Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Assessment of The Risk of Cardiovascular and Gastric Problems in Textile Mill Workers of Pali District in Relation to Shift Work


Affiliations
1 Department of Home Science, Jai Narain Vyas University, Jodhpur (Rajasthan), India
     

   Subscribe/Renew Journal


Textile industry touches the lives of all people in one or the other ways. In Rajasthan state particularly, textile mills represent an important economic sector. In Pali district, with highest number of textile mills in the state, the work never stops. It is a round the clock operating sector where shift work is highly prevalent. Different shift work systems have potentially different impacts on the health of the workforce, disturbing the circadian rhythm, an essential biological function and also inducing sleep deprivation. This characteristic makes shift work one of the most widespread work environment risk factor. The disruption of circadian rhythm may have an adverse impact on cardiovascular and gastrointestinal functioning of the body. Right from the secretion of acid to digestion of food, appetite and diet, everything gets disturbed. The present study was conducted in textile mill of Pali city with the objective to study the risk of cardiac and gastric problems in relation to shift work among male workers. Total of 400 male workers were studied, out of which 200 were non-shift workers and 200 were shift workers. Anthropometric measurements, food intake, blood pressure and lipid profile of the subjects were taken along with data on cardiac and gastric problems. The results showed significant difference between BMI (χ2=14.2, P=0.0008) and waist hip ratio (χ2=5.2, P=0.0226) of shift and non shift workers. Majority (84.50%) of the shift workers faced sleep related problems. Results on food intake showed comparatively more deficient daily intake of nutrients like fibre (7.21 g), ± carotene (1842.89 μg), and folic acid (99.03 μg) in shift workers with respect to recommended dietary allowances and an overconsumption of fats (37.72 g). Alcoholism (χ2=17.3, P=0.0001) and smoking habit (χ2=14, P=0.0029) was found to be significantly higher among shift workers. Comparatively higher segment of shift workers suffered from hypertension (56.0%), stress (70.50%), disturbed appetite (87.50%), stomach upsets (90.0%), nausea (88.50%), heartburn (85.0%) and breathlessness (34.0%). Shift workers also had higher mean levels of all lipid profile fractions and relatively more subjects fell into the category of high risk (20.50%) of CVD. Based on the results, it can be concluded that shift work affects sleep, food intake, BMI, WHR, BP, stress levels, alcohol intake, smoking habits and lipid profile of the subjects, thus increasing the risk of health problems like cardiovascular and gastric diseases.

