长期夜班工作,遗传倾向和发生喘的风险:一项前性队列研究
1Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Jianghan University, Wuhan, China.
QJM : monthly journal of the Association of Physicians
|April 10, 2024
概括
现在和终身的夜班工作都会增加喘风险. 这种关联甚至适用于患喘的遗传倾向的个人,突出了职业健康问题.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 关于夜班工作与新发喘之间的联系的证据有限.
- 了解这种关联对于公共卫生和职业安全至关重要.
研究的目的:
- 检查当前和终身夜班工作与喘发病率之间的关系.
- 调查遗传敏感性是否会改变这种关联.
主要方法:
- 利用了来自253,773名夜班工作人员的英国生物库数据.
- 计算了喘多原风险评分 (PRS) 并使用了考克斯的比例危险模型.
- 评估夜班工作持续时间和频率的剂量反应关系.
主要成果:
- 目前的夜班工作显示了喘风险的剂量反应增加 (永久夜班的17%高).
- 夜班工作的更长寿命 (≥5年) 或频率 (≥8晚/月) 也增加了喘风险 (分别高出20%和22%).
- 高遗传风险评分 (PRS) 放大了夜班工作的喘风险,尽管相互作用并不显著.
结论:
- 当前和终身夜班工作都与患喘的风险增加有关.
- 调查结果表明,夜班工作带来了喘发病的风险,这与个人的遗传倾向无关.
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