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Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals.

Identifieur interne : 000026 ( PubMed/Curation ); précédent : 000025; suivant : 000027

Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals.

Auteurs : Mika Kivim Ki [Finlande] ; Markus Jokela [Finlande] ; Solja T. Nyberg [Finlande] ; Archana Singh-Manoux [France] ; Eleonor I. Fransson [Suède] ; Lars Alfredsson [Suède] ; Jakob B. Bjorner [Danemark] ; Marianne Borritz [Danemark] ; Hermann Burr [Allemagne] ; Annalisa Casini [Belgique] ; Els Clays [Belgique] ; Dirk De Bacquer [Belgique] ; Nico Dragano [Allemagne] ; Raimund Erbel [Allemagne] ; Goedele A. Geuskens [Pays-Bas] ; Mark Hamer [Royaume-Uni] ; Wendela E. Hooftman [Pays-Bas] ; Irene L. Houtman [Pays-Bas] ; Karl-Heinz Jöckel [Allemagne] ; France Kittel [Belgique] ; Anders Knutsson [Suède] ; Markku Koskenvuo [Finlande] ; Thorsten Lunau [Allemagne] ; Ida E H. Madsen [Danemark] ; Martin L. Nielsen [Danemark] ; Maria Nordin [Suède] ; Tuula Oksanen [Finlande] ; Jan H. Pejtersen [Danemark] ; Jaana Pentti [Finlande] ; Reiner Rugulies [Danemark] ; Paula Salo [Finlande] ; Martin J. Shipley [Royaume-Uni] ; Johannes Siegrist [Allemagne] ; Andrew Steptoe [Royaume-Uni] ; Sakari B. Suominen [Suède] ; Töres Theorell [Suède] ; Jussi Vahtera [Finlande] ; Peter J M. Westerholm [Suède] ; Hugo Westerlund [Suède] ; Dermot O'Reilly [Royaume-Uni] ; Meena Kumari [Royaume-Uni] ; G David Batty [Royaume-Uni] ; Jane E. Ferrie [Royaume-Uni] ; Marianna Virtanen [Finlande]

Source :

RBID : pubmed:26298822

English descriptors

Abstract

Long working hours might increase the risk of cardiovascular disease, but prospective evidence is scarce, imprecise, and mostly limited to coronary heart disease. We aimed to assess long working hours as a risk factor for incident coronary heart disease and stroke.

