Abstract
Purpose
The average Australian working week in middle-aged and older workers exceeds government recommendations. Long working weeks are associated with poor health outcomes; however, the relationship between long working weeks and health in young Australian workers is unknown.
Methods
Data were drawn from the 22-year follow-up of the Western Australian Pregnancy Cohort (Raine) Study in Perth, Western Australia. Information was available from 873 young adults about working hours per week, shift work and sleep duration. Blood samples provided measures of cardiometabolic risk (CMR) factors.
Results
Almost one-third (32.8%) of young workers reported > 38 h working weeks. This was commonly reported in mining and construction industries for males; health and social assistance, mining and retail trade industries for females. CMR factors including increased waist circumference, higher fasting plasma glucose and reduced HDL cholesterol were associated with > 38 h working weeks. These relationships were not moderated by gender or by BMI for glucose and HDL cholesterol. Total sleep time was significantly lower in both male and female workers reporting > 38 h working weeks, but did not mediate the relationships seen with CMR factors.
Conclusions
These findings point to early associations between > 38 h working weeks and CMR risk, and highlight the potential benefit of making young employees aware of the health associations with working arrangements to reduce the longer-term relationships seen with working hours and poor cardiometabolic health in population studies.
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Acknowledgements
The authors gratefully acknowledge the ongoing input of the Raine Study participants and their families, the Raine Study Team for ongoing co-ordination of cohort follow-ups and data collection, and the National Health and Medical Research Council (NHMRC) for funding contributed to this research for the past 25 years. The core management of the Raine Study is funded by The University of Western Australia (UWA), Curtin University, The Telethon Kids Institute, Raine Medical Research Foundation, UWA Faculty of Medicine, Dentistry and Health Sciences, Women’s and Infant’s Research Foundation and Edith Cowan University. The 22 year Raine Study follow-up was funded by National Health and Medical Research Council of Australia project grants (1027449 (Eastwood et al.), 1044840 (Straker et al.) and 1021855 (Hall et al.)), Future Health WA (G06302, Eastwood et al.) and Safe Work Australia.
Funding
The 22-year Raine Study follow-up was funded by the National Health and Medical Research Council of Australia project Grants [1027449 (Eastwood et al.), 1044840 (Straker et al.) and 1021855 (Hall et al.)], Future Health WA (G06302, Eastwood et al.) and Safe Work Australia.
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PRE and LS are the Director and Scientific Director, respectively, of the Raine Study and have ongoing involvement in study design. TAM, NM, LJB and RSB are all involved in study design and data collection. All authors contributed to data analysis approaches and techniques. ACR wrote the article with RB, JLP and SAF, and all authors provided meaningful revision and feedback on the manuscript.
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The authors declare that they have no conflict of interest relevant to this manuscript. CQUniversity Australia (ACR, JLP and SAF) have a collaborative research agreement with microbial genomics company uBiome. No financial interests are held, but the project is expected to generate research publications. PRE, LMS and TAM are funded by NHMRC Senior Research Fellowships (Nos. 1042341, 1019980 and 1042255, respectively). SAF’s research is currently supported by Australian Research Council (ARC) grant DP150104497, and ACR, JLP and SAF have previously been funded by SafeWork SA. RSB has grants from the NHMRC and ARC unrelated to this work and receives royalties from Hogrefe Publishers for the publication of memory test. NM has received funding support from ResMed Ltd for research projects and travel expenses to present results from these projects at an international conference.
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Reynolds, A.C., Bucks, R.S., Paterson, J.L. et al. Working (longer than) 9 to 5: are there cardiometabolic health risks for young Australian workers who report longer than 38-h working weeks?. Int Arch Occup Environ Health 91, 403–412 (2018). https://doi.org/10.1007/s00420-018-1289-4
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DOI: https://doi.org/10.1007/s00420-018-1289-4