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International Archives of Occupational and Environmental Health

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02.03.2024 | Original Article

Effects of chronotype on sleep, mood and cardiovascular circadian rhythms in rotating night shift medical workers

verfasst von: Jinzhen Jiang, Guohua Chen, Xinhua Song, Jiajia Lu, Jing Wang, Fengfei Ding, Li Ba, Junhua Mei

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 4/2024

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Abstract

Purpose

Whether chronotype affects the health outcomes of night shift work populations is unknown. This study aimed to assess the influence of different chronotypes in the rotating night shift population on sleep status, mood, blood pressure (BP), and heart rate variability (HRV), as well as the circadian rhythm of BP and HRV.

Methods

A total of 208 rotating night shift workers were included. All participants completed structured questionnaires to assess chronotype, mood and sleep status. During their daily lives outside of the night shift, they underwent 24-hour Holter electrocardiogram monitoring and 24-hour ambulatory blood pressure monitoring. Day-time and night-time BP and BP dipping were obtained. Day-time and night-time HRV values (SDNN, RMSSD, LF, HF, LF nu, SD1, SD2 and SD2/SD1) were calculated and fitted to the cosine period curve. Three circandian parameters (mesor, amplitude and acrophase) were extracted to quantify the circadian rhythm of the HRV indices.

Results

Among all three groups, E-type showed more fatigue and sleepiness. In addition, E-type showed blunted diastolic BP dipping. Notably, E-type showed association with higher RMSSD, LF, HF and SD1 in the night time, and higher mesors of RMSSD and LF and amplitude of SD2/SD1 in circadian analysis.

Conclusion

Chronotype is a factor affecting fatigue, sleepiness and cardiovascular circadian rhythms of rotating night shift workers. Chronotype should be taken into consideration for managing night-shift rotation to promote occupational health.

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Amano R, Karashima A, Motoike I, Katayama N, Kinoshita K, Nakao M (2019) Relationship between Dynamics of Physiological Signals and subjective quality of life and its lifestyle dependency. Annu Int Conf IEEE Eng Med Biol Soc 2019:546–549. https://doi.org/10.1109/EMBC.2019.8857083CrossRef

Ansu Baidoo V, Knutson KL (2023) Associations between circadian disruption and cardiometabolic disease risk: a review. Obes (Silver Spring) 31(3):615–624. https://doi.org/10.1002/oby.23666CrossRef

Bauducco S, Richardson C, Gradisar M (2020) Chronotype, circadian rhythms and mood. Curr Opin Psychol 34:77–83. https://doi.org/10.1016/j.copsyc.2019.09.002CrossRef

Boivin DB, Boudreau P, Kosmadopoulos A (2022) Disturbance of the Circadian System in Shift Work and its Health Impact. J Biol Rhythms 37(1):3–28. https://doi.org/10.1177/07487304211064218CrossRef

Bonato M, Agnello L, Galasso L, Montaruli A, Roveda E, Merati G et al (2017) Acute Modification of Cardiac autonomic function of high-intensity interval training in Collegiate Male Soccer players with different chronotype: a cross-over study. J Sports Sci Med 16(2):286–294 PMID: 28630583; PMCID: PMC5465992

Boudreau P, Yeh WH, Dumont GA, Boivin DB (2013) Circadian variation of heart rate variability across sleep stages. Sleep 36(12):1919–1928. https://doi.org/10.5665/sleep.3230CrossRef

Brennan M, Palaniswami M, Kamen P (2001) Do existing measures of Poincaré plot geometry reflect nonlinear features of heart rate variability? IEEE Trans Biomed Eng 48(11):1342–1347. https://doi.org/10.1109/10.959330CrossRef

Deng S, Wang Q, Fan J, Yang X, Mei J, Lu J et al (2022) Correlation of circadian rhythms of heart rate variability indices with stress, Mood, and Sleep Status in Female Medical Workers with Night Shifts. Nat Sci Sleep 14:1769–1781. https://doi.org/10.2147/NSS.S377762CrossRef

Facer-Childs ER, Middleton B, Skene DJ, Bagshaw AP (2019) Resetting the late timing of ‘night owls’ has a positive impact on mental health and performance. Sleep Med 60:236–247. https://doi.org/10.1016/j.sleep.2019.05.001CrossRef

Fantozzi MPT, Artoni F, Faraguna U (2019) Heart rate variability at bedtime predicts subsequent sleep features. AnnuInt Conf IEEE Eng Med Biol Soc 6784–6788. https://doi.org/10.1109/EMBC.2019.8857844

Fishbein AB, Knutson KL, Zee PC (2021) Circadian disruption and human health. J Clin Invest 131(19):e148286. https://doi.org/10.1172/JCI148286CrossRef

Gao L, Li P, Hu C, To T, Patxot M, Falvey B et al (2019) Nocturnal heart rate variability moderates the association between sleep-wake regularity and mood in young adults. Sleep 42(5):zsz034. https://doi.org/10.1093/sleep/zsz034CrossRef

