睡眠呼吸暂停的与工作有关的危险因素:来自韩国工作,睡眠和健康研究的证据
Heejoo Ko1, Seong-Sik Cho2, Hye-Eun Lee3
1College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
International archives of occupational and environmental health
|September 25, 2025
概括
长时间工作和压力等职业暴露增加了阻塞性睡眠呼吸暂停 (OSA) 的风险. 改善工作场所条件可以帮助预防睡眠呼吸暂停.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 职业暴露被怀疑是阻塞性睡眠呼吸暂停 (OSA) 风险的贡献者.
- 大规模的基于人口的证据将工作因素与OSA联系起来是有限的.
研究的目的:
- 研究各种与工作有关的因素与韩国工人睡眠呼吸暂停风险之间的关联.
- 分析长时间工作,轮班工作,职业压力,情感劳动,物理/化学危害和人体工程学因素对睡眠呼吸暂停风险的影响.
主要方法:
- 来自韩国工作,睡眠和健康研究 (KWSHS) 的数据分析,这是全国纵向面板调查 (2022-2024年).
- 使用柏林问卷评估睡眠呼吸暂停风险.
- 用通用估计方程模型来估计调整的赔率比率 (ORs) 和95%置信区间 (CI),控制年龄,性别和职业.
- 根据肥胖状况进行了子组分析.
主要成果:
- 长时间工作 (>52小时/周),高职业压力,高情绪劳动,物理/化学暴露和人体工程学压力与增加高睡眠呼吸暂停风险的几率显著相关.
- 轮班工作与OSA风险没有显著的关联,可能是由于健康工人效应或适应.
- 物理/化学暴露与睡眠呼吸暂停风险之间的关联在非肥胖参与者中更为明显.
结论:
- 工作场所的心理社会和环境因素对患上睡眠呼吸暂停的风险有很大影响.
- 针对工作场所条件的干预措施可能是预防睡眠呼吸暂停的关键策略.
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