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The effect of working conditions on cerebrovascular disease risk factors – a literature review

Vladina Dimitrova-Kirilova, Aleksandra Yankova, Dimitrinka Dimitrova, Mihael Tsalta-Mladenov, Veselinka Nestorova

Abstract

Cerebrovascular diseases are socially significant diseases the morbidity and mortality rates of which have increased in recent years, including in working age adults. Due to increased workplace requirements or the nature of the work process, many workers have extended working hours, work overtime, or work in shifts. It impairs their health through a multifaceted mechanism and increases their risk of cardiovascular, cerebrovascular and other diseases. Extended working hours and shift work increase the levels of occupational stress and chronic exposure leads to pathological changes, which may be risk factors for vascular diseases or worsen the control of such. Occupational stressors are a group of various workplace psychological, physical, and organizational failures which, combined with other family or socioeconomic stressors, impair the mental and physical health of the worker. Manual labourers most often exhibit harmful habits and decreased physical activity in their free time, which increases the risk of developing cerebrovascular disease. Overtime and shift work, despite contradictory data, are associated with the emergence of cerebrovascular disease risk factors. Their negative effect is most evident in patients with an already existing illness. Evidence is more definite about the negative effects of night-time work on hypertension, diabetes, obesity, metabolic syndrome, dyslipidemia. Night shifts disrupt the secretion of melatonin, feeding and circadian rhythm, all of which lead to metabolic changes. 

 


Keywords

working conditions; cerebrovascular disease; extended work time; shift work; night work; risk factors

Full Text


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DOI: http://dx.doi.org/10.14748/vmf.v11i2.8572

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