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NIOSH Publication No. 2004-143:

Overtime and Extended Work Shifts: Recent Findings on Illnesses, Injuries and Health Behaviors

May 2004

 

Tables:



Table 8. Studies Examining Extended Work Shifts Combined with More than 40 Hours per Week: Methods and Findings


Back to Table 8 main page

Author, Date Sample Description of Work Schedule Health or Safety Measure Statistical Methods Controls Results Reported by Authors
Duchon et al. 1997 30 underground male miners:
- Age not reported
- Canada
- 8-h 3-shift rotation with M 41 h/wk changes to experimental 12-h day/night rotation (4 on, 4 off) with M 48 h/wk
- Control group: 8-h day shift, 40 h/wk
- Tested pre-, mid-, post-shift for a week:
- 8-h rotation
- After 12-h rotation for 10 months
- Submaximal exercise testing
- Continuous heart rate monitoring
- Computerized test battery tested pursuit tracking, grammatical reasoning, choice reaction time, finger tapping
- Three-way mixed design ANOVA
- Kruskal-Wallis one-way ANOVA
- No significant main effects between 8- and 12-h shifts on neurobehavioral performance measures.
- Continuous heart rate findings showed pacing of work effort on 12-h shifts relative to 8-h shifts. The 12-h workers appeared to pace their work at a slower rate than the 8-h workers.
Fischer et al. 2000 22 male workers at a petrochemical plant:
- Age M 32.6;
- Brazil
- 12-h day/night rapid rotation (2 - 3D, 2 - 3 N, 4 - 5 off)
- 48 M h/wk
For 30 days, recorded subjective alertness at 2nd, 6th, 10th hour of day and night shifts using visual analog scale (10cm) from not at all alert to very alert. - Repeated measures ANOVA
- Tukey tests for post hoe comparisons
Significant reduction in alertness (p < 0.001):
- Days, from 2nd hour to 10th hour.
- Nights, 10th hour reduced from 2nd and 6th hour.
- No reduction seen across successive night shifts.
Lipscomb et al. 2002a 1,163 working nurses randomly selected from two states:
- Age M 45
- Women 95%
- United States
One-time questionnaire:
- Work h/day: <= 8; 9 - 11; >=12
- Work h/wk: <= 40; 41 - 49; >=50
- Work days/wk: 1 - 5; 6- 7
- Day shift versus other
- Interactions: h/shift by h/wk
One-time Nordic Survey of Musculoskeletal Symptoms Logistic regression adjusted for age

- Compared to 8-h shift, >= 12-h/day increased risk for back disorders (OR 1.61, CI 1.05 - 2.48).
- Interactions suggested that >= 12-h /day combined with >= 40-h/week elevated risk for disorders of neck (OR 2.30, CI 1.03 - 5.11), shoulder (OR 2.48, CI 1.07 - 5.77), and back (OR 2.67, CI 1.26 - 5.66).