在高屏幕曝光率的信息技术专业人员中,亚临床甲状腺功能低下的患病率
Subha Lakshmanan1, Mohamed Nasrul Ariffin2, Siiriin Shahul Hameed Sahib3
1Ophthalmology, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus
|July 17, 2025
概括
亚临床甲状腺功能低下症 (SCH) 影响11.7%的IT专业人员,与长时间的屏幕时间和甲状腺自身免疫有关. 建议对这个数字活跃的劳动力进行早期查.
科学领域:
- 内分泌学 在内分泌学.
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
背景情况:
- 亚临床甲状腺功能低下症 (SCH) 是一种诊断不足的甲状腺功能障碍,特别是在无症状个体中.
- 信息技术 (IT) 部门的特点是长时间的屏幕曝光和久坐不动的工作,需要对内分泌健康进行集中评估.
- 这项研究调查了SCH的患病率及其与屏幕时间,轮班工作以及IT专业人员甲状腺自身免疫的联系.
研究的目的:
- 确定IT专业人员中亚临床甲状腺功能低下症 (SCH) 的患病率.
- 评估SCH和屏幕暴露时间之间的关联,抗甲状腺过氧化酶 (抗TPO) 抗体状态,以及轮班工作等职业因素.
主要方法:
- 一项涉及350名IT专业人员 (年龄22-55岁) 的跨部分研究,每天暴露在屏幕上≥8小时,在印度的奈.
- 通过问卷和临床评估收集的数据,包括甲状腺功能测试 (TSH,自由T3,自由T4) 和抗TPO抗体水平.
- SCH定义为TSH>4.0mIU/L与正常的自由T3/T4;抗TPO阳性为>35 IU/mL. 用于分析的多变量逻辑回归.
主要成果:
- 这种SCH的患病率为11.7% (41/350).
- 抗TPO抗体阳性为17.7% (62/350),其中46.3%的SCH病例是抗体阳性.
- 较高的屏幕曝光 (≥9小时/天) 与SCH (aOR:2.14;p=0.045),以及抗TPO阳性 (aOR:5.33;p<0.001) 有显著的关联.
结论:
- 在长时间接触屏幕的IT专业人员中观察到SCH的显著流行率 (11.7%).
- 长时间的数字参与和抗TPO抗体阳性是这种人群中早期甲状腺功能障碍的关键风险因素.
- 针对查密集的工作人员,需要有针对性的内分泌查协议,以促进早期检测和预防性护理.
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