Gentry NW, Ashbrook LH, Fu YH, Ptáček LJ (2021) Human circadian variations. J Clin Invest 131(16):e148282. https://doi.org/10.1172/JCI148282CrossRef

Gumz ML, Shimbo D, Abdalla M, Balijepalli RC, Benedict C, Chen Y et al (2023) Toward Precision Medicine: circadian rhythm of blood pressure and chronotherapy for hypertension – 2021 NHLBI Workshop Report. Hypertension 80(3):503–522. https://doi.org/10.1161/HYPERTENSIONAHA.122.19372CrossRef

Haraszti RÁ, Ella K, Gyöngyösi N, Roenneberg T, Káldi K (2014) Social Jetlag negatively correlates with academic performance in undergraduates. Chronobiol Int 31(5):603–612. https://doi.org/10.3109/07420528.2013.879164CrossRef

Ho LYW, Lai CKY, Ng SSM (2021) Measuring fatigue following stroke: the Chinese version of the fatigue Assessment Scale. Disabil Rehabil 43(22):3234–3241. https://doi.org/10.1080/09638288.2020.1730455CrossRef

Honkalampi K, Järvelin-Pasanen S, Tarvainen MP, Saaranen T, Vauhkonen A, Kupari S et al (2021) Heart rate variability and chronotype - a systematic review. Chronobiol Int 38(12):1786–1796. https://doi.org/10.1080/07420528.2021.1939363CrossRef

Honkalampi K, Kupari S, Järvelin-Pasanen S, Saaranen T, Vauhkonen A, Räsänen K et al (2022) The association between chronotype and sleep quality among female home care workers performing shift work. Chronobiol Int 39(5):747–756. https://doi.org/10.1080/07420528.2022.2033256Epub 2022 Feb 3CrossRef

Huang F, Wang H, Wang Z, Zhang J, Du W, Su C et al (2020) Psychometric properties of the perceived stress scale in a community sample of Chinese. BMC Psychiatry 20(1):130. https://doi.org/10.1186/s12888-020-02520-4CrossRef

Hulsegge G, Loef B, van Kerkhof LW, Roenneberg T, van der Beek AJ, Proper KI (2019) Shift work, sleep disturbances and social jetlag in healthcare workers. J Sleep Res 28(4):e12802. https://doi.org/10.1111/jsr.12802CrossRef

Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14(6):540–545. https://doi.org/10.1093/sleep/14.6.540CrossRef

Johns MW (1992) Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 15(4):376–381. https://doi.org/10.1093/sleep/15.4.376CrossRef

Kecklund G, Axelsson J (2016) Health consequences of shift work and insufficient sleep. BMJ 355:i5210. https://doi.org/10.1136/bmj.i5210CrossRef

Khanji MY, Karim S, Cooper J, Chahal A, Aung N, Somers VK et al (2023) Impact of Sleep Duration and Chronotype on Cardiac structure and function: the UK Biobank Study. Curr Probl Cardiol 48(7):101688. https://doi.org/10.1016/j.cpcardiol.2023.101688CrossRef

Lazarus RS (1966) Psychological stress and the coping process. McGraw-Hill, New York, NY

Li X, Shaffer ML, Rodriguez-Colon S, He F, Wolbrette DL, Alagona P Jr et al (2011) The circadian pattern of cardiac autonomic modulation in a middle-aged population. Clin Auton Res 21(3):143–150. https://doi.org/10.1007/s10286-010-0112-4CrossRef

Makarem N, Paul J, Giardina EV, Liao M, Aggarwal B (2020) Evening chronotype is associated with poor cardiovascular health and adverse health behaviors in a diverse population of women. Chronobiol Int 37(5):673–685. https://doi.org/10.1080/07420528.2020.1732403CrossRef

McHill AW, Sano A, Hilditch CJ, Barger LK, Czeisler CA, Picard R et al (2021) Robust stability of melatonin circadian phase, sleep metrics, and chronotype across months in young adults living in real-world settings. J Pineal Res 70(3):e12720. https://doi.org/10.1111/jpi.12720CrossRef

Michielsen HJ, De Vries J, Van Heck GL (2003) Psychometric qualities of a brief self-rated fatigue measure: the fatigue Assessment Scale. J Psychosom Res 54(4):345–352. https://doi.org/10.1016/s0022-3999(02)00392-6CrossRef

Moškon M (2020) CosinorPy: a python package for cosinor-based rhythmometry. BMC Bioinformatics 21(1):485. https://doi.org/10.1186/s12859-020-03830-wCrossRef

Moya E, Larson LM, Stewart RC, Fisher J, Mwangi MN, Phiri KS (2022) Reliability and validity of depression anxiety stress scale (DASS)-21 in screening for common mental disorders among postpartum women in Malawi. BMC Psychiatry 22(1):352. https://doi.org/10.1186/s12888-022-03994-0CrossRef

