Skip to main content
Log in

Heart rate variability in male shift workers in automobile manufacturing factories in South Korea

  • Original Article
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

An Erratum to this article was published on 27 February 2015

Abstract

Purpose

The aim of this study was to determine the effect of circadian rhythm disruption on cardiovascular autonomic regulation by examining potential differences in heart rate variability (HRV) between day- and night-shift workers.

Methods

The study population consisted of 162 workers who worked both day and night shifts in two automobile manufacturing companies who underwent ambulatory 24-h electrocardiogram recording and completed questionnaires and sleep diaries. Both time and frequency domain indices of HRV were compared.

Results

HRV parameters (mean RR, SDNN, RMSSD, pNN50, TP, HF, LF, LF/HF ratio) reflecting sympathetic and parasympathetic modulation varied less with activity in night-shift workers.

Conclusions

Circadian rhythm-mediated changes in autonomic regulation of the cardiovascular system were blunted in night-shift workers, which could contribute to an increased risk for cardiovascular disease in overnight workers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Abbreviations

Mean RR:

Mean RR interval

SDNN:

Standard deviations of all NN intervals

RMSSD:

Square root of the mean squared differences of successive NN intervals

pNN50:

Proportion derived by dividing NN50 by the total number of NN interval

TP:

Total power

LF:

Low frequency (0.04–0.15 Hz)

HF:

High frequency (0.15–0.4 Hz)

References

  • Akerstedt T (2003) Shift work and disturbed sleep/wakefulness. Occup Med 53(2):89

    Article  Google Scholar 

  • Bae G et al (2013) Shift work and working time. Korea Labor Institute, Seoul

    Google Scholar 

  • Boggild H, Knutsson A (1999) Shift work, risk factors and cardiovascular disease. Scand J Work Environ Health 25(2):85–99

    Article  CAS  Google Scholar 

  • Burger AJ, Kamalesh M (1999) Effect of beta-adrenergic blocker therapy on the circadian rhythm of heart rate variability in patients with chronic stable angina pectoris. Am J Cardiol 83(4):596–598. doi:10.1016/s0002-9149(98)00921-7

    Article  CAS  Google Scholar 

  • Burgess H, Trinder J, Kim Y, Luke D (1997) Sleep and circadian influences on cardiac autonomic nervous system activity. Am J Physiol Heart Circ Physiol 273(4):1761–1768

    Google Scholar 

  • Casolo G, Balli E, Taddei T, Amuhasi J, Gori C (1989) Decreased spontaneous heart rate variability in congestive heart failure. Am J Cardiol 64(18):1162–1167. doi:10.1016/0002-9149(89)90871-0

    Article  CAS  Google Scholar 

  • Costa G (2003) Shift work and occupational medicine: an overview. Occup Med 53(2):83–88

    Article  Google Scholar 

  • European Foundation (2007) Fourth European working conditions survey. European Foundation for the Improvement of Living and Working Conditions, Doublin

    Google Scholar 

  • Fallen EL, Kamath MV, Ghista DN (1988) Power spectrum of heart rate variability: a non-invasive test of integrated neurocardiac function. Clin Invest Med 11(5):331

    CAS  Google Scholar 

  • Fleiss JL (1986) The design and analysis of clinical experiments. Wiley, USA

    Google Scholar 

  • Freitas J, Lago P, Puig J, Carvalho MJ, Costa O, de Freitas AF (1997) Circadian heart rate variability rhythm in shift workers. J Electrocardiol 30(1):39–44

    Article  CAS  Google Scholar 

  • Furlan R et al (1990) Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects. Circulation 81(2):537–547

    Article  CAS  Google Scholar 

  • Furlan R, Barbic F, Piazza S, Tinelli M, Seghizzi P, Malliani A (2000) Modifications of cardiac autonomic profile associated with a shift schedule of work. Circulation 102(16):1912–1916

    Article  CAS  Google Scholar 

  • Ha M, Kim J, Park J, Chung HK (2001) Blood pressure and heart rate variability in workers of 8-hour shifts. J Hum Ergol 30(1–2):229–233

    CAS  Google Scholar 

  • Hayano J, Yamada M, Sakakibara Y, Fujinami T, Yokoyama K, Watanabe Y, Takata K (1990) Short-and long-term effects of cigarette smoking on heart rate variability. Am J Cardiol 65(1):84–88

