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August 7, 2018Industrial HealthOpen Access

Cardiac autonomic activity during simulated shift work

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Key result

Simulated night shift work significantly increased the amplitude of the 24-hour circadian rhythm in heart rate compared to day shift work (3.0 vs 1.0 bpm), though sleep and physical activity were the dominant drivers of cardiac autonomic activity.

Why the study?

Does simulated night work alter heart rate and heart rate variability in human subjects?

Population

29 subjects participating in in-laboratory simulated shift work studies

Design

Other

Authors

ESElena SkornyakovEastern Washington UniversitySGShobhan GaddameedhiNorth Carolina State UniversityGPGemma M. PaechJohn Hunter Hospital

Discussion

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Implication

Night shift simulation alters HR rhythm amplitude; leaves open whether displaced sleep/activity confounds HR/HRV as CV risk markers in real-world shift work.

Structured PICO

Does simulated night work alter heart rate and heart rate variability in human subjects?

P
Population
29 subjects participating in in-laboratory simulated shift work studies
I
Intervention
Simulated night work
O
Outcome
Heart rate (HR) and high frequency component of heart rate variability (HF-HRV) measured via continuous Holter EKGsurrogate

Main Result

Absolute Event Rate: 3% vs 1%

p-value: p=<0.001

Time of day, sleep/wake state, and physical activity have complex, interacting effects on cardiac autonomic activity during shift work, which must be considered when using HR and HRV as cardiovascular risk markers.

Limitations

  • Subjects were healthy young adults, free from clinically significant medical conditions including sleep disorders such as obstructive sleep apnea (OSA).
  • Caffeine use was not permitted.
  • Did not address whether or how stimulants or other medications modulate cardiac autonomic activity.
  • Not designed to assess the impact of meal timing or meal composition.
  • Did not study the effects of chronic exposure to shift work.

Cite This Study

Skornyakov et al. (2018) studied Healthy young adults (simulated shift work) (n=29). Simulated night shift work vs. Simulated day shift work was evaluated on Amplitude of 24-h rhythm in heart rate (HR) (p=<0.001). Simulated night shift work significantly increased the amplitude of the 24-hour circadian rhythm in heart rate compared to day shift work (3.0 vs 1.0 bpm), though sleep and physical activity were the dominant drivers of cardiac autonomic activity.

synapsesocial.com/papers/6a10bbe8ba20d9a181ee39b8https://doi.org/10.2486/indhealth.2018-0044
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparing linear and nonlinear mixed model approaches to cosinor analysis2003 · 73 citations
  2. 2Modifications of Cardiac Autonomic Profile Associated With a Shift Schedule of Work2000 · 152 citations
  3. 3Impact of the human circadian system, exercise, and their interaction on cardiovascular function2010 · 331 citations
  4. 4Sleep and circadian influences on cardiac autonomic nervous system activity1997 · 280 citations
  5. 5EEG Slow Wave Activity, REM Sleep, and Rectal Temperature During Night and Day Sleep in Morning‐Type and Evening‐Type Subjects1991 · 53 citations