Safety and Health at Work Vol. 13 Issue 2 2022
Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers’ Health Check-up Data (Original article)
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Title
Safety and Health at Work Vol. 13 Issue 2 2022
Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers’ Health Check-up Data (Original article)
Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers’ Health Check-up Data (Original article)
Subject
Multicenter study, Constipation, Insomnia, Shift work
Description
Background: Although insomnia and constipation are highly prevalent worldwide, studies examining a possible association between them are lacking. We examined the relationship between insomnia and
constipation in shift workers who have a high prevalence of insomnia and other diseases.
Methods: This study had a multicenter cross-sectional design and conducted using health examination data including self-reported questionnaires. In total, 12,879 and 4,650 shift workers were enrolled in
Severance Hospital and Wonju Severance Hospital, respectively, during 2015-2017. Multivariate logistic regression models and subgroup analysis were performed in each center with the same protocol, using a
common data model.
Results: The mean age of the total population was 44.35 (standard deviation 1⁄4 8.75); the proportion of males was 56.9%. Female sex, being underweight and non-smoker were strongly associated with an
increased risk of constipation symptom (p < 0.001). Pooled odds ratios (ORs) were calculated using ORs of both centers with weights; there was a significant doseeresponse relationship (sub-threshold 1.76
[95% confidence interval [CI] 1.62e1.91]; moderate 2.28 [95% CI 2.01e2.60]; severe 4.15 [95% CI 3.18 e5.41] in the final model, p for trend < 0.001). Subgroup analysis performed by stratifying sex and
pooled ORs showed a similar trend to that of the entire group.
Conclusion: We observed a strong correlation between insomnia and constipation in this population. Our findings may help in formulating guidelines and policies to improve quality of life in shift workers
through the management of sleep quality and proper bowel function. This study is the first to report this relationship among people working in shifts.
constipation in shift workers who have a high prevalence of insomnia and other diseases.
Methods: This study had a multicenter cross-sectional design and conducted using health examination data including self-reported questionnaires. In total, 12,879 and 4,650 shift workers were enrolled in
Severance Hospital and Wonju Severance Hospital, respectively, during 2015-2017. Multivariate logistic regression models and subgroup analysis were performed in each center with the same protocol, using a
common data model.
Results: The mean age of the total population was 44.35 (standard deviation 1⁄4 8.75); the proportion of males was 56.9%. Female sex, being underweight and non-smoker were strongly associated with an
increased risk of constipation symptom (p < 0.001). Pooled odds ratios (ORs) were calculated using ORs of both centers with weights; there was a significant doseeresponse relationship (sub-threshold 1.76
[95% confidence interval [CI] 1.62e1.91]; moderate 2.28 [95% CI 2.01e2.60]; severe 4.15 [95% CI 3.18 e5.41] in the final model, p for trend < 0.001). Subgroup analysis performed by stratifying sex and
pooled ORs showed a similar trend to that of the entire group.
Conclusion: We observed a strong correlation between insomnia and constipation in this population. Our findings may help in formulating guidelines and policies to improve quality of life in shift workers
through the management of sleep quality and proper bowel function. This study is the first to report this relationship among people working in shifts.
Creator
Byung-Yoon Yun, Juho Sim, Jin-Ha Yoon, Sung-Kyung Kim
Publisher
Elsevier Korea LLC
Date
June 2022
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Coverage
Safety and Health at Work Vol. 13 Issue 2 2022
Files
Citation
Byung-Yoon Yun, Juho Sim, Jin-Ha Yoon, Sung-Kyung Kim, “Safety and Health at Work Vol. 13 Issue 2 2022
Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers’ Health Check-up Data (Original article),” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/2258.
Association Between Insomnia and Constipation: A Multicenter Three-year Cross-sectional Study Using Shift Workers’ Health Check-up Data (Original article),” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/2258.