DOI: 10.1016/S0140-6736(15)60295-1
PubMed: 26298822

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pubmed:26298822

Le document en format XML

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<nlm:affiliation>Department of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Essen, Germany.</nlm:affiliation>
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<name sortKey="Hooftman, Wendela E" sort="Hooftman, Wendela E" uniqKey="Hooftman W" first="Wendela E" last="Hooftman">Wendela E. Hooftman</name>
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<name sortKey="Houtman, Irene L" sort="Houtman, Irene L" uniqKey="Houtman I" first="Irene L" last="Houtman">Irene L. Houtman</name>
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<name sortKey="Jockel, Karl Heinz" sort="Jockel, Karl Heinz" uniqKey="Jockel K" first="Karl-Heinz" last="Jöckel">Karl-Heinz Jöckel</name>
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<nlm:affiliation>Institute for Medical Informatics, Biometry, and Epidemiology, Faculty of Medicine, University Duisburg-Essen, Essen, Germany.</nlm:affiliation>
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<name sortKey="Kittel, France" sort="Kittel, France" uniqKey="Kittel F" first="France" last="Kittel">France Kittel</name>
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<name sortKey="Knutsson, Anders" sort="Knutsson, Anders" uniqKey="Knutsson A" first="Anders" last="Knutsson">Anders Knutsson</name>
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<nlm:affiliation>Department of Public Health, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
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<name sortKey="Madsen, Ida E H" sort="Madsen, Ida E H" uniqKey="Madsen I" first="Ida E H" last="Madsen">Ida E H. Madsen</name>
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<name sortKey="Nordin, Maria" sort="Nordin, Maria" uniqKey="Nordin M" first="Maria" last="Nordin">Maria Nordin</name>
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<wicri:regionArea>Stress Research Institute, Stockholm University, Stockholm, Sweden; Department of Psychology, Umeå University, Umeå</wicri:regionArea>
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<name sortKey="Oksanen, Tuula" sort="Oksanen, Tuula" uniqKey="Oksanen T" first="Tuula" last="Oksanen">Tuula Oksanen</name>
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<nlm:affiliation>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku</wicri:regionArea>
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<name sortKey="Pejtersen, Jan H" sort="Pejtersen, Jan H" uniqKey="Pejtersen J" first="Jan H" last="Pejtersen">Jan H. Pejtersen</name>
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<nlm:affiliation>The Danish National Centre for Social Research, Copenhagen, Denmark.</nlm:affiliation>
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<name sortKey="Pentti, Jaana" sort="Pentti, Jaana" uniqKey="Pentti J" first="Jaana" last="Pentti">Jaana Pentti</name>
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<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku</wicri:regionArea>
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<name sortKey="Rugulies, Reiner" sort="Rugulies, Reiner" uniqKey="Rugulies R" first="Reiner" last="Rugulies">Reiner Rugulies</name>
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<nlm:affiliation>National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health and Department of Psychology, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
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<wicri:regionArea>National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health and Department of Psychology, University of Copenhagen, Copenhagen</wicri:regionArea>
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<name sortKey="Salo, Paula" sort="Salo, Paula" uniqKey="Salo P" first="Paula" last="Salo">Paula Salo</name>
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<nlm:affiliation>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Psychology, University of Turku, Turku, Finland.</nlm:affiliation>
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<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Psychology, University of Turku, Turku</wicri:regionArea>
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<name sortKey="Shipley, Martin J" sort="Shipley, Martin J" uniqKey="Shipley M" first="Martin J" last="Shipley">Martin J. Shipley</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea>
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<name sortKey="Siegrist, Johannes" sort="Siegrist, Johannes" uniqKey="Siegrist J" first="Johannes" last="Siegrist">Johannes Siegrist</name>
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<nlm:affiliation>Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.</nlm:affiliation>
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<name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea>
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<name sortKey="Suominen, Sakari B" sort="Suominen, Sakari B" uniqKey="Suominen S" first="Sakari B" last="Suominen">Sakari B. Suominen</name>
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<nlm:affiliation>Department of Public Health, University of Turku, Turku, Finland; Folkhälsan Research Center, Helsinki, Finland; University of Skövde, Skövde, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Public Health, University of Turku, Turku, Finland; Folkhälsan Research Center, Helsinki, Finland; University of Skövde, Skövde</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Theorell, Tores" sort="Theorell, Tores" uniqKey="Theorell T" first="Töres" last="Theorell">Töres Theorell</name>
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<nlm:affiliation>Stress Research Institute, Stockholm University, Stockholm, Sweden.</nlm:affiliation>
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<name sortKey="Vahtera, Jussi" sort="Vahtera, Jussi" uniqKey="Vahtera J" first="Jussi" last="Vahtera">Jussi Vahtera</name>
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<nlm:affiliation>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Public Health, University of Turku, Turku, Finland; Turku University Hospital, Turku, Finland.</nlm:affiliation>
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<name sortKey="Westerholm, Peter J M" sort="Westerholm, Peter J M" uniqKey="Westerholm P" first="Peter J M" last="Westerholm">Peter J M. Westerholm</name>
