Hartford Courant (Sunday)

Research finds long work hours raise survivors’ odds for another heart attack

- By Steven Reinberg HealthDay

Sometimes it’s best to say no to overtime: A new Canadian study finds that working too hard after a heart attack could boost your odds for a repeat.

The new study found that people who work more than 55 hours a week after a heart attack are twice as likely to have another, compared with those who work 35 to 40 hours a week.

“The magnitude of the effect of working long hours after a heart attack is comparable to the burden of current smoking,” said senior researcher Dr. Alain Milot, a professor of medicine at Laval University in Quebec City, Canada.

“Interventi­ons to reduce long working hours should be part of public health and enterprise efforts to adapt the working environmen­t of coronary patients,” he added.

An estimated 20% of workers worldwide put in more than 48 hours a week, according to the Internatio­nal Labour Office.

For the study, Milot’s team collected data on nearly 1,000 men and women who in the mid-1990s were younger than 60, had a history of heart attack and were working.

The participan­ts were interviewe­d and filled out questionna­ires over six years to study cases of heart disease, lifestyle risk factors and hospital readmissio­n rates. The questionna­ires also asked about on-the-job exposure to smoking; chemicals; pollution; noise; excessive heat, cold or physical exertion; and the number of hours worked each week.

The researcher­s also measured participan­ts’ levels of stress, job strain and social support during and outside work.

Over six years, 22% of the study participan­ts had a second heart attack. Working long hours doubled their risk of a second one, the investigat­ors found.

Men and younger workers were more likely to work long hours, as were those who smoked, drank alcohol and were physically inactive. Workers whose jobs were stressful were also more likely to work longer hours, the questionna­ires revealed.

The findings were recently published online in the Journal of the American College of Cardiology.

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