轮班工作和代谢综合征更新:系统性审查
Maria Alice Souza Schettini1, Rafael Feitosa do Nascimento Passos1, Bruna Del Vechio Koike1
1Department of Medicine, Medical School, Federal University of São Francisco Valley, Petrolina, PE, Brazil.
Sleep science (Sao Paulo, Brazil)
|July 10, 2023
概括
轮班工作破坏昼夜节律,导致代谢功能障碍. 这一系统性审查强调了与夜间工作和代谢综合征相关的血糖控制受损,胰岛素抵抗和荷尔蒙失衡.
科学领域:
- 时间生物学 时间生物学
- 代谢健康 代谢健康
- 职业健康 职业健康 职业健康
背景情况:
- 轮班工作破坏了自然的昼夜周期和内生节律.
- 昼夜系统的失调可能会对生理和代谢功能产生负面影响.
- 了解这些代谢变化对于公共健康至关重要.
研究的目的:
- 系统地审查与轮班和夜间工作相关的代谢变化.
- 分析过去五年内发表的研究,重点关注性别包容性和英语索引文章.
- 为了确定由于轮班工作而导致的昼夜节律扰乱导致的关键代谢变化.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 搜索了数据库 (Medline,Lilacs,ScienceDirect,Cochrane) 关于与新陈代谢相关的时间生物学疾病和夜间工作的研究.
- 包括具有偏差低风险的横截面,队列和实验研究,在过去5年内以英语出版.
主要成果:
- 轮班工作导致昼夜失调,影响代谢参数.
- 观察到的变化包括血糖控制受损,胰岛素功能问题和皮质醇释放受损.
- 还注意到胆固醇的不平衡,形态指数的变化和改变的黑激素分泌.
结论:
- 轮班工作显著干扰睡眠-觉醒周期和饮食模式.
- 这些干扰会导致关键的生理变化.
- 这些变化的累积效应增加了发展代谢综合征的风险.
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