Shift work and fasting glucose in police officers

Details

• Personal Author:
  Andrew, Michael E. ; Baughman, Penelope ; Burchfiel CM ; Hartley TA ; Mnatsakanova A ; Violanti JM
• Description:
  Purpose: Policing requires shift work which can be stressful, disrupt sleep patterns, and is associated with negative health consequences. Our goal was to determine whether the combination of working midnight shift and high perceived stress may be linked with glucose metabolism derangement. Methods: Data were from the Buffalo Cardio-Metabolic Occupational Police Stress Study, 2004-09. Shift work was based on daily records from 1994 to examination date. Each officer was assigned to the shift (midnight [M], day [D], or afternoon [A]) in which the largest percentage of hours was worked. Analysis of variance and covariance were used to examine trends in mean fasting glucose level across shift. Models were adjusted for age, sex, body mass index, physical activity, and smoking status. Effect modification by perceived stress was evaluated. Results: The study included 396 officers (73.3% men). Midnight shift officers had the highest adjusted mean (+standard error) fasting glucose level (M: 95.1=+.3, D: 92.1+1.1, A: 92.1+1.1 mg/dL; P=0.146), but were younger on average =standard deviation) (M: 38.7+5.8, D: 44.5+6.3, A: 39.9+6.5 years; P<0.001). Perceived stress modified the association. Differences in adjusted mean fasting glucose level across shift were borderline significant among officers with high levels of perceived stress (M: 98.3+2.4, D: 90.9+1.7, A: 93.7+1.9 mg/dL; P=0.066), yet exclusion of thosewith reported diabetes (n¼12) attenuated the association (M: 93.1+1.5, D: 90.5+1.1, A: 92.3+1.2, P=0.390). Conclusion: Results indicate that working the midnight shift and having higher perceived stress may be associated with higher fasting glucose level. [Description provided by NIOSH]
• Subjects:
  Aging Energy Metabolism Law Enforcement Men Occupational Health Safety Shift Work Schedule Sleep Sleep Initiation And Maintenance Disorders Smokers
• Keywords:
  Age-groups Humans Law-enforcement-workers Metabolism Models Physical-fitness Police-officers Shift-work Shift-workers Sleep-deprivation Sleep-disorders Smoking Statistical-analysis Stress Workers

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• ISSN:
  1047-2797
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary
• Place as Subject:
  New York ; OSHA Region 2 ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  25
• Issue:
  9
• NIOSHTIC Number:
  nn:20046732
• Citation:
  Ann Epidemiol 2015 Sep; 25(9):708
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Public Safety
• Performing Organization:
  State University of New York at Buffalo
• Peer Reviewed:
  False
• Start Date:
  20150901
• Source Full Name:
  Annals of Epidemiology
• End Date:
  20190831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fd99ab690f537d8bfae8c24b3af5f4b48f689ef638ed30554ccb40c76866518f689b17b03ecd3ef7b8d1587bd9dd9c25ef975cf0519ca30a81e85a762a3e0159
• Download URL:
  https://stacks.cdc.gov/view/cdc/202066/cdc_202066_DS1.pdf
• File Type:
  [PDF - 42.49 KB ]