Osman A, Wong JL, Bagge CL, Freedenthal S, Gutierrez PM, Lozano G (2012) The Depression anxiety stress Scales-21 (DASS-21): further examination of dimensions, scale reliability, and correlates. J Clin Psychol 68(12):1322–1338. https://doi.org/10.1002/jclp.21908CrossRef

Ribeiro Santiago PH, Nielsen T, Smithers LG, Roberts R, Jamieson L (2020) Measuring stress in Australia: validation of the perceived stress scale (PSS-14) in a national sample. Health Qual Life Outcomes 18(1):100. https://doi.org/10.1186/s12955-020-01343-xCrossRef

Roenneberg T, Kuehnle T, Juda M, Kantermann T, Allebrandt K, Gordijn M et al (2007) Epidemiology of the human circadian clock. Sleep Med Rev 11(6):429–438. https://doi.org/10.1016/j.smrv.2007.07.005CrossRef

Roenneberg T, Allebrandt KV, Merrow M, Vetter C (2012) Social Jetlag and obesity. Curr Biol 22(10):939–943. https://doi.org/10.1016/j.cub.2012.03.038CrossRef

Roeser K, Obergfell F, Meule A, Vögele C, Schlarb AA, Kübler A (2012) Of larks and hearts–morningness/eveningness, heart rate variability and cardiovascular stress response at different times of day. Physiol Behav 106(2):151–157. https://doi.org/10.1016/j.physbeh.2012.01.023Epub 2012 Feb 5CrossRef

Russo PM, Biasi V, Cipolli C, Mallia L, Caponera E (2017) Sleep habits, circadian preference, and school performance in early adolescents. Sleep Med 29:20–22. https://doi.org/10.1016/j.sleep.2016.09.019CrossRef

Schmidt C, Collette F, Cajochen C, Peigneux P (2007) A time to think: circadian rhythms in human cognition. Cogn Neuropsychol 24(7):755–789. https://doi.org/10.1080/02643290701754158CrossRef

Torquati L, Mielke GI, Brown WJ, Burton NW, Kolbe-Alexander TL (2019) Shift work and poor Mental Health: a Meta-analysis of Longitudinal studies. Am J Public Health 109(11):e13–e20. https://doi.org/10.2105/AJPH.2019.305278CrossRef

Touitou Y, Reinberg A, Touitou D (2017) Association between light at night, melatonin secretion, sleep deprivation, and the internal clock: Health impacts and mechanisms of circadian disruption. Life Sci 173:94–106. https://doi.org/10.1016/j.lfs.2017.02.008CrossRef

Vitale JA, Roveda E, Montaruli A, Galasso L, Weydahl A, Caumo A et al (2015) Chronotype influences activity circadian rhythm and sleep: differences in sleep quality between weekdays and weekend. Chronobiol Int 32(3):405–415. https://doi.org/10.3109/07420528.2014.986273CrossRef

Vitale JA, Weydahl A, Chronotype (2017) Physical activity, and Sport performance: a systematic review. Sports Med 47(9):1859–1868. https://doi.org/10.1007/s40279-017-0741-zCrossRef

Vitale JA, Bonato M, La Torre A, Banfi G (2019) Heart Rate Variability in Sport performance: do time of Day and Chronotype Play A Role? J Clin Med 8(5):723. https://doi.org/10.3390/jcm8050723CrossRef

Vondrasek JD, Alkahtani SA, Al-Hudaib AA, Habib SS, Al-Masri AA, Grosicki GJ et al (2022) Heart Rate Variability and Chronotype in Young Adult men. Healthc (Basel) 10(12):2465. https://doi.org/10.3390/healthcare10122465CrossRef

Weippert M, Behrens K, Rieger A, Stoll R, Kreuzfeld S (2013) Heart rate variability and blood pressure during dynamic and static exercise at similar heart rate levels. PLoS ONE 8(12):e83690. https://doi.org/10.1371/journal.pone.0083690CrossRef

Wittmann M, Dinich J, Merrow M, Roenneberg T (2006) Social Jetlag: misalignment of biological and social time. Chronobiol Int 23(1–2):497–509. https://doi.org/10.1080/07420520500545979CrossRef

Xhyheri B, Manfrini O, Mazzolini M, Pizzi C, Bugiardini R (2012 Nov-Dec) Heart rate variability today. Prog Cardiovasc Dis 55(3):321–331. https://doi.org/10.1016/j.pcad.2012.09.001

Xiao Z, Xu C, Liu Q, Yan Q, Liang J, Weng Z et al (2022) Night Shift Work, Genetic Risk, and Hypertension. Mayo Clin Proc. ;97(11):2016–2027. https://doi.org/10.1016/j.mayocp.2022.04.007

Titel: Effects of chronotype on sleep, mood and cardiovascular circadian rhythms in rotating night shift medical workers
verfasst von: Jinzhen Jiang
Guohua Chen
Xinhua Song
Jiajia Lu
Jing Wang
Fengfei Ding
Li Ba
Junhua Mei
Publikationsdatum: 02.03.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 4/2024
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-024-02060-4

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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