Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study.
<h4>Background</h4>Non-alcoholic fatty liver disease (NAFLD), a common chronic liver disease, may progress to fibrosis, cirrhosis, hepatocellular carcinoma, and liver failure. But only a few cross-sectional studies have reported an association of NAFLD with working hours. This cohort stu...
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oai:doaj.org-article:52a388f6287a4262b68986c78faae1402021-12-02T20:06:31ZLong working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study.1932-620310.1371/journal.pone.0255118https://doaj.org/article/52a388f6287a4262b68986c78faae1402021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255118https://doaj.org/toc/1932-6203<h4>Background</h4>Non-alcoholic fatty liver disease (NAFLD), a common chronic liver disease, may progress to fibrosis, cirrhosis, hepatocellular carcinoma, and liver failure. But only a few cross-sectional studies have reported an association of NAFLD with working hours. This cohort study further examined the association between working hours and the development of NAFLD.<h4>Methods</h4>We included 79,048 Korean adults without NAFLD at baseline who underwent a comprehensive health examination and categorized weekly working hours into 35-40, 41-52, 53-60, and >60 hours. NAFLD was defined as the presence of fatty liver, in the absence of excessive alcohol use, as observed by ultrasound.<h4>Results</h4>During a median follow-up of 6.6 years, 15,095 participants developed new-onset NAFLD (incidence rate, 5.55 per 100 person-years). After adjustment for confounders, the hazard ratios (95% confidence interval) for the development of NAFLD in 41-52, 53-60, and >60 working hours compared with that in 35-40 working hours were 1.07 (1.02-1.13), 1.06 (1.00-1.13), and 1.13 (1.05-1.23), respectively. Furthermore, the association remained significant after confounders were treated as time-varying covariates.<h4>Conclusion</h4>In this large-scale cohort, long working hours, especially >60 working hours a week, were independently associated with incident NAFLD. Our findings indicate that long working hours are a risk factor for NAFLD.Yesung LeeEunchan MunSoyoung ParkWoncheol LeePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255118 (2021) |
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Medicine R Science Q Yesung Lee Eunchan Mun Soyoung Park Woncheol Lee Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
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<h4>Background</h4>Non-alcoholic fatty liver disease (NAFLD), a common chronic liver disease, may progress to fibrosis, cirrhosis, hepatocellular carcinoma, and liver failure. But only a few cross-sectional studies have reported an association of NAFLD with working hours. This cohort study further examined the association between working hours and the development of NAFLD.<h4>Methods</h4>We included 79,048 Korean adults without NAFLD at baseline who underwent a comprehensive health examination and categorized weekly working hours into 35-40, 41-52, 53-60, and >60 hours. NAFLD was defined as the presence of fatty liver, in the absence of excessive alcohol use, as observed by ultrasound.<h4>Results</h4>During a median follow-up of 6.6 years, 15,095 participants developed new-onset NAFLD (incidence rate, 5.55 per 100 person-years). After adjustment for confounders, the hazard ratios (95% confidence interval) for the development of NAFLD in 41-52, 53-60, and >60 working hours compared with that in 35-40 working hours were 1.07 (1.02-1.13), 1.06 (1.00-1.13), and 1.13 (1.05-1.23), respectively. Furthermore, the association remained significant after confounders were treated as time-varying covariates.<h4>Conclusion</h4>In this large-scale cohort, long working hours, especially >60 working hours a week, were independently associated with incident NAFLD. Our findings indicate that long working hours are a risk factor for NAFLD. |
format |
article |
author |
Yesung Lee Eunchan Mun Soyoung Park Woncheol Lee |
author_facet |
Yesung Lee Eunchan Mun Soyoung Park Woncheol Lee |
author_sort |
Yesung Lee |
title |
Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
title_short |
Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
title_full |
Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
title_fullStr |
Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
title_full_unstemmed |
Long working hours are associated with a higher risk of non-alcoholic fatty liver disease: A large population-based Korean cohort study. |
title_sort |
long working hours are associated with a higher risk of non-alcoholic fatty liver disease: a large population-based korean cohort study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/52a388f6287a4262b68986c78faae140 |
work_keys_str_mv |
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