Night shift work and risk of aggressive prostate cancer in the Norwegian Offshore Petroleum Workers (NOPW) cohort
Abstract Background Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk factors though night shift work, a probable human carcinogen, may increase the risk. We aimed to study the association between night shift work...
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| Published in: | International journal of epidemiology Vol. 52; no. 4; pp. 1003 - 1014 |
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| Main Authors: | , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Oxford University Press
02-08-2023
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| Abstract | Abstract
Background
Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk factors though night shift work, a probable human carcinogen, may increase the risk. We aimed to study the association between night shift work and chlorinated degreasing agents (CDAs) as possible endocrine disrupters in relation to aggressive prostate cancer as verified malignancies.
Methods
We conducted a case-cohort study on 299 aggressive prostate cancer cases and 2056 randomly drawn non-cases in the Norwegian Offshore Petroleum Workers cohort (1965–98) with linkage to the Cancer Registry of Norway (1953–2019). Work history was recorded as years with day, night, and rollover (rotating) shift work, and CDA exposure was assessed with expert-made job-exposure matrices. Weighted Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for aggressive prostate cancer, adjusted for education and year of first employment, stratified by 10-year birth cohorts, and with 10, 15, and 20 years of exposure lag periods.
Results
Compared with day work only, an increased hazard of aggressive prostate cancer (HR = 1.86, 95% CI 1.18–2.91; P-trend = 0.046) was found in workers exposed to ≥19.5 years of rollover shift work. This persisted with longer lag periods (HR = 1.90, 95% CI 0.92–3.95; P-trend = 0.007). The exposure-hazard curve for a non-linear model increased linearly (HRs ≥1.00) for 18–26 years of rollover shift work. No association was found with CDA exposure.
Conclusions
Long-term exposure to rollover shift work may increase the hazard of aggressive prostate cancer in offshore petroleum workers. |
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| AbstractList | Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk factors though night shift work, a probable human carcinogen, may increase the risk. We aimed to study the association between night shift work and chlorinated degreasing agents (CDAs) as possible endocrine disrupters in relation to aggressive prostate cancer as verified malignancies.
We conducted a case-cohort study on 299 aggressive prostate cancer cases and 2056 randomly drawn non-cases in the Norwegian Offshore Petroleum Workers cohort (1965-98) with linkage to the Cancer Registry of Norway (1953-2019). Work history was recorded as years with day, night, and rollover (rotating) shift work, and CDA exposure was assessed with expert-made job-exposure matrices. Weighted Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for aggressive prostate cancer, adjusted for education and year of first employment, stratified by 10-year birth cohorts, and with 10, 15, and 20 years of exposure lag periods.
Compared with day work only, an increased hazard of aggressive prostate cancer (HR = 1.86, 95% CI 1.18-2.91; P-trend = 0.046) was found in workers exposed to ≥19.5 years of rollover shift work. This persisted with longer lag periods (HR = 1.90, 95% CI 0.92-3.95; P-trend = 0.007). The exposure-hazard curve for a non-linear model increased linearly (HRs ≥1.00) for 18-26 years of rollover shift work. No association was found with CDA exposure.
Long-term exposure to rollover shift work may increase the hazard of aggressive prostate cancer in offshore petroleum workers. Abstract Background Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk factors though night shift work, a probable human carcinogen, may increase the risk. We aimed to study the association between night shift work and chlorinated degreasing agents (CDAs) as possible endocrine disrupters in relation to aggressive prostate cancer as verified malignancies. Methods We conducted a case-cohort study on 299 aggressive prostate cancer cases and 2056 randomly drawn non-cases in the Norwegian Offshore Petroleum Workers cohort (1965–98) with linkage to the Cancer Registry of Norway (1953–2019). Work history was recorded as years with day, night, and rollover (rotating) shift work, and CDA exposure was assessed with expert-made job-exposure matrices. Weighted Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for aggressive prostate cancer, adjusted for education and year of first employment, stratified by 10-year birth cohorts, and with 10, 15, and 20 years of exposure lag periods. Results Compared with day work only, an increased hazard of aggressive prostate cancer (HR = 1.86, 95% CI 1.18–2.91; P-trend = 0.046) was found in workers exposed to ≥19.5 years of rollover shift work. This persisted with longer lag periods (HR = 1.90, 95% CI 0.92–3.95; P-trend = 0.007). The exposure-hazard curve for a non-linear model increased linearly (HRs ≥1.00) for 18–26 years of rollover shift work. No association was found with CDA exposure. Conclusions Long-term exposure to rollover shift work may increase the hazard of aggressive prostate cancer in offshore petroleum workers. |
| Author | Grimsrud, Tom K Shala, Nita K Berge, Leon A M Robsahm, Trude E Hosgood, H Dean Friesen, Melissa C Støer, Nathalie C Babigumira, Ronnie Liu, Fei-Chih Kjærheim, Kristina Stenehjem, Jo S Ghiasvand, Reza Samuelsen, Sven Ove Veierød, Marit B Silverman, Debra T |
| Author_xml | – sequence: 1 givenname: Leon A M orcidid: 0000-0002-1645-5582 surname: Berge fullname: Berge, Leon A M email: l.a.m.berge@medisin.uio.no – sequence: 2 givenname: Fei-Chih surname: Liu fullname: Liu, Fei-Chih – sequence: 3 givenname: Tom K surname: Grimsrud fullname: Grimsrud, Tom K – sequence: 4 givenname: Ronnie surname: Babigumira fullname: Babigumira, Ronnie – sequence: 5 givenname: Nathalie C surname: Støer fullname: Støer, Nathalie C – sequence: 6 givenname: Kristina surname: Kjærheim fullname: Kjærheim, Kristina – sequence: 7 givenname: Trude E surname: Robsahm fullname: Robsahm, Trude E – sequence: 8 givenname: Reza orcidid: 0000-0002-5466-7308 surname: Ghiasvand fullname: Ghiasvand, Reza – sequence: 9 givenname: H Dean surname: Hosgood fullname: Hosgood, H Dean – sequence: 10 givenname: Sven Ove surname: Samuelsen fullname: Samuelsen, Sven Ove – sequence: 11 givenname: Debra T surname: Silverman fullname: Silverman, Debra T – sequence: 12 givenname: Melissa C orcidid: 0000-0002-1695-3282 surname: Friesen fullname: Friesen, Melissa C – sequence: 13 givenname: Nita K surname: Shala fullname: Shala, Nita K – sequence: 14 givenname: Marit B orcidid: 0000-0002-2083-2758 surname: Veierød fullname: Veierød, Marit B – sequence: 15 givenname: Jo S surname: Stenehjem fullname: Stenehjem, Jo S |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36548214$$D View this record in MEDLINE/PubMed |
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| Copyright | The Author(s) 2022. Published by Oxford University Press on behalf of the International Epidemiological Association. 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the International Epidemiological Association. info:eu-repo/semantics/openAccess |
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| Keywords | petroleum industry prostate cancer Night shift work case-cohort cancer incidence offshore workers |
| Language | English |
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Background
Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk... Night shift work may acutely disrupt the circadian rhythm, with possible carcinogenic effects. Prostate cancer has few established risk factors though night... |
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| Title | Night shift work and risk of aggressive prostate cancer in the Norwegian Offshore Petroleum Workers (NOPW) cohort |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/36548214 http://hdl.handle.net/10852/98775 https://pubmed.ncbi.nlm.nih.gov/PMC10396420 |
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