轮班夜工与女性冠心病风险之间的关联
Céline Vetter1, Elizabeth E Devore1, Lani R Wegrzyn2
1Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
JAMA
|April 27, 2016
概括
轮班工作与女性冠状动脉疾病 (CHD) 风险的小但显著增加有关. 在女性停止夜班工作后,心血管疾病的风险下降.
科学领域:
- 心血管健康
- 职业健康问题
- 流行病学
背景情况:
- 对轮班工作和冠心病 (CHD) 的前性研究产生了不一致的结果.
- 之前的研究受限于短时间的随访,需要进行更长期的调查.
研究的目的:
- 调查夜班轮流工作与患冠心病 (CHD) 的风险之间的联系.
主要方法:
- 一项前性队列研究,涉及189158名最初健康的护士健康研究 (NHS和NHS2).
- 参与者进行了24年的跟踪,在基线评估和定期更新夜班轮流工作的终身历史.
- 冠状动脉疾病 (CHD) 的病例详细记录,包括心肌梗塞,CHD死亡和重血管化手术.
主要成果:
- 在这两组患者中,24年来记录了10822例心血管疾病病例.
- 在多变量调整的模型中,多年轮流夜班工作与更高的心脏病风险有显著的关联.
- 轮班工作时间与心血管疾病风险之间的关联似乎在夜班工作结束后减少,停工时间较长与风险降低有关.
结论:
- 在女性注册护士中,更长时间的夜班工作与统计学上显著的,尽管很小,但绝对增加的冠状动脉疾病风险有关.
- 需要进一步研究以阐明导致这种关系的具体工作时间和个体特征.
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