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<nlm:affiliation>Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
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<wicri:regionArea>Occupational and Environmental Medicine, Uppsala University, Uppsala</wicri:regionArea>
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<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<nlm:affiliation>Stress Research Institute, Stockholm University, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Stress Research Institute, Stockholm University, Stockholm</wicri:regionArea>
</affiliation>
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<name sortKey="O Reilly, Dermot" sort="O Reilly, Dermot" uniqKey="O Reilly D" first="Dermot" last="O'Reilly">Dermot O'Reilly</name>
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<nlm:affiliation>Centre for Public Health, Queen's University Belfast, Belfast, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Public Health, Queen's University Belfast, Belfast</wicri:regionArea>
</affiliation>
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<name sortKey="Kumari, Meena" sort="Kumari, Meena" uniqKey="Kumari M" first="Meena" last="Kumari">Meena Kumari</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Institute for Social and Economic Research, University of Essex, Colchester, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; Institute for Social and Economic Research, University of Essex, Colchester</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G David" last="Batty">G David Batty</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Centre for Cognitive Ageing and Cognitive Epidemiology and Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; Centre for Cognitive Ageing and Cognitive Epidemiology and Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ferrie, Jane E" sort="Ferrie, Jane E" uniqKey="Ferrie J" first="Jane E" last="Ferrie">Jane E. Ferrie</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; School of Community and Social Medicine, University of Bristol, Bristol, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; School of Community and Social Medicine, University of Bristol, Bristol</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Virtanen, Marianna" sort="Virtanen, Marianna" uniqKey="Virtanen M" first="Marianna" last="Virtanen">Marianna Virtanen</name>
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<title xml:lang="en">Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals.</title>
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<name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Faculty of Medicine, University of Helsinki, Helsinki, Finland. Electronic address: m.kivimaki@ucl.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; Faculty of Medicine, University of Helsinki, Helsinki</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jokela, Markus" sort="Jokela, Markus" uniqKey="Jokela M" first="Markus" last="Jokela">Markus Jokela</name>
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<nlm:affiliation>Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
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<wicri:regionArea>Institute of Behavioral Sciences, University of Helsinki, Helsinki</wicri:regionArea>
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</author>
<author>
<name sortKey="Nyberg, Solja T" sort="Nyberg, Solja T" uniqKey="Nyberg S" first="Solja T" last="Nyberg">Solja T. Nyberg</name>
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<nlm:affiliation>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
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</author>
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<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif</wicri:regionArea>
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<name sortKey="Fransson, Eleonor I" sort="Fransson, Eleonor I" uniqKey="Fransson E" first="Eleonor I" last="Fransson">Eleonor I. Fransson</name>
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<nlm:affiliation>Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; School of Health Sciences, Jönköping University, Jönköping, Sweden; Stress Research Institute, Stockholm University, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; School of Health Sciences, Jönköping University, Jönköping, Sweden; Stress Research Institute, Stockholm University, Stockholm</wicri:regionArea>
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</author>
<author>
<name sortKey="Alfredsson, Lars" sort="Alfredsson, Lars" uniqKey="Alfredsson L" first="Lars" last="Alfredsson">Lars Alfredsson</name>
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<author>
<name sortKey="Bjorner, Jakob B" sort="Bjorner, Jakob B" uniqKey="Bjorner J" first="Jakob B" last="Bjorner">Jakob B. Bjorner</name>
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<nlm:affiliation>Department of Occupational Medicine, Koege Hospital, Copenhagen, Denmark.</nlm:affiliation>
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<nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, Ghent University, Ghent</wicri:regionArea>
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<author>
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<nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
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<name sortKey="Dragano, Nico" sort="Dragano, Nico" uniqKey="Dragano N" first="Nico" last="Dragano">Nico Dragano</name>
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<country xml:lang="fr">Pays-Bas</country>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK.</nlm:affiliation>
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<name sortKey="Hooftman, Wendela E" sort="Hooftman, Wendela E" uniqKey="Hooftman W" first="Wendela E" last="Hooftman">Wendela E. Hooftman</name>
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<nlm:affiliation>TNO, Hoofddorp, Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>TNO, Hoofddorp</wicri:regionArea>
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<author>
<name sortKey="Houtman, Irene L" sort="Houtman, Irene L" uniqKey="Houtman I" first="Irene L" last="Houtman">Irene L. Houtman</name>
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<wicri:regionArea>TNO, Hoofddorp</wicri:regionArea>