    Article  CAS  Google Scholar 

  • Hemingway H, Shipley M, Brunner E, Britton A, Malik M, Marmot M (2005) Does autonomic function link social position to coronary risk? The Whitehall II study. Circulation 111(23):3071–3077

    Article  Google Scholar 

  • Huikuri HV, Niemela MJ, Ojala S, Rantala A, Ikaheimo MJ, Airaksinen KE (1994) Circadian rhythms of frequency domain measures of heart rate variability in healthy subjects and patients with coronary artery disease. Effects of arousal and upright posture. Circulation 90(1):121–126

    Article  CAS  Google Scholar 

  • Ito H, Nozaki M, Maruyama T, Kaji Y, Tsuda Y (2001) Shift work modifies the circadian patterns of heart rate variability in nurses. Int J Cardiol 79(2):231–236

    Article  CAS  Google Scholar 

  • Jurca R, Church T, Morss G, Jordan A, Earnest C (2004) Eight weeks of moderate-intensity exercise training increases heart rate variability in sedentary postmenopausal women. Am Heart J 147(5):8–15

    Article  Google Scholar 

  • Kleiger RE, Miller JP, Bigger JT Jr, Moss AJ (1987) Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol 59(4):256–262. doi:10.1016/0002-9149(87)90795-8

    Article  CAS  Google Scholar 

  • Knutsson A (2004) Methodological aspects of shift-work research. Chronobiol Int 21(6):1037–1047

    Article  Google Scholar 

  • Lehndorff S (2001) Factories with breathing power. The change in working-time organisation in the European automotive industry. In: 8th international symposium on working time, pp 14–16

  • Malik M et al (1996) Task force of the European society of cardiology and the North American society of pacing and electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation 93(5):1043

  • Malliani A, Pagani M, Lombardi F, Cerutti S (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84(2):482–492

    Article  CAS  Google Scholar 

  • Malpas SC, Purdie GL (1990) Circadian variation of heart rate variability. Cardiovasc Res 24(3):210–213

    Article  CAS  Google Scholar 

  • McEwen BS (2000) Allostasis, allostatic load, and the aging nervous system: role of excitatory amino acids and excitotoxicity. Neurochem Res 25(9):1219–1231

    Article  CAS  Google Scholar 

  • Meijman TF, Mulder G (1998) Psychological aspects of workload. Handbook of work and organizational psychology: Work psychology 2, Psychology Press Ltd, UK

  • Minors DS, Waterhouse JM (1986) Circadian rhythms and their mechanisms. Experientia 42(1):1–13

    Article  CAS  Google Scholar 

  • Pichot V, Roche F, Denis C, Garet M, Duverney D, Costes F, Barthélémy J (2005) Interval training in elderly men increases both heart rate variability and baroreflex activity. Clin Auton Res 15(2):107–115

    Article  Google Scholar 

  • Steenland K, Fine L (1996) Shift work, shift change, and risk of death from heart disease at work. Am J Ind Med 29(3):278–281

    Article  CAS  Google Scholar 

  • Teisala T, Mutikainen S, Tolvanen A, Rottensteiner M, Leskinen T, Kaprio J et al (2014) Associations of physical activity, fitness, and body composition with heart rate variability-based indicators of stress and recovery on workdays: a cross-sectional study. J Occup Med Toxicol 34:26–40

    Google Scholar 

  • US Bureau of Labor Statistics (2005) Occupational Outlook Handbook. United States Department of Labor

  • Van Amelsvoort L, Schouten EG, Maan AC, Swenne CA, Kok FJ (2000) Occupational determinants of heart rate variability. Int Arch Occup Environ Health 73(4):255–262

    Article  Google Scholar 

  • Van Amelsvoort LG, Schouten EG, Maan AC, Swenne CA, Kok FJ (2001) Changes in frequency of premature complexes and heart rate variability related to shift work. Occup Environ Med 58(10):678–681

    Article  Google Scholar 

  • Zhong X, Hilton Z, Gates G, Jelic S, Stern Y, Bartels M, DeMeersman R, Basner R (2005) Increased sympathetic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleep deprivation. J Appl Physiol 98(6):2024–2032

    Article  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mia Son.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, S., Kim, H., Kim, DH. et al. Heart rate variability in male shift workers in automobile manufacturing factories in South Korea. Int Arch Occup Environ Health 88, 895–902 (2015). https://doi.org/10.1007/s00420-014-1016-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00420-014-1016-8

Keywords

Navigation