轮班工作和阻塞性睡眠呼吸暂停对韩国中年工人糖尿病风险的关联和交互效应

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-09-11 DOI:10.1007/s11325-024-03160-8

Kyusung Kim, Hi-Ju Kim, Seunghyun Lee, Wanhyung Lee

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引用次数: 0

摘要

目的研究轮班工作和阻塞性睡眠呼吸暂停（OSA）与糖尿病（DM）之间的关系，以及轮班工作和OSA风险对糖尿病的交互影响。参与者为3012名40至59岁的雇员。轮班工作通过自我报告问卷进行评估。OSA风险通过STOP-BANG评分进行评估。人口统计学因素的分布采用卡方检验进行计算。采用多变量逻辑回归法计算调整后的几率比（AOR）和 95% 置信区间（CI）。使用交互作用导致的相对超额风险（RERI）和可归因比例（AP）及 95% 置信区间（CIs）评估了轮班工作和 OSA 风险对 DM 的交互作用。结果轮班工作和 OSA 风险均与 DM 显著相关。轮班工作和 OSA 风险对 DM 也有明显的交互影响。RERI为0.543（95% CI为0.205-1.361），AP为0.230（95% CI为0.145-0.342）。结论：轮班工作与 OSA 对 DM 的影响存在关联和显著的交互效应。应当对倒班工人的 OSA 进行管理，以预防 DM。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Association and interaction effect of shift work and the risk for obstructive sleep apnea on diabetes mellitus in middle-aged Korean workers

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Association and interaction effect of shift work and the risk for obstructive sleep apnea on diabetes mellitus in middle-aged Korean workers

Purpose

To investigate the association of shift work and the risk for obstructive sleep apnea (OSA) with diabetes mellitus (DM), and the interaction effect of shift work and the risk for OSA on DM.

Methods

Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2019–2021 were used. The participants were 3012 employees aged 40 to 59 years. Shift work was assessed using self-reporting questionnaires. The risk for OSA was assessed by STOP-BANG score. The distribution of demographic factors was calculated using the chi-square test. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated using multivariable logistic regression. An interaction effect between shift work and the risk for OSA on DM was evaluated using relative excess risk owing to interaction (RERI) and attributable proportion (AP) with 95% CIs. The synergic index (SI) was also calculated.

Results

Shift work and the risk for OSA were each significantly associated with DM. There was also a significant interaction effect between shift work and the risk for OSA on DM. The RERI was 0.543 (95% CI 0.205–1.361) and the AP was 0.230 (95% CI 0.145–0.342). The SI was 1.662 (95% CI 1.481–1.843).

Conclusions

There was an association and a significant interaction effect of shift work and the risk for OSA on DM. The management of OSA in shift workers should be implemented to prevent DM.

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.