轮班工作与夜班工作影响心血管风险因素:隔热工业六年后续研究
Marit Skogstad1, Sarah Alsaedi2, Per Anton Sirnes3
1National Institute of Occupational Health, Oslo, Norway marit.skogstad@stami.no.
Occupational and environmental medicine
|September 4, 2025
概括
轮班工作,尤其是夜班工作,会增加心血管疾病的风险,比如体重增加和动脉硬. 减少夜班可能有助于减轻这些负面健康影响.
科学领域:
- 职业健康问题
- 心血管医学
- 生理学
背景情况:
- 轮班工作在各个行业普遍存在,可能会影响心血管健康.
- 对轮班工人心血管疾病 (CVD) 风险因素的纵向数据有限.
- 了解这些变化对于制定有针对性的健康干预措施至关重要.
研究的目的:
- 评估心血管疾病风险因素的绝对水平和6年变化.
- 为了比较工业轮班工人 (高/低夜班) 和日班工人之间的变化.
- 确定轮班工作特征与心血管疾病风险因素的进展之间的关联.
主要方法:
- 一项为期6年的对3个工业群体的后续研究:夜班高负荷工人,夜班低负荷工人和白天工人.
- 数据收集包括人口统计,血压,心率,心动脉内膜厚度 (cIMT),心动脉至大腿脉冲波速率 (cfPWV),V̇O2max,脂质,HbA1c和CRP.
- 使用混合模型分析纵向变化和群体差异.
主要成果:
- 夜班工作人员的体重,cfPWV和CRP都有所增加.
- 夜间工作量较低的轮班工人和白天工作人员的cIMT增加.
- 所有工人经历了与多年轮班工作相关的VO2max降低和HbA1c增加.
结论:
- 轮班工作,特别是夜班工作,与体重增加,炎症,动脉硬,cIMT,HbA1c和V̇O2max降低有关.
- 减少夜班和休息时间等策略可能会降低心血管疾病的风险.
- 轮班工作对心血管健康构成重大挑战,需要积极管理.
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