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Published in: International Archives of Occupational and Environmental Health 6/2016

Open Access 01-08-2016 | Original Article

Impact of night-shift work on the prevalence of erosive esophagitis in shipyard male workers

Authors: Tae Heum Chung, Jiho Lee, Moon Chan Kim

Published in: International Archives of Occupational and Environmental Health | Issue 6/2016

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Abstract

Purpose

Whether night-shift work is a risk factor for gastroesophageal reflux disease is controversial. The aim of this study was to investigate the association between night-shift work and other factors, and erosive esophagitis.

Methods

A cross-sectional study with 6040 male shipyard workers was performed. Esophagogastroduodenoscopic examination and a survey about night-shift work status, lifestyle, medical history, educational status, and marital status were conducted in all workers. The odds ratios of erosive esophagitis according to night-shift work status were calculated by using the logistic regression model.

Results

The prevalence of erosive esophagitis increased in the night-shift workers [odds ratio, 95 % confidence interval: 1.41 (1.03–1.94)]. According to multiple logistic regression models, night-shift work, obesity, smoking, and alcohol consumption of ≥140 g/week were significant risk factors for erosive esophagitis. By contrast, Helicobacter pylori infection was negatively associated with erosive esophagitis.

Conclusion

Night-shift work is suggested to be a risk factor for erosive esophagitis. Avoidance of night-shift work and lifestyle modification should be considered for prevention and management of gastroesophageal reflux disease.
Literature
go back to reference Amani R, Gill T (2013) Shiftworking, nutrition and obesity: implications for workforce health—a systematic review. Asia Pac J Clin Nutr 22:698–708 Amani R, Gill T (2013) Shiftworking, nutrition and obesity: implications for workforce health—a systematic review. Asia Pac J Clin Nutr 22:698–708
go back to reference Chiba H, Gunji T, Sato H, Lijima K, Fujibayashi K, Okumura M, Sasabe N, Matsuhashi N, Nakajima A (2012) A cross-sectional study on the risk factors for erosive esophagitis in young adults. Intern Med 51:1293–1299CrossRef Chiba H, Gunji T, Sato H, Lijima K, Fujibayashi K, Okumura M, Sasabe N, Matsuhashi N, Nakajima A (2012) A cross-sectional study on the risk factors for erosive esophagitis in young adults. Intern Med 51:1293–1299CrossRef
go back to reference Cho YS, Kim HR, Myong JP, Kim HW (2013) Association between work conditions and smoking in South Korea. Saf Health Work 4:197–200CrossRef Cho YS, Kim HR, Myong JP, Kim HW (2013) Association between work conditions and smoking in South Korea. Saf Health Work 4:197–200CrossRef
go back to reference Chung SJ, Lim SH, Choi J, Kim D, Kim YS, Park MJ, Yim JY, Kim JS, Cho SH, Jung HC, Song IS (2011) Helicobacter pylori serology inversely correlated with the risk and severity of reflux esophagitis in Helicobacter pylori endemic area: a matched case-control study of 5,616 health check-up Koreans. J Neurogastroenterol Motil 17:267–273CrossRef Chung SJ, Lim SH, Choi J, Kim D, Kim YS, Park MJ, Yim JY, Kim JS, Cho SH, Jung HC, Song IS (2011) Helicobacter pylori serology inversely correlated with the risk and severity of reflux esophagitis in Helicobacter pylori endemic area: a matched case-control study of 5,616 health check-up Koreans. J Neurogastroenterol Motil 17:267–273CrossRef
go back to reference El-Serag HB, Tran T, Richardson P, Ergun GA (2006) Anthropometric correlates of intragastric pressure. Scand J Gastroenterol 41:887–891CrossRef El-Serag HB, Tran T, Richardson P, Ergun GA (2006) Anthropometric correlates of intragastric pressure. Scand J Gastroenterol 41:887–891CrossRef
