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Rotating Night Shift Work, Exposure to Light at Night, and Glomerular Filtration Rate: Baseline Results from a Chinese Occupational Cohort

Author

Listed:
  • Shengkui Zhang

    (Department of Epidemiology and Health Statistics, School of Public Health, North China University of Science and Technology, Tangshan 063210, China
    Shengkui Zhang and Yongbin Wang contributed equally to this paper.)

  • Yongbin Wang

    (Department of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, Xinxiang 453003, China
    Shengkui Zhang and Yongbin Wang contributed equally to this paper.)

  • Ying Zhu

    (Department of Epidemiology and Health Statistics, School of Public Health, North China University of Science and Technology, Tangshan 063210, China)

  • Xiaoming Li

    (Department of Epidemiology and Health Statistics, School of Public Health, North China University of Science and Technology, Tangshan 063210, China)

  • Yang Song

    (Department of Epidemiology and Health Statistics, School of Public Health, North China University of Science and Technology, Tangshan 063210, China)

  • Juxiang Yuan

    (Department of Epidemiology and Health Statistics, School of Public Health, North China University of Science and Technology, Tangshan 063210, China)

Abstract

The misalignment between the circadian clock and behavioral cycles has been implicated in pathogenesis of many diseases. The main purpose of this study is to examine the association between rotating night shift work, exposure to light at night, and glomerular filtration rate among steelworkers in north China. A total of 6869 steelworkers, aged 22 to 60 years, were included in this study. Multivariable logistic regression was used to examine the association between night shift work, the brightness of bedroom ambient light at night (LAN), and estimated glomerular filtration rate (eGFR), with adjustment for potential confounders. Mediation analysis was performed to examine the mediation effect of potential mediators on the association of duration of night shifts and eGFR. Long duration of night shift work (≥29 years) had elevated odds of decreased eGFR (≤89 mL/min/1.73 m 2 ) (odds ratio (OR), 1.37, 95% confidence interval (CI) 1.09–1.73) compared with day work after adjustment for potential confounders. The association between duration of night shifts and eGFR (continuous) was partially modified by diastolic blood pressure (average causal mediation effect (ACME), –0.077, 95% CI –0.134 to −0.030, p < 0.001). No significant associations were observed among the different brightness of bedroom ambient light levels: middle level (OR, 0.90, 95% CI 0.77–1.05), lightest level (OR, 0.94, 95% CI 0.75–1.18), and decreased eGFR compared with the darkest level. Long-term night-shift work, rather than the brightness of bedroom ambient LAN, is associated with early stage of renal dysfunction in steelworkers, and blood pressure may mediate the relationship between night shift work and decreased eGFR.

Suggested Citation

  • Shengkui Zhang & Yongbin Wang & Ying Zhu & Xiaoming Li & Yang Song & Juxiang Yuan, 2020. "Rotating Night Shift Work, Exposure to Light at Night, and Glomerular Filtration Rate: Baseline Results from a Chinese Occupational Cohort," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:9035-:d:456653
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    References listed on IDEAS

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    Cited by:

    1. Shengkui Zhang & Han Wang & Yongbin Wang & Miao Yu & Juxiang Yuan, 2021. "Association of Rotating Night Shift Work with Body Fat Percentage and Fat Mass Index among Female Steelworkers in North China," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    2. Yina Fang & Serhim Son & Jihyun Yang & Sewon Oh & Sang-Kyung Jo & Wonyong Cho & Myung-Gyu Kim, 2022. "Perturbation of Circadian Rhythm Is Associated with Increased Prevalence of Chronic Kidney Disease: Results of the Korean Nationwide Population-Based Survey," IJERPH, MDPI, vol. 19(9), pages 1-10, May.
    3. Miao Yu & Shengkui Zhang & Lihua Wang & Hongman Feng & Xiaoming Li & Jianhui Wu & Juxiang Yuan, 2022. "Association of Metabolically Healthy Obesity and Glomerular Filtration Rate among Male Steelworkers in North China," IJERPH, MDPI, vol. 19(18), pages 1-9, September.

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