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<name sortKey="Jockel, Karl Heinz" sort="Jockel, Karl Heinz" uniqKey="Jockel K" first="Karl-Heinz" last="Jöckel">Karl-Heinz Jöckel</name>
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<nlm:affiliation>Department of Public Health, University of Helsinki, Helsinki, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
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<nlm:affiliation>Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Madsen, Ida E H" sort="Madsen, Ida E H" uniqKey="Madsen I" first="Ida E H" last="Madsen">Ida E H. Madsen</name>
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<name sortKey="Nielsen, Martin L" sort="Nielsen, Martin L" uniqKey="Nielsen M" first="Martin L" last="Nielsen">Martin L. Nielsen</name>
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<nlm:affiliation>Unit of Social Medicine, Frederiksberg University Hospital, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
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<name sortKey="Nordin, Maria" sort="Nordin, Maria" uniqKey="Nordin M" first="Maria" last="Nordin">Maria Nordin</name>
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<nlm:affiliation>Stress Research Institute, Stockholm University, Stockholm, Sweden; Department of Psychology, Umeå University, Umeå, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Stress Research Institute, Stockholm University, Stockholm, Sweden; Department of Psychology, Umeå University, Umeå</wicri:regionArea>
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<name sortKey="Oksanen, Tuula" sort="Oksanen, Tuula" uniqKey="Oksanen T" first="Tuula" last="Oksanen">Tuula Oksanen</name>
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<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku</wicri:regionArea>
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<nlm:affiliation>The Danish National Centre for Social Research, Copenhagen, Denmark.</nlm:affiliation>
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<name sortKey="Pentti, Jaana" sort="Pentti, Jaana" uniqKey="Pentti J" first="Jaana" last="Pentti">Jaana Pentti</name>
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<country xml:lang="fr">Finlande</country>
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<name sortKey="Rugulies, Reiner" sort="Rugulies, Reiner" uniqKey="Rugulies R" first="Reiner" last="Rugulies">Reiner Rugulies</name>
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<country xml:lang="fr">Danemark</country>
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<name sortKey="Salo, Paula" sort="Salo, Paula" uniqKey="Salo P" first="Paula" last="Salo">Paula Salo</name>
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<nlm:affiliation>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Psychology, University of Turku, Turku, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Psychology, University of Turku, Turku</wicri:regionArea>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea>
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<name sortKey="Siegrist, Johannes" sort="Siegrist, Johannes" uniqKey="Siegrist J" first="Johannes" last="Siegrist">Johannes Siegrist</name>
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<nlm:affiliation>Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf</wicri:regionArea>
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<name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea>
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<name sortKey="Suominen, Sakari B" sort="Suominen, Sakari B" uniqKey="Suominen S" first="Sakari B" last="Suominen">Sakari B. Suominen</name>
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<nlm:affiliation>Department of Public Health, University of Turku, Turku, Finland; Folkhälsan Research Center, Helsinki, Finland; University of Skövde, Skövde, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Public Health, University of Turku, Turku, Finland; Folkhälsan Research Center, Helsinki, Finland; University of Skövde, Skövde</wicri:regionArea>
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<name sortKey="Theorell, Tores" sort="Theorell, Tores" uniqKey="Theorell T" first="Töres" last="Theorell">Töres Theorell</name>
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<nlm:affiliation>Stress Research Institute, Stockholm University, Stockholm, Sweden.</nlm:affiliation>
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<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland; Department of Public Health, University of Turku, Turku, Finland; Turku University Hospital, Turku</wicri:regionArea>
</affiliation>
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<name sortKey="Westerholm, Peter J M" sort="Westerholm, Peter J M" uniqKey="Westerholm P" first="Peter J M" last="Westerholm">Peter J M. Westerholm</name>
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<nlm:affiliation>Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<nlm:affiliation>Stress Research Institute, Stockholm University, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Stress Research Institute, Stockholm University, Stockholm</wicri:regionArea>
</affiliation>
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<name sortKey="O Reilly, Dermot" sort="O Reilly, Dermot" uniqKey="O Reilly D" first="Dermot" last="O'Reilly">Dermot O'Reilly</name>
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<nlm:affiliation>Centre for Public Health, Queen's University Belfast, Belfast, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Public Health, Queen's University Belfast, Belfast</wicri:regionArea>
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<name sortKey="Kumari, Meena" sort="Kumari, Meena" uniqKey="Kumari M" first="Meena" last="Kumari">Meena Kumari</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Institute for Social and Economic Research, University of Essex, Colchester, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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</author>
<author>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G David" last="Batty">G David Batty</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Centre for Cognitive Ageing and Cognitive Epidemiology and Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; Centre for Cognitive Ageing and Cognitive Epidemiology and Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ferrie, Jane E" sort="Ferrie, Jane E" uniqKey="Ferrie J" first="Jane E" last="Ferrie">Jane E. Ferrie</name>
