Sixteen RSW workers and 11 control individuals were involved in the study. All study participants underwent anorectal manometry and spectral analysis of heart rate variability. All participants completed three questionnaires: the Pittsburgh Sleep Quality Index (PSQI), the State-Trait Anxiety Inventory (STAI) questionnaire, and the Taiwanese Depression Questionnaire (TDQ).
The RSW workers had a lower threshold volume for maximal urge (p = 0.006) and greater rectal compliance (p = 0.02), compared to the controls. The RSW workers had a greater PSQI score (p = 0.002) and TDQ score (p = 0.003), compared to the controls. The RSW workers had a significantly increased low-frequency power percentage (LF%), compared to the controls (p = 0.03). The RSW workers had a significant correlation between the resting anal sphincter pressure and high-frequency power percentage (HF%; r = –0.62, p = 0.01), and between the R-R interval and the threshold for maximal urge (r = 0.51, p = 0.04). The PSQI score was significantly correlated with the threshold volume for urge (r = 0.55, p = 0.03) and for compliance (r = 0.51, p = 0.04) in the RSW workers.
Rotating shift workers have anorectal dysmotility and cardiac sympathetic hyperactivity. Anorectal dysmotility in RSW workers has a close relationship with cardiac autonomic dysfunction, sleep disturbance, and depression, but not with anxiety.