go back to reference El-Serag HB, Ergun GA, Pandolfino J, Fitzgeral S, Tran T, Kramer JR (2007) Obesity increased oesophageal acid exposure. Gut 56:749–755CrossRef El-Serag HB, Ergun GA, Pandolfino J, Fitzgeral S, Tran T, Kramer JR (2007) Obesity increased oesophageal acid exposure. Gut 56:749–755CrossRef
go back to reference Erren TC, Reiter RJ (2009) Defining chronodisruption. J Pineal Res 46:245–247CrossRef Erren TC, Reiter RJ (2009) Defining chronodisruption. J Pineal Res 46:245–247CrossRef
go back to reference Fesharaki MG, Kazemnejad A, Zayeri F, Rowzati M, Akbari H (2014) Historical cohort study of shift work and blood pressure. Occup Med 64:109–112CrossRef Fesharaki MG, Kazemnejad A, Zayeri F, Rowzati M, Akbari H (2014) Historical cohort study of shift work and blood pressure. Occup Med 64:109–112CrossRef
go back to reference Hampel H, Abraham NS, El-Serag HB (2005) Meta-analysis: obesity and the risk of gastroesophageal reflux disease and its complication. Ann Intern Med 143:199–211CrossRef Hampel H, Abraham NS, El-Serag HB (2005) Meta-analysis: obesity and the risk of gastroesophageal reflux disease and its complication. Ann Intern Med 143:199–211CrossRef
go back to reference Kahrilas PJ, Gupta RR (1989) The effect of cigarette smoking on salivation and esophageal acid clearance. J Lab Clin Med 114:431–438 Kahrilas PJ, Gupta RR (1989) The effect of cigarette smoking on salivation and esophageal acid clearance. J Lab Clin Med 114:431–438
go back to reference Kahrilas PJ, Gupta RR (1990) Mechanisms of acid reflux associated with cigarette smoking. Gut 31:4–10CrossRef Kahrilas PJ, Gupta RR (1990) Mechanisms of acid reflux associated with cigarette smoking. Gut 31:4–10CrossRef
go back to reference Kandil TS, Mousa AA, El-Gendy AA, Abbas AW (2010) The potential therapeutic effect of melatonin in gastro-esophageal reflux disease. Gastroenterology 10:7 Kandil TS, Mousa AA, El-Gendy AA, Abbas AW (2010) The potential therapeutic effect of melatonin in gastro-esophageal reflux disease. Gastroenterology 10:7
go back to reference Kaufman SE, Kaye MD (1978) Induction of gastro-esophageal reflux by alcohol. Gut 19:336–338CrossRef Kaufman SE, Kaye MD (1978) Induction of gastro-esophageal reflux by alcohol. Gut 19:336–338CrossRef
go back to reference Keshavarzian A, Polepalle C, Iber FL, Darkin M (1990) Esophageal motor disorder in alcoholics: result of alcoholism or withdrawal? Alcohol Clin Exp Res 14:561–567CrossRef Keshavarzian A, Polepalle C, Iber FL, Darkin M (1990) Esophageal motor disorder in alcoholics: result of alcoholism or withdrawal? Alcohol Clin Exp Res 14:561–567CrossRef
go back to reference Kim N, Lee SW, Cho SI, Park CG, Yang CH, Kim HS, Rew JS, Moon JS, Kim S, Park SH, Jung HC, Chung IS (2008) The prevalence of and risk factors for erosive oesophagitis and non-erosive reflux disease: a nationwide multicenter prospective study in Korea. Aliment Pharmacol Ther 27:173–185CrossRef Kim N, Lee SW, Cho SI, Park CG, Yang CH, Kim HS, Rew JS, Moon JS, Kim S, Park SH, Jung HC, Chung IS (2008) The prevalence of and risk factors for erosive oesophagitis and non-erosive reflux disease: a nationwide multicenter prospective study in Korea. Aliment Pharmacol Ther 27:173–185CrossRef
go back to reference Kim BJ, Cheon WS, Oh HC, Kim JW, Park JD, Kim JG (2011a) Prevalence and risk factor of erosive esophagitis observed in Korean Cancer Screening Program. J Korean Med Sci 26:642–646CrossRef Kim BJ, Cheon WS, Oh HC, Kim JW, Park JD, Kim JG (2011a) Prevalence and risk factor of erosive esophagitis observed in Korean Cancer Screening Program. J Korean Med Sci 26:642–646CrossRef
go back to reference Kim BJ, Cheon WS, Oh HC, Kim JW, Park JD, Kim JG (2011b) Prevalence and risk factor of erosive esophagitis observed in Korean national cancer screening program. J Korean Med Sci 26:642–646CrossRef Kim BJ, Cheon WS, Oh HC, Kim JW, Park JD, Kim JG (2011b) Prevalence and risk factor of erosive esophagitis observed in Korean national cancer screening program. J Korean Med Sci 26:642–646CrossRef