Keywords

Shift Work, Textile Mills, CVD, Gastric Problems, Body Mass Index, Blood Pressure, Lipid Profile.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Abbaszadeh, M., Jalali, M., Krozdeh, J., Mardi, H., Panjali, H. and Zakerian, S. A. (2014). Shift work and its complications: A case study in the security personnel of a refinery complex. J. Ergon., 2(1):46-53.
  • Admi, H., Tzischinsy, O., Epstein, R., Herer, P. and Laue, P. (2008). Shift work in nursing: Is it really a risk factor for nurses’ health and patient’s safety? Nursing Econ., 26(4): 250-257.
  • American Academy of Sleep Medicine (2014). International classification of Sleep Disorders. American Academy of Sleep Medicine, 3rd Ed., Darien, Illinois, United States.
  • Atkinson, G., Fullick, S., Grindey, C. and Maclaren, D. (2008). Exercise, energy balance and the shift worker’s. Sports Medicine, 38(8):671-685.
  • Barton, J., Costa, G., Smith, L., Spelten, E., Totterdell, P. and Folkard, S. (1995). The standard shiftwork index: A battery of questionnaires for assessing shiftwork-related problems.Work & Stress, 9 : 3-30.
  • Biggi, N., Consonni, D., Galluzzo, V., Sogliani, M. and Costa, G. (2008). Metabolic syndrome in permanent night workers. Chronobiol Int., 25 : 443–454.
  • Blachowicz, E. and Letizia, M. (2006). The challenges of shift work.Medsurg Nursing, 15(5): 274-280.
  • Caruso, C., Gillespie, B. and Lusk, S. (2004). Relationship of work schedules to gastrointestinal diagnoses, symptoms, and medication use in auto factory workers. Am. J. Ind. Med., 46 : 586–598.
  • De Backer, G., De Bacquer, D., Braeckman, L., Clays, E., Kittel, F. and Van Risseghem, M. (2009). Rotating shift work and the metabolic syndrome: a prospective study. Internat. J. Epidemiol., 38 : 848–854.
  • Dochi, M., Suwazono, Y., Sakata, K., Okubo, Y., Oishi, M. and Tanaka, K. (2009). Shift work is a risk factor for increased total cholesterol level: a 14-year prospective cohort study in 6886 male workers. Occup. Environ. Med., 66 : 592–597.
  • Easwaran, P., Remya, R. and Uma, N.S. (2001). Formulation of “Risk Assessment Index” to predict Cardiovascular Disease among young adults. Indian J. Nutr. Dietet., 38 : 1 – 10.
  • Elovainio, M., Kivimäki, M., Puttonen, S., Pulkki-Råback, L., Hintsanen, M. and Vahtera, J. (2009). Shift work in young adults and carotid artery intima-media thickness: The Cardiovascular Risk in Young Finns study. Atherosclerosis, 205 : 608–613.
  • Fountoulakis, S. and Tsatsoulis, A. (2006). The protective role of exercise on stress system dysregulation and comorbidities. Ann N.Y. Acad. Sci., 1083 : 196–213.
  • Frost, P., Kolstad, H.A. and Bonde, J.P. (2009). Shift work and the risk of ischemic heart disease – a systematic review of the epidemiologic evidence. Scand. J. Work Environ. Health, 35 (3) : 163–179.
  • Fujino, Y., Iso, H., Tamakoshi, A., Inaba, Y., Koizumi, A. and Kubo, T. (2006). A prospective cohort study of shift work and risk of ischemic heart disease in Japanese male workers. Am. J. Epidemiol., 164 : 128–135.
  • Gopalan, C., Ramashastri, B.V. and Balasubramaniam, S.C. (2002) Nutritive value of Indian food. National Institute of Nutrition, ICMR, Hyderabad, A.P. (INDIA).
  • ICMR (2010). Nutrient requirements and recommended dietary allowances for Indians: A report of the expert group of the Indian Council of Medical Research. NIN, Hyderabad. pp. 85-86.
  • Jelliffe, D.B. (1966). Assessment of the nutritional status of community. WHO monograph series no. 53, Geneva, Switzerland.
  • Juda, M., Kantermann, T., Roenneberg, T. and Vetter, C. (2010). Shift-work research: Where do we stand, where should we go? Sleep & Biol. Rhythms, 8 (2): 95–105.
  • Koradecka, D. (2010). Occupational safety and health. CRC Press. 506-507 pp.
  • Kwatra, S. and Singh, D. (2012). Psycho-physiological effects of shift work on the lives of railway employees: An ergonomic intervention. Internat. J. Adv. Engg. Res. & Studies, 1(2) : 99-105.
  • McNamee, R. and Yadegarfar, G. (2008). Shift work, confounding and death from ischaemic heart disease. Occup. Environ. Med., 65 : 158–163.
  • Morikawa, Y., Nakagawa, H., Miura, K., Soyama, Y., Ishizaki, M. and Kido, T. (2007). Effect of shift work on body mass index and metabolic parameters. Scand. J. Work Environ. Health, 33(1):45–50.
  • Nedeltcheva, A.V., Kilkus, J.M., Imperial, J., Kasza, K., Schoeller, D.A. and Penev, P.D. (2009). Sleep curtailment is accompanied by increased intake of calories from snacks. Am. J. Clin. Nutr., 89(1):126–33.
  • Radi, S., Ostry, A. and Lamontagne, A.D. (2007). Job stress and other working conditions: relationships with smoking behaviors in a representative sample of working Australians. Am. J. Ind. Med., 50 : 584–596.
  • Suwazono, Y., Dochi, M., Sakata, K., Okubo, Y., Oishi, M., and Tanaka, K. (2008). A longitudinal study on the effect of shift work on weight gain in male Japanese workers.Obesity (Silver Spring), 16 : 1887–193.
  • Williams, C. (2010). Work-life balance of shift workers. Perspectives. August; 5-16 pp.
  • Bell, K., Twiggs, J. and Olin, B.R. (2015). Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations. Continuing Education. Alabama Pharmacy Association. Retrieved From: https://c.ymcdn.com/sites/aparx.siteym.com/ resource/resmgr /CEs /CE_Hypertension _The _ Silent_Killer.pdf on 13th October 2016.
  • National Heart, Lung, and Blood Institute (2001). ATP III At a glance: Quick Desk Reference. U.S. Department of Health and Human Services. Public Health Service. Retrieved From:http:/ /www.nhlbi.nih.gov/health-pro/guidelines/current/ cholesterol-guidelines/quick-desk-reference-html on 13th October 2016.
  • National Sleep Foundation (2014) Shift Work and Sleep. Retrieved From: https://sleepfoundation.org/sleep-topics/ shift-work-and-sleep/page/0/3 on 5th August 2015.
  • WHO (2000). The Asia Pacific Perspective: Redefining Obesity and its Treatment. Health Communications Australia. 17-18. Retrieved From: http://www.wpro.who.int/nutrition/ documents/docs/Redefiningobesity.pdf on 13th October 2016.

