对长时间工作时间与高血压风险之间的关联进行系统审查和元分析
Joonho Ahn1, Ji-Hun Song2, In-Soo Shin3
1Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Journal of epidemiology and community health
|March 6, 2024
概括
长时间工作显示出与高血压的潜在联系,特别是在女性中,尽管需要更多的研究来证实这种联系. 这项研究分析了关于工作时间和血压风险的观察数据.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
背景情况:
- 高血压是一个重要的全球健康问题.
- 将长时间工作时间与高血压风险联系在一起的证据是不一致的.
- 工作条件和生活方式因素与高血压有关.
研究的目的:
- 系统地审查和元分析关于工作时间和高血压或血压的观察性研究.
- 评估偏差风险并进行子组分析.
- 研究延长工作时间与心血管健康结果之间的关系.
主要方法:
- 观察性研究的系统审查和元分析.
- 包括评估高血压或血压结果的研究.
- 进行偏差风险评估和子组分析.
- 在PROSPERO注册的协议 (CRD42023406961).
主要成果:
- 在15项研究中,高血压与长时间工作的概率比为1.09 (95% CI: 0.881.35).
- 在使用血压作为结果的研究中,腹压血压高出1.24 mm Hg (95% CI: 0.192.29).
- 亚组分析表明,女性的风险较高 (OR 1.28,95% CI: 1.141.44) 与男性 (OR 1.00,95% CI: 0.641.56) 相比.
结论:
- 该研究并没有最终证实长时间工作和高血压之间的联系.
- 亚组分析表明一个潜在的关联,特别是在女性.
- 需要进一步进行高质量的研究来确定因果关系.
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