评估轮班工作对血清胆固醇和甘油三酯水平的影响。

IF 0.4 4区 医学
Iranian Red Crescent Medical Journal Pub Date : 2015-01-21 eCollection Date: 2015-01-01 DOI:10.5812/ircmj.18723
Hamed Akbari, Ramazan Mirzaei, Tahereh Nasrabadi, Mohammad Gholami-Fesharaki
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引用次数: 28

摘要

背景:在白天以外的时间(早上7点到晚上7点)工作被称为轮班工作。倒班工作在许多行业和工厂,如钢铁工业、石油工业、发电厂,以及一些服务行业,如医药、护理和警察部队,是一种常见的做法,专业人员在白天和晚上提供服务。目的:考虑到不同研究的矛盾报告,我们决定通过对钢铁行业工人的历史队列研究来评估轮班工作对胆固醇和甘油三酯(TG)水平的影响。患者和方法:本回顾性队列研究对2002年至2011年间伊斯法罕Mobarakeh钢铁公司的所有员工进行。这项研究共有5773名参与者。使用普查方法从工作人员的医疗记录中收集数据。数据分析采用广义估计方程(GEE)回归。结果:第一次观察时,倒班工人和白班工人的胆固醇水平有显著差异(P < 0.001),而TG无显著差异(P = 0.853)。此外,结果显示,倒班工人和日工的年龄、工作经验和BMI变量不相似。因此,为了消除这些变量的影响,我们使用GEE回归。尽管定期轮班工人和日工之间的胆固醇存在临界差异,但这种相关性没有统计学意义(P = 0.051)。TG的结果也显示与轮班工作无关。结论:根据本研究结果,倒班工作与血清TG和胆固醇的变化没有关系。缺乏关系可能是由于轮班工人的轮班计划、营养或伊斯法罕Mobarakeh钢铁公司的“健康心脏项目”。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the effect of shift work on serum cholesterol and triglyceride levels.

Background: Working outside daylight hours (7 am to 7 pm) is called shift work. Shift work is a common practice in many industries and factories such as steel industries, petroleum industries, power plants, and in some services such as medicine and nursing and police forces, in which professionals provide services during day and night.

Objectives: Considering the contradictory reports of different studies, we decided to evaluate the effect of shift work on cholesterol and triglyceride (TG) levels through a historical cohort on steel industry workers.

Patients and methods: This retrospective cohort study was performed on all the staff of Isfahan's Mobarakeh Steel Company between years 2002 and 2011. There were 5773 participants in this study. Data were collected from the medical records of the staff using the census method. For analysis of data, generalized estimating equation (GEE) regression was used.

Results: The results showed a significant difference in cholesterol levels between shift workers and day workers on the first observation (P < 0.001), yet no such difference was observed for TG (P = 0.853). Moreover, the results showed that the variables of age, work experience and BMI were not similar between shift workers and day workers. Therefore, to remove the effect of such variables, we used GEE regression. Despite the borderline difference of cholesterol between regular shift workers and day workers, this correlation was not statistically significant (P = 0.051). The results for TG also showed no correlation with shift work.

Conclusions: According to the findings of this study, there is no relationship between shift work and changes in serum TG and cholesterol. The lack of relationship can be due to shift plans for shift workers, nutrition, or the "Healthy Heart project" at Isfahan Mobarakeh Steel Company.

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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal 医学-医学:内科
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期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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