Increased Plasma Homocysteine Levels in Shift Working Bus Drivers
Overview
Occupational Medicine
Affiliations
Background: Previous studies have indicated an association between shift work and cardiovascular disease. There is also considerable epidemiological evidence that hyperhomocysteinemia is an independent risk factor for cardiovascular disorders.
Aims: To analyse plasma homocysteine levels in shift work bus drivers, and to investigate possible relations with sleep parameters and other biochemical factors.
Methods: Blood samples were collected from 30 male shift working long-haul bus drivers in a Brazilian sample and analysed for plasma levels of homocysteine, folic acid, vitamin B(12), and serum lipids. A group of 22 daytime workers, matched for age and body mass index served as controls. The incidence of mutations in the gene coding for methylene tetrahydrofolate, an enzyme which is related to hyperhomocysteinemia, was also assessed. Polysomnographic recordings were obtained from the target group.
Results: Bus drivers showed significantly higher levels of plasma homocysteine than the control group (18.57 v 9.43 micro M). Most of the other biochemical, behavioural, and molecular parameters did not differ between groups. Likewise, sleep parameters appeared to be within the normal range.
Conclusions: The significantly increased plasma homocysteine levels in long-haul bus drivers did not appear to be secondary to other biochemical or behavioural problems in this group. These results suggest that hyperhomocysteinemia may be involved in the increased incidence of cardiovascular diseases observed in shift workers.
Lim J, Kim C, Park H, Chung E, Chae C, Son J Ann Occup Environ Med. 2023; 35:e4.
PMID: 37063598 PMC: 10089812. DOI: 10.35371/aoem.2023.35.e4.
Plasma homocysteine concentrations and depression: A twin study.
Douglas Bremner J, Goldberg J, Vaccarino V J Affect Disord Rep. 2021; 4.
PMID: 34414386 PMC: 8372975. DOI: 10.1016/j.jadr.2021.100087.
Zhang S, Wang Y, Li Q, Wang Z, Wang H, Xue C BMJ Open. 2020; 10(12):e041576.
PMID: 33323444 PMC: 7745529. DOI: 10.1136/bmjopen-2020-041576.
Association between shift work and hyperhomocysteinemia in male workers.
Kang D, Kang S, Choi W, Lee S, Lee J, Kwak K Ann Occup Environ Med. 2019; 31:e1.
PMID: 31543962 PMC: 6751779. DOI: 10.35371/aoem.2019.31.e1.
Shiftwork and Biomarkers of Subclinical Cardiovascular Disease: The BCOPS Study.
Holst M, Wirth M, Mnatsakanova A, Burch J, Charles L, Tinney-Zara C J Occup Environ Med. 2019; 61(5):391-396.
PMID: 30649009 PMC: 6610651. DOI: 10.1097/JOM.0000000000001541.