Heart rate during work and heart rate variability during the following night: a day-by-day investigation on the physical activity paradox among blue-collar workers

Bibliographic Details
Title: Heart rate during work and heart rate variability during the following night: a day-by-day investigation on the physical activity paradox among blue-collar workers
Authors: Mette Korshøj, Charlotte Lund Rasmussen, Tatiana de Oliveira Sato, Andreas Holtermann, David Hallman
Source: Scandinavian Journal of Work, Environment & Health, Vol 47, Iss 5, Pp 387-394 (2021)
Publisher Information: Nordic Association of Occupational Safety and Health (NOROSH), 2021.
Publication Year: 2021
Collection: LCC:Public aspects of medicine
Subject Terms: physical activity, heart rate, heart rate variability, blue-collar worker, autonomic nervous system, aerobic workload, heart rate reserve, Public aspects of medicine, RA1-1270
More Details: OBJECTIVES: Contrary to leisure-time physical activity, occupational physical activity (OPA) may have harmful health effects, called the physical activity paradox. A proposed mechanism is that OPA can elevate the heart rate (HR) for several hours per day. We aimed to investigate the association between the mean intensity of OPA and HR variability (HRV) indices the following night. METHODS: Three cohorts (NOMAD, DPhacto, and Physical Workload and Fitness) involving blue-collar workers from different sectors were merged in this study. HR monitors (Actiheart) recorded 24-hour inter-beat intervals (IBI) for up to four consecutive days. The relative intensity of the mean HR during work was estimated by HR reserve (%HRR), and time-domain indices of HRV were analyzed during the following night. Data were analyzed using a multilevel growth model to test the association between mean %HRR during work and HRV indices at night in a day-by-day analysis adjusted for age, BMI, alcohol consumption, smoking, and occupation. RESULTS: The dataset included a sample of 959 Danish blue-collar workers, with a mean %HRR during work of 31%, and 42% worked at an intensity ≥30%HRR. The multilevel model showed negative within- and between-subject associations between %HRR during work and HRV indices at night. CONCLUSIONS: Our results indicate a higher %HRR during work to associate with lower HRV indices the following night and a higher HR, reflecting an imbalanced autonomic cardiac modulation. This finding supports a high mean HR during work to be a potential underlying mechanism for the harmful health effect of OPA.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0355-3140
1795-990X
Relation: https://www.sjweh.fi/show_abstract.php?abstract_id=3965; https://doaj.org/toc/0355-3140; https://doaj.org/toc/1795-990X
DOI: 10.5271/sjweh.3965
Access URL: https://doaj.org/article/530697d1433f4dcc8e7c95d23e05f529
Accession Number: edsdoj.530697d1433f4dcc8e7c95d23e05f529
Database: Directory of Open Access Journals
More Details
ISSN:03553140
1795990X
DOI:10.5271/sjweh.3965
Published in:Scandinavian Journal of Work, Environment & Health
Language:English