夜班工作与骨质疏松症和骨质疏松症相关的病态骨折风险之间的关联
Daishui Yang1, Cheng Xiang1, Tianyu Wang1
1Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
夜班工作增加了骨质疏松症的风险,特别是长期暴露. 这种与骨质疏松症和骨折的关联不管遗传因素如何,仍然存在,这突显了职业健康的关键问题.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 夜班工作与各种慢性疾病有关.
- 过去和现在夜班安排对骨质疏松风险的影响尚未完全理解.
- 在大规模生物库数据中调查潜在的调解者至关重要.
研究的目的:
- 探索当前和终身夜班工作与骨质疏松症之间的关联.
- 评估夜班工作与骨质疏松症相关骨折之间的关系.
- 评估遗传易感性在这些关联中的作用.
主要方法:
- 利用英国生物库数据,从276,774名参与者获得就业信息,75,120名参与者拥有终身职业历史.
- 采用多变量调整后勤回归和考克斯比例危险模型.
- 进行了分层分析和相互作用测试,以探索修改.
主要成果:
- 现在和终身的夜班工作显著增加了骨质疏松症的流行和发病率.
- 通常的夜班显示风险最高 (HR 1.29). 终身暴露>10年和每月3-8个班次也增加了风险 (OR 1.21,1.38).
- 与骨质疏松症和病理性骨折 (HR 1.88) 的积极关联在所有灵敏度分析中是一致的,并且不受遗传因素的改变.
结论:
- 目前和终身夜班工作都与骨质疏松症和相关的病理骨折风险增加有关.
- 遗传敏感性似乎没有改变这些关联.
- 减少夜班工作可能是预防骨质疏松症的可行策略,需要进一步调查.
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