 41, n. 6, p. 569-578, 2015.
DOI: 10.5271/sjweh.3520
ISSN: 0355-3140
Copyright: open access
Appears in Collections:IOC - Artigos de Periódicos
Presidência Fiocruz - PROCC - Artigos de Periódicos
ENSP - Artigos de Periódicos
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