• Radiation-Induced Lens Opacities among Interventional Cardiologists: Retrospective Assessment of Cumulative Eye Lens Doses.

      Struelens, L; Dabin, J; Carinou, E; Askounis, P; Ciraj-Bjelac, O; Domienik-Andrzejewska, J; Berus, D; Padovani, R; Farah, J; Covens, P; et al. (2018)
      This study describes the retrospective lens dose calculation methods developed and applied within the European epidemiological study on radiation-induced lens opacities among interventional cardiologists. While one approach focuses on self-reported data regarding working practice in combination with available procedure-specific eye lens dose values, the second approach focuses on the conversion of the individual whole-body dose to eye lens dose. In contrast with usual dose reconstruction methods within an epidemiological study, a protocol is applied resulting in an individual distribution of possible cumulative lens doses for each recruited cardiologist, rather than a single dose estimate. In this way, the uncertainty in the dose estimate (from measurement uncertainty and variability among cardiologists) is represented for each individual. Eye lens dose and whole-body dose measurements have been performed in clinical practice to validate both methods, and it was concluded that both produce acceptable results in the framework of a dose-risk evaluation study. Optimal results were obtained for the dose to the left eye using procedure-specific lens dose data in combination with information collected on working practice. This method has been applied to 421 interventional cardiologists resulting in a median cumulative eye lens dose of 15.1 cSv for the left eye and 11.4 cSv for the right eye. From the individual cumulative eye lens dose distributions obtained for each cardiologist, maxima up to 9-10 Sv were observed, although with low probability. Since whole-body dose values above the lead apron are available for only a small fraction of the cohort and in many cases not for the entire working career, the second method has only been used to benchmark the results from the first approach. This study succeeded in improving the retrospective calculation of cumulative eye lens doses in the framework of radiation-induced risk assessment of lens opacities, but it remains dependent on self-reported information, which is not always reliable for early years. However, the calculation tools developed can also be used to make an assessment of the eye lens dose in current practice.
    • Rare Variants in Known Susceptibility Loci and Their Contribution to Risk of Lung Cancer.

      Liu, Yanhong; Lusk, Christine M; Cho, Michael H; Silverman, Edwin K; Qiao, Dandi; Zhang, Ruyang; Scheurer, Michael E; Kheradmand, Farrah; Wheeler, David A; Tsavachidis, Spiridon; et al. (2018-10)
      Genome-wide association studies are widely used to map genomic regions contributing to lung cancer (LC) susceptibility, but they typically do not identify the precise disease-causing genes/variants. To unveil the inherited genetic variants that cause LC, we performed focused exome-sequencing analyses on genes located in 121 genome-wide association study-identified loci previously implicated in the risk of LC, chronic obstructive pulmonary disease, pulmonary function level, and smoking behavior.
    • [The reaction of the circulatory system to stress and electromagnetic fields emitted by mobile phones - 24-h monitoring of ECG and blood pressure].

      Szyjkowska, Agata; Gadzicka, Elzbieta; Szymczak, Wiesław; Bortkiewicz, Alicja; Nofer Institute of Occupational Medicine (2019-07-16)
      Wstęp: W badaniach eksperymentalnych zaobserwowano wpływ korzystania z telefonu komórkowego na pracę serca, m.in. wydłużenie odstępu QTc oraz zmiany w wartościach ciśnienia tętniczego. Także stres może wywoływać zmiany w układzie krążenia. Brak jednak badań uwzględniających jednoczesne oddziaływanie stresu i pola elektromagnetycznego (PEM). Oba czynniki dotyczą m.in. pracowników sieci komórkowych. Materiał i metody: Spośród 208 badanych we wcześniejszych etapach metodą ankietową 55 osób wyraziło zgodę na udział w dalszych badaniach [EKG spoczynkowe, 24-godzinna rejestracja EKG i ciśnienia tętniczego (ambulatory blood pressure monitoring − ABPM)]. Oceniono u nich także stan zdrowia, poziom stresu zawodowego i ogólnego oraz ekspozycję na PEM. Wyniki: W przypadku osób rozmawiających przez telefon komórkowy ponad 60 min dziennie ciśnienie skurczowe w pomiarze jednorazowym i ciśnienie skurczowe z nocy w badaniu ABPM były istotnie wyższe niż u rozmawiających krócej (odpowiednio, p = 0,04 i p = 0,036). Badani, u których stwierdzono najwyższy poziom stresu zawodowego, charakteryzowali się istotnie wyższym ciśnieniem skurczowym w okresie doby (p = 0,007) i dnia (p = 0,002), zarówno w pracy (p = 0,010), jak i po niej (p = 0,005), oraz wyższym ciśnieniem rozkurczowym w okresie dnia (p = 0,028). Reakcja układu krążenia była istotnie zależna od płci. U mężczyzn dominowały zaburzenia ciśnienia tętniczego, a u kobiet – zaburzenia przewodzenia w EKG. Częstość skurczów serca w okresie doby z uwzględnieniem wpływu płci, stresu ogólnego i PEM była istotnie skorelowana z poziomem stresu zawodowego. Wnioski: Uzyskane dotychczas wyniki wskazują na potrzebę dalszych badań w celu wyjaśnienia przyczyn różnej u kobiet i mężczyzn odpowiedzi układu krążenia na działanie stresu i PEM emitowanego przez telefony komórkowe.
    • Realities of the prophylactic health care of workers in Poland

