荷兰女护士夜班工作与体重增加的关系:一项前瞻性队列研究的结果。

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Henriëtte M van Duijne, Nina E Berentzen, Roel C H Vermeulen, Jelle J Vlaanderen, Hans Kromhout, Katarzyna Jóźwiak, Anouk Pijpe, Matti A Rookus, Flora E van Leeuwen, Michael Schaapveld
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引用次数: 0

摘要

研究目的本研究旨在前瞻性地调查南丁格尔研究(一个大型女护士队列)中上夜班与体重增加之间的关系:这项研究包括 36 273 名注册护士,她们分别于 2011 年和 2017 年填写了调查问卷。评估了 2007-2011 年的累计夜数、平均夜数/月和连续夜数/月。我们使用泊松回归法估算了 2011 年至 2017 年所有参与者体重增加 >5% 的多变量调整后发病率比 (IRR),并评估了基线体重指数健康的女性患超重/肥胖症(BMI≥25 kg/m2)的风险。参照组包括从未上过夜班的女性:总体而言,2007-2011年上夜班与体重增加>5%有关[IRR为1.07,95%置信区间(CI)为1.01-1.13]。2011年,不同绝经状态的妇女与体重增加>5%的相关性有所不同,增加的风险仅限于上夜班的绝经后妇女(IRR为1.23,95% 置信区间(CI)为1.10-1.38)。与从未上过夜班的绝经后妇女相比,绝经后妇女平均每月上夜班≥4次(4-5次:IRR 1.29,95% CI 1.09-1.52;≥6次:IRR 1.27,95% CI 1.11-1.47)或每月连续上夜班≥4次(IRR 1.37,95% CI 1.19-1.58),体重增加>5%的风险会增加。对于基线体重健康的绝经后妇女,夜班工作与随访时超重/肥胖风险增加有关(IRR 1.24,95% CI 1.03-1.50):结论:在纳入研究的绝经后妇女中,上夜班与体重增加和超重/肥胖风险略有增加有关。我们的研究结果强调了促进健康以保持(绝经后)夜班工作者健康体重的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of night shift work with weight gain among female nurses in The Netherlands: results of a prospective cohort study.

Objective: This study aimed to prospectively investigate associations of working night shifts with weight gain in the Nightingale Study, a large cohort of female nurses.

Methods: This study included 36 273 registered nurses, who completed questionnaires in 2011 and 2017. Cumulative number of nights, mean number of nights/month and consecutive number of nights/month in 2007-2011 were assessed. We used Poisson regression to estimate multivariable-adjusted incidence rate ratios (IRR) of >5% weight gain from 2011 to 2017 among all participants and assess risk of development of overweight/obesity (BMI≥25 kg/m2) among women with healthy baseline body mass index. The reference group consisted of women who never worked nights.

Results: Overall, working night shifts in 2007-2011 was associated with >5% weight gain [IRR 1.07, 95% confidence interval (CI) 1.01-1.13]. Associations differed by menopausal status in 2011, with an increased risk of gaining >5% weight limited to postmenopausal women who worked nights (IRR 1.23, 95% CI 1.10-1.38). Postmenopausal women had an increased risk of >5% weight gain when they worked on average ≥4 nights/month (4-5: IRR 1.29, 95% CI 1.09-1.52, ≥6: IRR 1.27, 95% CI 1.11-1.47) or ≥4 consecutive nights/month (IRR 1.37, 95% CI 1.19-1.58), compared to postmenopausal women who never worked nights. For postmenopausal women with healthy weight at baseline, night shift work was associated with an increased risk of overweight/obesity at follow-up (IRR 1.24, 95% CI 1.03-1.50).

Conclusions: Working night shifts was associated with a slightly increased risk of weight gain and overweight/obesity development among women who were postmenopausal at study inclusion. Our findings emphasize the importance of health promotion to maintain a healthy weight among (postmenopausal) night workers.

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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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