go back to reference Klupińska G, Wiśniewska-Jarosińska M, Harasiuk A, Chojnacki C, Stec-Michalska K, Błasiak J, Reiter RJ, Chojnacki J (2006) Nocturnal secretion of melatonin in patients with upper digestive tract disorders. J Physiol Pharmacol 57(Suppl 5):41–50 Klupińska G, Wiśniewska-Jarosińska M, Harasiuk A, Chojnacki C, Stec-Michalska K, Błasiak J, Reiter RJ, Chojnacki J (2006) Nocturnal secretion of melatonin in patients with upper digestive tract disorders. J Physiol Pharmacol 57(Suppl 5):41–50
go back to reference Knutsson A (2003) Health disorders of shift workers. Occup Med (Lond) 53(2):103–108CrossRef Knutsson A (2003) Health disorders of shift workers. Occup Med (Lond) 53(2):103–108CrossRef
go back to reference Knutsson A (2010) Gastrointestinal disorders among shift works. Scand J Work Environ Health 36:85–95CrossRef Knutsson A (2010) Gastrointestinal disorders among shift works. Scand J Work Environ Health 36:85–95CrossRef
go back to reference Konturek SJ, Konturek PC (2007) Localization and biological activities of melatonin in intact and diseased gastrointestinal tract (GIT). J Physiol Pharmacol 58:381–405 Konturek SJ, Konturek PC (2007) Localization and biological activities of melatonin in intact and diseased gastrointestinal tract (GIT). J Physiol Pharmacol 58:381–405
go back to reference Konturek SJ, Zayachkivska O, Havryluk XO, Brzozowski T, Sliwowski Z, Pawlik M, Konturek PC, Cześnikiewicz-Guzik M, Gzhegotsky MR, Pawlik WW (2007) Protective influence of melatonin against acute esophageal lesions involves prostaglandins, nitric oxide and sensory nerves. J Physiol Pharmacol 58:361–377 Konturek SJ, Zayachkivska O, Havryluk XO, Brzozowski T, Sliwowski Z, Pawlik M, Konturek PC, Cześnikiewicz-Guzik M, Gzhegotsky MR, Pawlik WW (2007) Protective influence of melatonin against acute esophageal lesions involves prostaglandins, nitric oxide and sensory nerves. J Physiol Pharmacol 58:361–377
go back to reference Konturek PC, Brzozowskf T, Konturek SJ (2011) Gut clock: implication of circadian rhythms in the gastrointestinal tract. J Physiol Pharmacol 62:139–150 Konturek PC, Brzozowskf T, Konturek SJ (2011) Gut clock: implication of circadian rhythms in the gastrointestinal tract. J Physiol Pharmacol 62:139–150
go back to reference Lee D, Lee KJ, Kim KM, Lim SK (2011) Prevalence of asymptomatic erosive esophagitis and factors associated with symptom presentation of erosive esophagitis. Scand J Gastroenterol 46:133–141CrossRef Lee D, Lee KJ, Kim KM, Lim SK (2011) Prevalence of asymptomatic erosive esophagitis and factors associated with symptom presentation of erosive esophagitis. Scand J Gastroenterol 46:133–141CrossRef
go back to reference Li YM, Du J, Zhang H, Yu CH (2008) Epidemiological investigation in outpatients with symptomatic gastroesophageal reflux from the department of medicine in Zhejiang Province, east China. J Gastroenterol Hepatol 23:283–289CrossRef Li YM, Du J, Zhang H, Yu CH (2008) Epidemiological investigation in outpatients with symptomatic gastroesophageal reflux from the department of medicine in Zhejiang Province, east China. J Gastroenterol Hepatol 23:283–289CrossRef
go back to reference Locke GR, Talley NJ, Fett SL, Zinsmeister AR, Melton LJ (1997) Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Olmsted County, Minnesota. Gastroenterology 112:1448–1456CrossRef Locke GR, Talley NJ, Fett SL, Zinsmeister AR, Melton LJ (1997) Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Olmsted County, Minnesota. Gastroenterology 112:1448–1456CrossRef
go back to reference Lundell LR, Dent J, Benmet JR, Blum AC, Armstrong D, Galmiche JP (1999) Endoscopic assessment of oesophagitis: clinical and functional correlate and further validation of the: Los Angeles classification. Gut 45:172–180CrossRef Lundell LR, Dent J, Benmet JR, Blum AC, Armstrong D, Galmiche JP (1999) Endoscopic assessment of oesophagitis: clinical and functional correlate and further validation of the: Los Angeles classification. Gut 45:172–180CrossRef