      Kopias, Jerzy; Nofer Institute of Occupational Medicine, Lodz, Poland (2015)
      Background: The Polish occupational health system (OHS), existing over the past 17 years, has recently been contested as never before. Critical voices pertain to both legislative and executive aspects of the system, in which key roles are played by employers and occupational medicine service. There are some reasons for making a hypothesis that relevant norms are not always respected by the main actors. Material and Methods: The data on the observance of norms by entities responsible for providing workers with prophylactic health care were analyzed. They were obtained from the existing external resources and materials collected during the implementation of tasks assigned by the Ministry of Health. Results: Legal norms, which constitute OHS in Poland are generally neither respected by the employers, nor by the representatives of occupational medicine service. Nearly half (45–47%) of employers infringe provisions relating to medical examinations of workers. Such a degree of non-observance of respective laws would have not been the case if it was not for the attitudes and “silent approval” of many (but not all) occupational physicians. Laws defining the responsibilities of occupational medicine service units on one hand, and of employers on the other, are for many reasons infringed by both groups. Conclusions: The data analyses indicate that the Polish OHS is, to a large extent, not acceptable and should be replaced with another one founded on other assumptions and responsive to contemporary occupational health challenges. New provisions should be formulated on the basis of merit and guided by socially accepted norms.
    • Recommendations to the European Commission implementing a priority list of additives that should have more stringent reporting requirements: the opinion of the Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR)

      Hoet, Peter; Rydzynski, Konrad; Vermeire, Theo; Nair, Urmila; Talhout, Reinskje; Testai, Emanuela; secretariat, SCENIHR; Nofer Institute of Occupational Medicine (2017-03-24)
      The European Commission’s Tobacco Products Directive 2014/40/EU (TPD)1 came into force in 2014 and lays out rules governing the manufacture, presentation and sale of tobacco and related products, including cigarettes, roll-your-own tobacco, cigars, cigarillos, smokeless tobacco, electronic cigarettes and herbal products for smoking. It strengthens the rules regarding the reporting on ingredients contained in tobacco products and regulates permissible additives (or levels thereof) to improve the functioning of the internal market while guaranteeing a high level of public health. Articles 6 and 7 specifically focus on additivesi to tobacco products.
    • The relationship between psychosocial risks and occupational functioning among miners.

      Mościcka-Teske, Agnieszka; Sadłowska-Wrzesińska, Joanna; Najder, Anna; Butlewski, Marcin; Nofer Institute of Occupational Medicine (2019-02-27)
      This paper presents the results of research on the scale of psychosocial risks among miners. A comparative analysis was made, comparing the research results with the data obtained from workers in the following industries: metal, energy, chemical and construction - along with an indication of the relationship between stressful working conditions and the occupational functioning of the respondents. The study involved 483 adults employed in mines in Poland. The study on psychosocial risks in the workplace was performed using <i>Psychosocial Risk Scale</i>, developed by the Department of Health and Work Psychology of the Nofer Institute of Occupational Medicine, Łódź, Poland. <i>Psychosocial Risk Scale</i> is the scientifically validated diagnostic tool and is characterized by high reliability and validity of coefficients. The analysis of differences in occupational functioning between miners and other workers in heavy industry provides that miners are in general more healthy, less stressed, more positive emotionally and normatively committed to work, more satisfied with work, and more stable in the employment (as opposite to turnover intention) than the other workers. The results suggest that miners with a lower level of stress functioned at work better - they evaluated their health and ability to work better than miners with a higher level of stress. Their intention to change a job was lower than among those experiencing more stress. The most pronounced effect was observed for the influence on this dimension of functioning by job context risks (the higher level of probability, and the higher t-test value). Occupational functioning of miners in Poland is better than the other employees in heavy industry. The analysis of differences in occupational functioning dimensions provides that a lower level of psychosocial risk in a workplace is connected with a higher level of job satisfaction, positive affective and normative work commitment and a lower level of turnover intension. Int J Occup Med Environ Health. 2019;32(1):87-98.
    • Relationships between occupational functioning and stress among radio journalists - Assessment by means of the psychosocial risk scale.

