Occupational determinants of heart rate variability |
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Authors: | L.G.P.M. van Amelsvoort E.G. Schouten A.C. Maan C.A. Swenne F.J. Kok |
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Affiliation: | (1) Division of Human Nutrition and Epidemiology, Wageningen University, P.O. Box 8129, 6700 EV Wageningen, The Netherlands e-mail: Ludovic.vanamelsvoort@staff.nutepi.wau.nl Tel.: +31-317-482002; Fax: +31-317-482782, NL;(2) Leiden Foundation for ECG analysis SEAL, Leiden University Medical Centre, Leiden, The Netherlands, NL;(3) Department of Cardiology, Leiden University Medical Centre, Leiden, The Netherlands, NL |
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Abstract: | Objectives: Analysis of HRV has been suggested as a way to study the effects of work-related stresses on cardiovascular autonomic regulation. The aim of this study was to evaluate the use of HRV in the investigation of work-related stressors. Methods: Cross-sectional data from an ongoing cohort study were used to analyse the relationship of the potential workplace stressors of job-strain, noise and shift work, with HRV. Mean HRV values during sleep and work were calculated in 135 24-h EKG recordings. Results: Shift workers displayed significantly decreased SDNNi levels during sleep, compared with those of the daytime workers (adjusted least square mean values: 69.3 and 85.8 ms, respectively, P < 0.05). Compared with the control group reporting low job demands and high work control (mean: 73.2), we found significantly elevated %LF means during work adjusted for sleep in the low demands, low control group (77.9, P < 0.01), high demands, high control group (77.7, P < 0.05) and high demands, low control group (77.7, P < 0.05). Workers reporting a high noise level compared with a low work noise level also displayed an elevated adjusted mean %LF during work (78.0 and 75.3 respectively, P < 0.06). Conclusions: The finding of a decreased SDNNi level during sleep in shift workers compared with day workers indicated a less favourable cardiovascular autonomic regulation, which may explain in part the excess cardiovascular disease risk in shift workers. The elevated %LF during work in employees exposed to high job strain or high noise levels indicated a direct shift in the autonomic cardiac balance towards sympathetic dominance. We concluded that the analysis of HRV may provide a useful tool in the study of the physiological effects of work-related stresses. Received: 22 July 1999 / Accepted: 4 December 1999 |
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Keywords: | Heart rate variability Shift work Job strain Workplace noise |
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