go back to reference McMenamin TM (2007) A time to work: recent trends in shift work and flexible schedules. Monthly Lab Rev 130:3–15 McMenamin TM (2007) A time to work: recent trends in shift work and flexible schedules. Monthly Lab Rev 130:3–15
go back to reference Mincis M, Chebli JM, Khouri ST, Mincis R (1995) Ethanol and the gastrointestinal tract. Arq Gastroenterol 32:131–139 Mincis M, Chebli JM, Khouri ST, Mincis R (1995) Ethanol and the gastrointestinal tract. Arq Gastroenterol 32:131–139
go back to reference Nakamura K, Shimai S, Kikuchi S, Tominaga K, Takahashi H, Tanaka M, Nakano S, Motohashi Y, Nakadaira H, Yamamoto M (1997) Shift work and risk factors for coronary heart disease in Japanese blue-collar workers: serum lipids and anthropometic characteristics. Occup Med 47:142–146CrossRef Nakamura K, Shimai S, Kikuchi S, Tominaga K, Takahashi H, Tanaka M, Nakano S, Motohashi Y, Nakadaira H, Yamamoto M (1997) Shift work and risk factors for coronary heart disease in Japanese blue-collar workers: serum lipids and anthropometic characteristics. Occup Med 47:142–146CrossRef
go back to reference Nordenstedt H, Nilsson M, Johnsen R, Lagergren J, Hveen K (2007) Helicobacter pylori infection and gastroesophageal reflux in a population-based study (The HUNT Study). Helicobacter 12:16–22CrossRef Nordenstedt H, Nilsson M, Johnsen R, Lagergren J, Hveen K (2007) Helicobacter pylori infection and gastroesophageal reflux in a population-based study (The HUNT Study). Helicobacter 12:16–22CrossRef
go back to reference Peplonska B, Bukowska A, Sobala W (2015) Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. PLoS ONE 10:e0133761CrossRef Peplonska B, Bukowska A, Sobala W (2015) Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. PLoS ONE 10:e0133761CrossRef
go back to reference Ramin C, Devore EE, Wang W, Pierre-Paul J, Wegrzyn LR, Schernhammer ES (2015) Night shift work at specific age ranges and chronic disease risk factors. Occup Environ Med 72:100–107CrossRef Ramin C, Devore EE, Wang W, Pierre-Paul J, Wegrzyn LR, Schernhammer ES (2015) Night shift work at specific age ranges and chronic disease risk factors. Occup Environ Med 72:100–107CrossRef
go back to reference Ronkainen J, Aro P, Stors-krubb T, Johansson SE, Lind T, Bollling-Sternevald E et al (2005) High prevalence of gastroesophageal reflux symptoms and esophagitis with or without symptoms in the general adult Swedish population: a Kalixandra study report. Scand J Gastroenterol 40:275–285CrossRef Ronkainen J, Aro P, Stors-krubb T, Johansson SE, Lind T, Bollling-Sternevald E et al (2005) High prevalence of gastroesophageal reflux symptoms and esophagitis with or without symptoms in the general adult Swedish population: a Kalixandra study report. Scand J Gastroenterol 40:275–285CrossRef
go back to reference Shim KN, Hong SI, Song JK, Park KS, Kim SE, Park HS, Kim YS et al (2009) H. pylori and GERD Study Group of Korean College of Helicobacter and Upper Gastrointestinal Research. Clinical spectrum of reflux esophagitis among 25,536 Koreans who underwent a health check-up: a nationwide multicenter prospective, endoscopy-based study. J Clin Gastroenterol 43:632–638CrossRef Shim KN, Hong SI, Song JK, Park KS, Kim SE, Park HS, Kim YS et al (2009) H. pylori and GERD Study Group of Korean College of Helicobacter and Upper Gastrointestinal Research. Clinical spectrum of reflux esophagitis among 25,536 Koreans who underwent a health check-up: a nationwide multicenter prospective, endoscopy-based study. J Clin Gastroenterol 43:632–638CrossRef