      Najder, Anna; Merecz-Kot, Dorota; Wojcik, Aleksandra; Nofer Institute of Occupational Medicine, Lodz, Poland (2016-01)
      Job characteristics and the consequences of everyday stress among radio journalists who are not exposed to traumatic events have not been studied sufficiently before. We aimed at determining the most common job characteristics and their stressfulness; relationships between stress exposure, health and occupational functioning; differences between radio journalists and other journalists, and also the psychosocial risk for health and functioning in this group.
    • Residential exposure to environmental tobacco smoke, and its associates: Findings from the Global Adult Tobacco Survey in Poland.

      Kaleta, Dorota; Wojtysiak, Piotr; Usidame, Bukola; Dziankowska-Zaborszczyk, Elżbieta; Fronczak, Adam; Makowiec-Dabrowska, Teresa; Medical University of Lodz, Łódź, Poland; County Office, Piotrków Trybunalski, Poland; University of Massachusetts, Boston, USA; Medical University of Lodz, Łódź, Poland; Nofer Institute of Occupational Medicine, Łódź, Poland (2015)
      Objectives: Expanding the information on exposure to environmental tobacco smoke (ETS) at home and its associates is of great public health importance. The aim of the current analysis was to evaluate associates of exposure to environmental tobacco smoke among economically active male and female adults in Poland in their place of residence. Material and Methods: Data on the representative sample of 7840 adults from the Global Adult Tobacco Survey (GATS) carried out in Poland in the years 2009 and 2010 were applied. The Global Adult Tobacco Survey is a nationally representative household study. The logistic regression model was used for relevant calculations. Results: The exposure to environmental tobacco smoke in the place of living affected 59% of studied subjects. Out of non-smokers 42% of males and 46% females were exposed to the ETS in the at home. Increased risk of residential ETS exposure was associated with low education attainment, lack of awareness on adverse health consequences of second hand smoke (SHS), low level of support for tobacco control policies, living with a smoker. One of the factors associated with the ETS exposure was also the approval for smoking at home of both genders. The residential ETS exposure risk was the highest among males (odds ratio (OR) = 7.1, 95% confidence interval (CI): 6.1–13.8, p < 0.001) and females (OR = 8.1, 95% CI 6.5–11.8, p < 0.001) who declared that smoking was allowed in their place of residence compared to respondents who implemented smoking bans at their place of residence. Conclusions: Campaigns to decrease social acceptance of smoking and encourage adopting voluntary smoke-free rules at home might decrease the ETS exposure and reduce related risks to the health of the Polish population. Educational interventions to warn about adverse health effects of the ETS should be broadly implemented particularly in high risk subpopulations.
    • Response to Noise Emitted by Wind Farms in People Living in Nearby Areas.

      Pawlaczyk-Łuszczyńska, Małgorzata; Zaborowski, Kamil; Dudarewicz, Adam; Zamojska-Daniszewska, Małgorzata; Waszkowska, Małgorzata; Nofer Institute of Occupational Medicine (2018)
      The aim of this study was to evaluate the perception and annoyance of noise from wind turbines in populated areas of Poland. A questionnaire inquiry was carried out among 517 subjects, aged 18⁻88, living within 204⁻1726 m from the nearest wind turbine. For areas where respondents lived, A-weighted sound pressure levels (SPLs) were calculated as the sum of the contributions from the wind power plants in the specific area. It has been shown that the wind turbine noise at the calculated A-weighted SPL of 33⁻50 dB was perceived as annoying or highly annoying by 46% and 28% of respondents, respectively. Moreover, 34% and 18% of them said that they were annoyed or highly annoyed indoors, respectively. The perception of high annoyance was associated with the A-weighted sound pressure level or the distance from the nearest wind turbine, general attitude to wind farms, noise sensitivity and terrain shape (annoyance outdoors) or road-traffic intensity (annoyance indoors). About 48⁻66% of variance in noise annoyance rating might be explained by the aforesaid factors. It was estimated that at the distance of 1000 m the wind turbine noise might be perceived as highly annoying outdoors by 43% and 2% of people with negative and positive attitude towards wind turbines, respectively. There was no significant association between noise level (or distance) and various health and well-being aspects. However, all variables measuring health and well-being aspects, including stress symptoms, were positively associated with annoyance related to wind turbine noise.
    • Revision of reciprocal action of mercury and selenium.

