The Scotsman

Stroke risk rises if you work more than 55 hours a week

● Irregular heart rhythm risk linked to those who work longer hours

- By KEVAN CHRISTIE Health Correspond­ent

1.4 times higher risk of developing atrial fibrillati­on, even after we had adjusted for factors that could affect the risk, such as age, sex, socioecono­mic status, obesity, leisure time physical activity, smoking and risky alcohol use.”

He added: “The great strength of our study was its size, with nearly 85,000 participan­ts, which makes it large by the standard of any study in this field. Obviously, monitoring of working hours over several years would be more ideal than a one-off measuremen­t at the start of the study. However, I do not think the results would have been dramatical­ly different with repeat measuremen­ts of working hours because people tend to keep their working patterns.”

The study does have some limitation­s, including the fact that working hours were only assessed once at the beginning of the study and that the type of job, for instance whether it involved working night shifts, was not recorded.

Professor Sir Nilesh Samani, medical director at the British Heart Foundation, said: “Atrial fibrillati­on is a common heart rhythm disorder that affects over one million people in the UK and which increases the risk of stroke. Although we know some of the causes of atrial fibrillati­on, such as age, high blood pressure, heart valve disease and excess alcohol consumptio­n, many patients develop the condition without an obvious cause.

“The suggestion that longer working hours may be a cause of atrial fibrillati­on is very interestin­g. Significan­tly, this study clearly shows that the link between atrial fibrillati­on and long working hours has nothing to do with the other, already known, risk factors for the condition.”

Andrea Cail, director of the Stroke Associatio­n in Scotland, said: “These latest findings suggest that working long hours could be linked to an increased risk of developing AF. It is hard to say what might cause this link between long working hours and AF.

“However, we do know that around 50,000 people in Scotland are living with undiagnose­d AF, putting them in danger of a stroke. And 8,077 people in Scotland who are already known to have AF do not receive the medication they need to manage the condition.”

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