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Occup Environ Med 66:592-597 doi:10.1136/oem.2008.042176
  • Original article

Shift work is a risk factor for increased total cholesterol level: a 14-year prospective cohort study in 6886 male workers

Table 3

Odds ratios and 95% confidence intervals of shift work compared with day work for increases in total cholesterol

Variables OR (95% CI) p Value OR (95% CI) p Value OR (95% CI) p Value
Increase by ⩾20% Increase by ⩾25% Increase by ⩾30%
Job schedule type (shift/day) 1.16 (1.07 to 1.26) <0.001 1.16 (1.05 to 1.28) 0.003 1.11 (0.98 to 1.25) 0.089
Baseline total cholesterol (mg/dl) 0.67 (0.65 to 0.69) <0.001 0.63 (0.62 to 0.65) <0.001 0.61 (0.59 to 0.64) <0.001
Age 1.00 (0.99 to 1.00) 0.544 1.00 (0.99 to 1.01) 0.870 1.00 (0.99 to 1.00) 0.602
Body mass index (kg/m2) 1.02 (1.00 to 1.03) 0.054 1.03 (1.01 to 1.05) 0.001 1.05 (1.03 to 1.08) <0.001
Creatinine (mg/dl) 0.99 (0.97 to 1.01) 0.314 0.98 (0.95 to 1.01) 0.134 0.98 (0.94 to 1.01) 0.159
Glycated haemoglobin A1c (%) 1.04 (1.00 to 1.08) 0.079 1.07 (1.02 to 1.12) 0.004 1.09 (1.03 to 1.15) 0.002
Aspartate aminotransferase (IU/l) 1.01 (0.99 to 1.02) 0.305 1.01 (1.00 to 1.03) 0.101 1.02 (1.00 to 1.04) 0.075
γ-Glutamyl transpeptidase (IU/l) 1.02 (1.01 to 1.03) <0.001 1.02 (1.01 to 1.03) <0.001 1.02 (1.01 to 1.03) <0.001
Uric acid (mg/dl) 0.99 (0.97 to 1.01) 0.252 1.00 (0.98 to 1.02) 0.750 1.01 (0.98 to 1.03) 0.668
Drinking habit (everyday/not everyday) 0.87 (0.79 to 0.96) 0.003 0.86 (0.77 to 0.96) 0.006 0.91 (0.79 to 1.04) 0.158
Smoking habit (smokers/non-smokers) 1.02 (0.93 to 1.11) 0.704 1.01 (0.91 to 1.12) 0.846 1.04 (0.92 to 1.18) 0.545
Regular exercise (absence/presence) 0.97 (0.89 to 1.06) 0.503 0.90 (0.81 to 0.99) 0.035 0.89 (0.79 to 1.01) 0.070
Increase by ⩾35% Increase by ⩾40% Increase by ⩾45%
Job schedule type (shift/day) 1.23 (1.05 to 1.43) 0.009 1.30 (1.07 to 1.58) 0.007 1.28 (1.01 to 1.63) 0.045
Baseline total cholesterol (mg/dl) 0.57 (0.55 to 0.60) <0.001 0.55 (0.52 to 0.58) <0.001 0.54 (0.50 to 0.57) <0.001
Age 1.00 (0.99 to 1.01) 0.490 1.00 (0.99 to 1.01) 0.869 0.99 (0.98 to 1.01) 0.249
Body mass index (kg/m2) 1.07 (1.04 to 1.10) <0.001 1.10 (1.06 to 1.13) <0.001 1.10 (1.05 to 1.15) <0.001
Creatinine (mg/dl) 0.97 (0.93 to 1.02) 0.197 0.96 (0.91 to 1.01) 0.137 0.96 (0.89 to 1.03) 0.252
Glycated haemoglobin A1c (%) 1.12 (1.05 to 1.20) 0.001 1.16 (1.07 to 1.26) 0.001 1.15 (1.03 to 1.28) 0.013
Aspartate aminotransferase (IU/l) 1.02 (0.99 to 1.04) 0.136 1.03 (1.00 to 1.06) 0.037 1.03 (0.99 to 1.06) 0.161
γ-Glutamyl transpeptidase (IU/l) 1.03 (1.02 to 1.05) <0.001 1.03 (1.01 to 1.05) <0.001 1.03 (1.01 to 1.05) 0.007
Uric acid (mg/dl) 1.01 (0.97 to 1.04) 0.682 1.02 (0.97 to 1.06) 0.442 1.05 (0.99 to 1.11) 0.087
Drinking habit (everyday/not everyday) 0.89 (0.75 to 1.06) 0.182 0.96 (0.78 to 1.20) 0.746 1.15 (0.87 to 1.51) 0.328
Smoking habit (smokers/non-smokers) 1.06 (0.90 to 1.24) 0.506 1.02 (0.83 to 1.26) 0.836 0.96 (0.74 to 1.24) 0.762
Regular exercise (absence/presence) 0.99 (0.85 to 1.16) 0.940 0.90 (0.74 to 1.10) 0.306 1.00 (0.78 to 1.27) 0.983
  • The data for total cholesterol, creatinine, glycated haemoglobin A1c, aspartate aminotransferase, γ-glutamyl transpeptidase and uric acid were logarithmically transformed using a base of 1.1. All covariates were included in the model.

  • OR, odds ratio, estimated as the ratio of the former to the latter for job schedule type, drinking habits, smoking habits.

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