      Kuraś, Renata; Janasik, Beata; Wąsowicz, Wojciech; Stanisławska, Magdalena; Nofer Institute of Occupational Medicine (2018-10-23)
      Diverse forms of mercury (Hg) have various effects on animals and humans because of a variety of routes of administration. Inorganic mercury (iHg) binds to thiol groups of proteins and enzymes in one's body or is methylated by microorganisms. Organic form of Hg, contrary to the iHg, is more stable but may be demethylated to Hg2+ in the tissue of intestinal flora. Selenium (Se) also occurs in a variety of chemical forms in one's body but both of these elements behave very differently from one another. Mercury binding to selenide or Se-containing ligands is a primary molecular mechanism that reduces toxicity of Hg. Complexes formed in such a way are irreversible, and thus, biologically inactive. Se deficiency in a human body may impair normal synthesis of selenoproteins and its expression because expression of mRNA may be potentially regulated by the Se status. This paper provides a comprehensive review concerning Hg-Se reciprocal action as a potential mechanism of protective action of Se against Hg toxicity as well as a potential detoxification mechanism. Although interactions between Hg-Se have been presented in numerous studies concerning animals and humans, we have focused mainly on animal models so as to understand molecular mechanisms responsible for antagonism better. The review also investigates what conclusions have been drawn by researchers with respect to the chemical species of Se and Hg (and their relationship) in biological systems as well as genetic variations and expression and/or activity of selenoproteins related to the thioredoxin (thioredoxin Trx/TrxR) system and glutathione metabolism. Int J Occup Med Environ Health 2018;31(5):575-592.
    • [The right of a doctor to inform an employer of contraindications to perform a certain type of work by an employee].

      Zajdel-Całkowska, Justyna; Winnicka, Renata; Krakowiak, Anna; Jabłońska, Marta Regina; Zajdel, Radosław; Nofer Institute of Occupational Medicine (2018-12-18)
      The aim of this study is to analyze the legal regulations that pertain to the duty of doctor-patient privilege and the possibility of its repeal on the plane to provide information about the patient's health status to his employer. The material constitutes the current Polish law regulations relating to the medical duty of doctor-patient privilege as well as provisions defining the scope of information on the patient's health status that may be transferred to a patient's employer. The doctor has no right to provide the employer with information on contraindications to perform a specific job, if the information was obtained in the mode of providing health services that are not eligible for the catalogue of preliminary/preventive/control examinations. The basis for the doctor providing information to the employer cannot be an exception to the obligation of medical confidentiality, which is governed by art. 40 § 2 pts 1-6 of the Act of Medical Profession, under which cases of admission of professional secrecy were listed, which makes it impossible to use the cited article in cases other than strictly specified in its content. Polish law specifies the circumstances in which it is possible to provide an employer with the medical information on the patient's health. However, there are regulations that provide for the information on contraindications to perform a certain type of work or job to be transmitted if the information has been obtained in a manner other than as provided in the ordinance on medical examinations of employees. Med Pr 2018;69(6):613-620.
    • Rotating night shift work and physical activity of nurses and midwives in the cross-sectional study in Łódź, Poland.

      Peplonska, Beata; Bukowska, Agnieszka; Sobala, Wojciech; Nofer Institute of Occupational Medicine, Łódź, Poland (2014-12)
      Shift work have been thought to restrict participation in leisure time activities, but the knowledge about physical activity in rotating night shift nurses has been limited so far. We investigated the associations between the rotating night shift work and physical activity using data from a cross-sectional study among nurses and midwives. This study included 354 nurses and midwives (aged 40-60) currently working rotating night shifts and 371 ones working days only. The information on the work characteristics and potential covariates was collected via a personal interview. Weight and height were measured and BMI was calculated. Physical activity was assessed according to the international questionnaire on physical activity - IPAQ, and four domains: leisure time, occupational, transport related and household were analyzed. Women who reported none leisure time activity were defined as recreationally "inactive". The associations were examined with multiple linear or logistic regression models adjusted for age, season of the year, number of full term births, marital status and BMI. Total and occupational physical activity was significantly higher among nurses working rotating night shifts. However, leisure time activity was significantly affected among rotating night shift nurses and midwives, compared to women working during the days only, with increased odds ratio for recreational "inactivity" (OR = 1.57, 95% CI: 1.11-2.20). Rotating night shift work among nurses and midwives is associated with higher occupational physical activity but lower leisure time activity. Initiatives supporting exercising among night shift workers are recommended.
    • Rotating night shift work, sleep quality, selected lifestyle factors and prolactin concentration in nurses and midwives