go back to reference Son M, Kong JO, Koh SB, Kim J, Härmä M (2008) Effects of long working hours and the night shift on severe sleepiness among workers with 12-hour shift system for 5 to 7 consecutive days in the automobile factories of Korea. J Sleep Res 17:385–394CrossRef Son M, Kong JO, Koh SB, Kim J, Härmä M (2008) Effects of long working hours and the night shift on severe sleepiness among workers with 12-hour shift system for 5 to 7 consecutive days in the automobile factories of Korea. J Sleep Res 17:385–394CrossRef
go back to reference Unal S, Karakan T, Dogan I, Cindoruk M, Dumlu S (2006) The influence of Helicobacter pylori infection on the prevalence of endoscopic erosive esophagitis. Helicobacter 11:556–561CrossRef Unal S, Karakan T, Dogan I, Cindoruk M, Dumlu S (2006) The influence of Helicobacter pylori infection on the prevalence of endoscopic erosive esophagitis. Helicobacter 11:556–561CrossRef
go back to reference Vakil N, Van Zanten SV, Kahrilas P, Dent J, Jones R (1990) Global consensus group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol 2006:101 Vakil N, Van Zanten SV, Kahrilas P, Dent J, Jones R (1990) Global consensus group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol 2006:101
go back to reference Van Amelsvoort LG, Schouten EG, Kok FJ (2004) Impact of one year of shift work on cardiovascular disease risk factors. J Occup Environ Med 46:699–706CrossRef Van Amelsvoort LG, Schouten EG, Kok FJ (2004) Impact of one year of shift work on cardiovascular disease risk factors. J Occup Environ Med 46:699–706CrossRef
go back to reference Wu JC, Mui LM, Cheung CM, Chan Y, Sung J (2007) Obesity is associated with increased transient lower esophageal sphincter relaxation. Gastroenterology 132:883–889CrossRef Wu JC, Mui LM, Cheung CM, Chan Y, Sung J (2007) Obesity is associated with increased transient lower esophageal sphincter relaxation. Gastroenterology 132:883–889CrossRef
go back to reference Yamamichi N, Mochizuki S, Asada-Hirayama I, Mikami-Matsuda R, Shimamoto T, Konno-Shimizu M, Takshashi Y, Takeuchi C, Nimi K, Ono S, Kodashima S, Minatsuki C, Fujishiro M, Mitsushima T, Koike K (2012) Lifestyle factors affecting gastroesophageal reflux disease symptoms: a cross-sectional study of healthy 19864 adults using FSSG scores. BMC Med 10:45CrossRef Yamamichi N, Mochizuki S, Asada-Hirayama I, Mikami-Matsuda R, Shimamoto T, Konno-Shimizu M, Takshashi Y, Takeuchi C, Nimi K, Ono S, Kodashima S, Minatsuki C, Fujishiro M, Mitsushima T, Koike K (2012) Lifestyle factors affecting gastroesophageal reflux disease symptoms: a cross-sectional study of healthy 19864 adults using FSSG scores. BMC Med 10:45CrossRef
go back to reference Zagari RM, Fuccio L, Wallander MA, Johnason S, Fiocca R, Casanova S et al (2008) Gastro-esophageal reflux disease and reflux esophagitis and Barrett’s esophagus in the general population: the Loiano-Monghidoro study. Gut 57:1354–1359CrossRef Zagari RM, Fuccio L, Wallander MA, Johnason S, Fiocca R, Casanova S et al (2008) Gastro-esophageal reflux disease and reflux esophagitis and Barrett’s esophagus in the general population: the Loiano-Monghidoro study. Gut 57:1354–1359CrossRef
go back to reference Zou D, He J, Ma X, Chen J, Gong Y, Man X et al (2011) Epidemiology of symptom-defined gastro-esophageal reflux disease and reflux esophagitis: the systematic investigation of gastrointestinal disease in China (SILC). Scand J Gastroenterol 46:133–141CrossRef Zou D, He J, Ma X, Chen J, Gong Y, Man X et al (2011) Epidemiology of symptom-defined gastro-esophageal reflux disease and reflux esophagitis: the systematic investigation of gastrointestinal disease in China (SILC). Scand J Gastroenterol 46:133–141CrossRef
Metadata
Title
Impact of night-shift work on the prevalence of erosive esophagitis in shipyard male workers
Authors
Tae Heum Chung
Jiho Lee
Moon Chan Kim
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 6/2016
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-016-1130-x

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