在一项针对医疗保健从业人员的前瞻性队列研究中,夜班和轮班工作模式与 2 型糖尿病和高血压的发病率。

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Andreas Viklund, Tomas Andersson, Jenny Selander, Manzur Kader, Maria Albin, Theo Bodin, Mikko Härmä, Petter Ljungman, Carolina Bigert
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引用次数: 0

摘要

研究目的本研究旨在通过一项纵向研究,评估夜班和轮班工作模式对 2 型糖尿病(T2D)和高血压的影响,并提供有关工作时间的详细信息:研究对象包括瑞典斯德哥尔摩约 28000 名护士和护理助理,他们在 2008-2016 年期间受雇一年以上。雇员登记册中包含详细的个人每日工作时间信息。诊断信息来自国家和地区登记册。通过离散时间比例危险模型估算危险比(HR)和置信区间(CI),并对性别、年龄、出生国和职业进行调整:在 2013-2017 年的随访中,我们发现了 232 例终末期糖尿病和 875 例高血压。我们观察到,前一年只上夜班的员工(HR 1.59,95% CI 1.02-2.43)和密集轮班工作的员工(前一年下午和/或夜班超过 120 次,HR 1.67,95% CI 1.02-2.43)患 T2D 的风险增加,但高血压的风险没有增加:HR 1.67,95% CI 1.11-2.48)。白班和下午班混合工作的人群患 T2D 的风险增加不明显(HR 1.34,95% CI 0.97-1.88)。我们观察到,频繁连续上夜班≥3次,以及专门上夜班(而非混合上夜班)的年数,都会增加患T2D的风险:结论:长期上夜班和经常上下午班和/或夜班与第二年患终末期糖尿病的风险增加有关,但与高血压无关。在一定程度上,T2D 风险会受到连续几次频繁夜班和长期夜班累计年数的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Night and shift work patterns and incidence of type 2 diabetes and hypertension in a prospective cohort study of healthcare employees.

Objectives: This study aimed to evaluate effects of night and shift work patterns on type 2 diabetes (T2D) and hypertension in a longitudinal study, with detailed information on working hours.

Methods: The cohort comprised about 28 000 nurses and nursing assistants employed for more than one year 2008-2016 in Stockholm, Sweden. The employee register held detailed individual information on daily working hours. Information on diagnoses came from national and regional registers. Hazard ratios (HR) and confidence intervals (CI) were estimated by discrete-time proportional hazard models, adjusting for sex, age, country of birth, and profession.

Results: During follow-up in 2013-2017, we identified 232 cases of T2D and 875 of hypertension. We observed an increased risk of T2D, but not hypertension, among employees who worked only night shifts the previous year (HR 1.59, 95% CI 1.02-2.43) and those with intensive shift work (>120 afternoon and/or night shifts the previous year: HR 1.67, 95% CI 1.11-2.48) compared to only day work. There was a non-significantly increased risk of T2D related to mixed day and afternoon shifts (HR 1.34, 95% CI 0.97-1.88). We observed tendencies in increased risk of T2D related to frequent spells of ≥3 consecutive night shifts and with number of years with exclusive (but not mixed) night work.

Conclusions: Permanent night work and frequent afternoon and/or night shifts were associated with an increased risk of T2D the following year, but not hypertension. The T2D risk was, to some extent, affected by frequent spells of several night shifts in a row and by cumulative years with permanent night work.

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来源期刊
Scandinavian journal of work, environment & health
Scandinavian journal of work, environment & health 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.20
自引率
9.50%
发文量
65
审稿时长
>12 weeks
期刊介绍: The aim of the Journal is to promote research in the fields of occupational and environmental health and safety and to increase knowledge through the publication of original research articles, systematic reviews, and other information of high interest. Areas of interest include occupational and environmental epidemiology, occupational and environmental medicine, psychosocial factors at work, physical work load, physical activity work-related mental and musculoskeletal problems, aging, work ability and return to work, working hours and health, occupational hygiene and toxicology, work safety and injury epidemiology as well as occupational health services. In addition to observational studies, quasi-experimental and intervention studies are welcome as well as methodological papers, occupational cohort profiles, and studies associated with economic evaluation. The Journal also publishes short communications, case reports, commentaries, discussion papers, clinical questions, consensus reports, meeting reports, other reports, book reviews, news, and announcements (jobs, courses, events etc).
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