      Bukowska, Agnieszka; Nofer Institute of Occupational Medicine, Łódź, Poland (2015-04)
    • Rotating night shift work, sleep quality, selected lifestyle factors and prolactin concentration in nurses and midwives.

      Bukowska, Agnieszka; Sobala, Wojciech; Peplonska, Beata; Nofer Institute of Occupational Medicine, Łódź, Poland (2015-04)
      The pattern of secretion of many hormones, including prolactin, is dependent on the circadian rhythm. Night shift work involves exposure to artificial light at night and sleep deficiency, which in turn can affect prolactin synthesis. The aim of this study was to evaluate a possible association between night shift work characteristics, sleep quality, lifestyle factors and prolactin concentration, using data from a cross-sectional study of nurses and midwives. A cross-sectional study was conducted among 327 nurses and midwives currently working on rotating night shifts, and 330 nurses and midwives working during the day (aged 40-60 years) (388 premenopausal and 269 postmenopausal). Information about night shift work characteristics, lifestyle, reproductive factors, sleep pattern and other covariates was collected through a face-to-face interview, and from a one-week work and sleep diary completed by the subjects. Weight and height were measured. Prolactin concentration was measured in the morning blood sample using the electrochemiluminesence immunoassay method. Associations were analyzed using linear regression models adjusted for important confounders. Analyses were carried out separately in pre- and postmenopausal women. None of the night shift work or sleep characteristics was significantly associated with prolactin concentration. Prolactin concentration was significantly (p < 0.05) inversely associated with smoking and time of blood sample collection. These results were consistent among both pre- and postmenopausal women. Nulliparity was significantly positively associated with prolactin among premenopausal women, but inversely among postmenopausal. Age was related to prolactin among postmenopausal women only. Our study indicates that rotating night shift work is not associated with prolactin concentration. Smoking, parity, time of blood collection and age among postmenopausal women were significant determinants of prolactin.
    • Rotating night work, lifestyle factors, obesity and promoter methylation in BRCA1 and BRCA2 genes among nurses and midwives.

      Peplonska, Beata; Bukowska, Agnieszka; Wieczorek, Edyta; Przybek, Monika; Zienolddiny, Shanbeh; Reszka, Edyta; Nofer Institute of Occupational Medicine, Łódź, Poland (2017)
      Some recent evidence suggests that environmental and lifestyle factors may modify DNA methylation. We hypothesized that rotating night work and several modifiable factors may be associated with the methylation of the promoter regions within two tumor suppressor and DNA repair genes: BRCA1 and BRCA2. The methylation status of BRCA1 and BRCA2 was determined via qMSP reactions using DNA samples derived from blood leucocytes of 347 nurses and midwives working rotating nights and 363 working during the days. The subjects were classified into unmethylated vs methylated BRCA1 and BRCA2 when the methylation index was 0% or >0%, respectively. The adjusted odds ratios with 95% confidence intervals were calculated for night work status, smoking, obesity, physical activity and alcohol drinking. Current night shift work or night work history was not associated with methylation status of the promoter sites within BRCA1 and BRCA2 genes. We observed weak associations between smoking and the methylation status of BRCA1 with OR = 1.50 (95%CI: 0.98-2.29) for current smoking, OR = 1.83, 95CI: 1.08-3.13 for smoking longer than 31 years, and 0.1>p>0.05 for trends for the number of cigarettes per day, smoking duration and packyears. In conclusion, no links between night shift work and methylation of the promoter region within the BRCA1, and BRCA2 genes were observed in this exploratory analysis. The findings of our study weakly support the hypothesis that smoking may contribute to epigenetic events.
    • Rules and recent trends for setting health-based occupational exposure limits for chemicals.