Abstract Views: 220

PDF Views: 0




  • Assessment of The Risk of Cardiovascular and Gastric Problems in Textile Mill Workers of Pali District in Relation to Shift Work

Abstract Views: 220  |  PDF Views: 0

Authors

R. Ranawat
Department of Home Science, Jai Narain Vyas University, Jodhpur (Rajasthan), India

Abstract


Textile industry touches the lives of all people in one or the other ways. In Rajasthan state particularly, textile mills represent an important economic sector. In Pali district, with highest number of textile mills in the state, the work never stops. It is a round the clock operating sector where shift work is highly prevalent. Different shift work systems have potentially different impacts on the health of the workforce, disturbing the circadian rhythm, an essential biological function and also inducing sleep deprivation. This characteristic makes shift work one of the most widespread work environment risk factor. The disruption of circadian rhythm may have an adverse impact on cardiovascular and gastrointestinal functioning of the body. Right from the secretion of acid to digestion of food, appetite and diet, everything gets disturbed. The present study was conducted in textile mill of Pali city with the objective to study the risk of cardiac and gastric problems in relation to shift work among male workers. Total of 400 male workers were studied, out of which 200 were non-shift workers and 200 were shift workers. Anthropometric measurements, food intake, blood pressure and lipid profile of the subjects were taken along with data on cardiac and gastric problems. The results showed significant difference between BMI (χ2=14.2, P=0.0008) and waist hip ratio (χ2=5.2, P=0.0226) of shift and non shift workers. Majority (84.50%) of the shift workers faced sleep related problems. Results on food intake showed comparatively more deficient daily intake of nutrients like fibre (7.21 g), ± carotene (1842.89 μg), and folic acid (99.03 μg) in shift workers with respect to recommended dietary allowances and an overconsumption of fats (37.72 g). Alcoholism (χ2=17.3, P=0.0001) and smoking habit (χ2=14, P=0.0029) was found to be significantly higher among shift workers. Comparatively higher segment of shift workers suffered from hypertension (56.0%), stress (70.50%), disturbed appetite (87.50%), stomach upsets (90.0%), nausea (88.50%), heartburn (85.0%) and breathlessness (34.0%). Shift workers also had higher mean levels of all lipid profile fractions and relatively more subjects fell into the category of high risk (20.50%) of CVD. Based on the results, it can be concluded that shift work affects sleep, food intake, BMI, WHR, BP, stress levels, alcohol intake, smoking habits and lipid profile of the subjects, thus increasing the risk of health problems like cardiovascular and gastric diseases.

Keywords


Shift Work, Textile Mills, CVD, Gastric Problems, Body Mass Index, Blood Pressure, Lipid Profile.

References