Nazri S M, Tengku M A, Winn T
Department of Community Medicine, Universiti Sains Malaysia (USM) Health Campus, 16150 Kelantan.
Med J Malaysia. 2007 Jun;62(2):134-8.
Shift work is associated with various health problems and there is concern that shift workers are at higher risk to develop dyslipidaemia. A cross-sectional study was conducted from December 2003 to May 2004 to compare the prevalence of dyslipidaemia (hypercholesterolaemia, hypertriglyceridaemia, hyper-LDL and hypo-HDL-cholesterolaemia) and to examine the relationship between shift work and dyslipidaemia among 148 randomly selected male workers from one of the factories in Kota Bharu, Kelantan. Information on psychosocial and life-style factors, anthropometric and blood pressure measurement, fasting blood sugar and lipid profiles analyses were obtained. In multiple variable analysis, the presence of any abnormalities in the lipid profiles was regarded as having dyslipidaemia. The prevalence of hypercholesterolaemia (47.4%) and hypertriglyceridaemia (42.1%) were significantly higher among shift workers compared to day workers with p-value of 0.014 and 0.044 respectively. There was no significant different in the prevalence of hyper-LDL and hypo-HDL-cholesterolaemia and shift work was not significantly associated with dyslipidaemia, OR(adj) = 1.27; 95% CI 0.63-2.57.
轮班工作与各种健康问题相关，人们担心轮班工作的人患血脂异常的风险更高。2003年12月至2004年5月进行了一项横断面研究，以比较血脂异常（高胆固醇血症、高甘油三酯血症、高LDL和低HDL胆固醇血症）的患病率，并研究在吉兰丹州哥打巴鲁的一家工厂随机抽取的148名男性工人中轮班工作与血脂异常之间的关系。获取了有关心理社会和生活方式因素、人体测量和血压测量、空腹血糖和血脂谱分析的信息。在多变量分析中，血脂谱中任何异常的存在都被视为患有血脂异常。与日班工人相比，轮班工人中高胆固醇血症（47.4%）和高甘油三酯血症（42.1%）的患病率显著更高，p值分别为0.014和0.044。高LDL和低HDL胆固醇血症的患病率没有显著差异，轮班工作与血脂异常没有显著关联，OR(adj)=1.27；95%CI为0.63 - 2.57。
