时间型和轮班工作与类风湿性关节炎的关联
Thomas Butler1,2, J Robert Maidstone3,4, K Martin Rutter1,2,5
1Centre for Biological Timing, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Journal of biological rhythms
|June 29, 2023
概括
早晨的时间型可能会降低类风湿性关节炎 (RA) 的风险. 轮班工作,特别是夜班,与较高的RA几率有关,这表明昼夜节律影响炎症性疾病. 需要进一步的研究.
科学领域:
- 时间生物学 时间生物学
- 免疫学 免疫学 免疫学
- 流行病学 流行病学
背景情况:
- 昼夜节律影响人类生理学,包括免疫力.
- 时刻型,一个人的日常活动偏好,影响健康.
- 轮班工作破坏昼夜节律,增加炎症疾病的风险.
研究的目的:
- 调查时间型,轮班工作和类风湿性关节炎 (RA) 风险之间的关联.
- 为了确定时刻型是否改变了轮班工作对RA的影响.
- 探索昼夜失调在RA病变发生过程中的作用.
主要方法:
- 分析了多达444,210名英国生物库参与者.
- 多变量逻辑回归模型对多个共变量进行调整.
- 针对不同时间型和轮班工作时间表进行分层分析.
主要成果:
- 早晨的时间型与较低的RA几率相关 (OR:0.93,95%CI:0.88-0.99).
- 轮班工人最初显示较高的RA概率 (OR:1.22,95%CI:1.1-1.36) 在完全调整后减弱.
- 永久夜班的早晨时刻类型的人与白天工人相比,RA的几率明显更高 (OR: 1.89,95%CI: 1.19-2.99).
结论:
- 循环节律的破坏,特别是通过轮班工作,可能在类风湿性关节炎的发展中发挥作用.
- 年代型似乎影响RA风险,早晨类型可能更有弹性.
- 需要进一步研究轮班工作对炎症疾病的机制和影响.
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