长期夜工人中高血糖与夜间工作和噪音的联合暴露:全国性基于人口的前性队列研究
Po-Ching Chu, Chen-Hsien Lee, Yu-Fang Lee
1Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei 100, Taiwan. juiwang92@ntu.edu.tw.
Scandinavian journal of work, environment & health
|March 10, 2025
概括
夜间工作增加了高血糖的风险,较长的时间显示了剂量-反应关系. 晚上工作和职业噪音的联合暴露显著增加了高血糖风险,远远超过单独的夜间工作.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 夜间工作很普遍,并与代谢障碍有关.
- 高血糖是2型糖尿病和心血管疾病的前体.
- 了解联合职业暴露对公共健康至关重要.
研究的目的:
- 调查夜间工作,职业噪音和高血糖发生率之间的关联.
- 检查夜间工作时间和高血糖之间的剂量反应关系.
- 评估夜间工作和噪音暴露对高血糖的影响.
主要方法:
- 对12716名夜工进行前性队列研究.
- 血糖过高的发病率通过一年的禁食血糖变化来评估.
- 用于分析关联的多变量逻辑和线性回归模型.
主要成果:
- 每增加一天的夜间工作都会增加高血糖的风险 (aOR 1.05).
- 夜班工作持续时间显示,禁食葡萄糖水平线性增加 (+0.07%每天).
- 职业噪音暴露也增加了禁食葡萄糖水平 (+1.34%),与夜间工作相结合时具有显著的相互作用效应.
结论:
- 在夜间工作时间和禁食葡萄糖变化之间存在剂量反应关系.
- 对夜间工作和职业噪音的联合暴露会显著增加患高血糖的风险.
- 这些发现凸显了管理联合职业暴露的重要性,以减轻代谢风险.
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