      Skowron, Jolanta; Czerczak, Slawomir; Central Institute for Labour Protection – National Research Institute, Warszawa, Poland; Nofer Institute of Occupational Medicine, Łódź, Poland (2015-03-12)
      The working environment is the special case of the non-natural environment created by man in which the increased production activity brings about the concentration of stimulators particularly aggressive to the human organism, such as chemical hazards, noise, vibration, extreme temperatures, and finally, intensified psychological and emotional stress. Depending on the nature and intensity, working environment factors have been classified into dangerous, harmful and annoying. The workers are more and more frequently exposed to dangerous chemicals in the working environment. The chemicals cause many diseases including, in the 1st place, respiratory insufficiency, inflammatory skin conditions, psychoneurological disorders and neoplastic diseases. Occupational exposure limit values (OELs), the main criteria for occupational exposure assessment, constitute an important factor for the safe use of chemicals in the working environment. In Poland, to date there are 524 chemical substances and 19 dusts for which maximum admissible concentrations (MAC) have been established.
    • Scintigraphic assessment of renal function in steel plant workers occupationally exposed to lead.

      Wrońska-Nofer, Teresa; Pisarska, Anna; Trzcinka-Ochocka, Małgorzata; Hałatek, Tadeusz; Stetkiewicz, Jan; Braziewicz, Janusz; Nofer, Jerzy-Roch; Wąsowicz, Wojciech; Nofer Institute of Occupational Medicine, Lodz, Poland; Holycross Cancer Center, Poland; Institute of Physics, Jan Kochanowski University, Poland; Center for Laboratory Medicine, University Hospital Münster, Germany (2015-04-25)
      Occupational exposure to lead may produce kidney damage, but existing data on the dose range associated with nephrotoxicity are inconclusive. We here assessed renal function under conditions of low to moderate lead exposure using renal scintigraphy.
    • Screening survey of ocular, nasal, respiratory and skin symptoms in manicurists in Poland.

      Kieć-Świerczyńska, Marta; Świerczyńska-Machura, Dominika; Chomiczewska-Skóra, Dorota; Kręcisz, Beata; Walusiak-Skorupa, Jolanta; Nofer Institute of Occupational Medicine, Łódź, Poland (2017-10-06)
      Manicurists are exposed to various chemicals in nail and skin care products and may develop ocular, nasal, respiratory or skin adverse reactions to them. To investigate the occurrence of ocular, nasal, respiratory and skin problems among manicurists and to identify their causal factors, particularly allergic etiology and occupational origin.
    • Screening value of V-RQOL in the evaluation of occupational voice disorders.

      Morawska, Joanna; Niebudek-Bogusz, Ewa; Wiktorowicz, Justyna; Sliwinska-Kowalska, Mariola; Nofer Institute of Occupational Medicine, Lodz, Poland (2017-12-28)
      Given the growing number of occupational voice users, easy and quick broad-scale screening is necessary to provide prophylaxis of voice disorders. The aim of the study was to assess applicability of the Voice Related Quality of Life questionnaire (V-RQOL) to screening occupational voice disorders.
    • Sense of Coherence, Smoking Status, Biochemical Cardiovascular Risk Factors and Body Mass in Blue Collar Workers-Short Report.

      Najder, Anna; Nofer Institute of Occupational Medicine, Lodz, Poland (2018-01-01)
      The crucial cause of cardiovascular disorders is atherosclerosis developed by abnormal cholesterols levels or disorders affecting blood glucose. One of the best-known cardiovascular risk factors is also tobacco smoking. Simultaneously, sense of coherence (SoC) as a personal resource motivating to managing one's own health behaviors, such as avoiding tobacco smoking, was reported to be protective against coronary heart disease. Such association was observed in white-collar workers but not in blue-collar workers. According to the above, the present article aims to establish relationships between SoC, smoking behaviors, biochemical markers (BM): lipids and glucose levels and body mass index (BMI) in blue-collar workers. Sense of Coherence Questionnaire (SOC-29), fasting blood test, and BMI were used to assess such relationships. The study group consisted of 304 Polish males working 8-hr shifts in a 4-brigade rotating system. The analysis revealed that SoC level did not differ depending on smoking behavior. The analysis also showed no differences in BMI and BM depending on SoC. Concerning smoking status, the study group was divided into three subgroups which differed regarding triglycerides and glucose levels. The present findings considering SoC indicate that any psychological construct should not be studied separately because probably only some sets of different features may influence one's behavior and BM as well.