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<nlm:affiliation>Department of Epidemiology and Public Health, University College London, London, UK; School of Community and Social Medicine, University of Bristol, Bristol, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Epidemiology and Public Health, University College London, London, UK; School of Community and Social Medicine, University of Bristol, Bristol</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Virtanen, Marianna" sort="Virtanen, Marianna" uniqKey="Virtanen M" first="Marianna" last="Virtanen">Marianna Virtanen</name>
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<country xml:lang="fr">Finlande</country>
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<title level="j">Lancet (London, England)</title>
<idno type="eISSN">1474-547X</idno>
<imprint>
<date when="2015" type="published">2015</date>
</imprint>
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<term>Age Factors</term>
<term>Coronary Disease (epidemiology)</term>
<term>Coronary Disease (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Socioeconomic Factors</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (etiology)</term>
<term>Work Schedule Tolerance</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Coronary Disease</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
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<term>Stroke</term>
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<term>Age Factors</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk</term>
<term>Risk Factors</term>
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<div type="abstract" xml:lang="en">Long working hours might increase the risk of cardiovascular disease, but prospective evidence is scarce, imprecise, and mostly limited to coronary heart disease. We aimed to assess long working hours as a risk factor for incident coronary heart disease and stroke.</div>
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<Month>11</Month>
<Day>7</Day>
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<Day>20</Day>
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<Month>11</Month>
<Day>7</Day>
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<ISSN IssnType="Electronic">1474-547X</ISSN>
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<Volume>386</Volume>
<Issue>10005</Issue>
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<Year>2015</Year>
<Month>Oct</Month>
<Day>31</Day>
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<Title>Lancet (London, England)</Title>
<ISOAbbreviation>Lancet</ISOAbbreviation>
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<ArticleTitle>Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals.</ArticleTitle>
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<MedlinePgn>1739-46</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Long working hours might increase the risk of cardiovascular disease, but prospective evidence is scarce, imprecise, and mostly limited to coronary heart disease. We aimed to assess long working hours as a risk factor for incident coronary heart disease and stroke.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We identified published studies through a systematic review of PubMed and Embase from inception to Aug 20, 2014. We obtained unpublished data for 20 cohort studies from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium and open-access data archives. We used cumulative random-effects meta-analysis to combine effect estimates from published and unpublished data.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">We included 25 studies from 24 cohorts in Europe, the USA, and Australia. The meta-analysis of coronary heart disease comprised data for 603,838 men and women who were free from coronary heart disease at baseline; the meta-analysis of stroke comprised data for 528,908 men and women who were free from stroke at baseline. Follow-up for coronary heart disease was 5·1 million person-years (mean 8·5 years), in which 4768 events were recorded, and for stroke was 3·8 million person-years (mean 7·2 years), in which 1722 events were recorded. In cumulative meta-analysis adjusted for age, sex, and socioeconomic status, compared with standard hours (35-40 h per week), working long hours (≥55 h per week) was associated with an increase in risk of incident coronary heart disease (relative risk [RR] 1·13, 95% CI 1·02-1·26; p=0·02) and incident stroke (1·33, 1·11-1·61; p=0·002). The excess risk of stroke remained unchanged in analyses that addressed reverse causation, multivariable adjustments for other risk factors, and different methods of stroke ascertainment (range of RR estimates 1·30-1·42). We recorded a dose-response association for stroke, with RR estimates of 1·10 (95% CI 0·94-1·28; p=0·24) for 41-48 working hours, 1·27 (1·03-1·56; p=0·03) for 49-54 working hours, and 1·33 (1·11-1·61; p=0·002) for 55 working hours or more per week compared with standard working hours (ptrend<0·0001).</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Employees who work long hours have a higher risk of stroke than those working standard hours; the association with coronary heart disease is weaker. These findings suggest that more attention should be paid to the management of vascular risk factors in individuals who work long hours.</AbstractText>
<AbstractText Label="FUNDING" NlmCategory="BACKGROUND">Medical Research Council, Economic and Social Research Council, European Union New and Emerging Risks in Occupational Safety and Health research programme, Finnish Work Environment Fund, Swedish Research Council for Working Life and Social Research, German Social Accident Insurance, Danish National Research Centre for the Working Environment, Academy of Finland, Ministry of Social Affairs and Employment (Netherlands), US National Institutes of Health, British Heart Foundation.</AbstractText>
<CopyrightInformation>Copyright © 2015 Kivimäki et al. Open Access article distributed under the terms of CC BY. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation>
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<Affiliation>Department of Epidemiology and Public Health, University College London, London, UK; Faculty of Medicine, University of Helsinki, Helsinki, Finland. Electronic address: m.kivimaki@ucl.ac.uk.</Affiliation>
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