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职业性生活方式疾病:一个新出现的问题。

Occupational lifestyle diseases: An emerging issue.

作者信息

Sharma Mukesh, Majumdar P K

机构信息

Occupational Medicine Division, National Institute of Occupational Health (NIOH), Meghani Nagar, Ahmedabad - 380 016, India.

出版信息

Indian J Occup Environ Med. 2009 Dec;13(3):109-12. doi: 10.4103/0019-5278.58912.

Abstract

Lifestyle diseases characterize those diseases whose occurrence is primarily based on the daily habits of people and are a result of an inappropriate relationship of people with their environment. The main factors contributing to lifestyle diseases include bad food habits, physical inactivity, wrong body posture, and disturbed biological clock. A report, jointly prepared by the World Health Organization (WHO) and the World Economic Forum, says India will incur an accumulated loss of $236.6 billion by 2015 on account of unhealthy lifestyles and faulty diet. According to the report, 60% of all deaths worldwide in 2005 (35 million) resulted from noncommunicable diseases and accounted for 44% of premature deaths. What's worse, around 80% of these deaths will occur in low and middle-income countries like India which are also crippled by an ever increasing burden of infectious diseases, poor maternal and perinatal conditions and nutritional deficiencies. According to a survey conducted by the Associated Chamber of Commerce and Industry (ASSOC-HAM), 68% of working women in the age bracket of 21-52 years were found to be afflicted with lifestyle ailments such as obesity, depression, chronic backache, diabetes and hypertension. The study 'Preventive Healthcare and Corporate Female Workforce' also said that long hours and working under strict deadlines cause up to 75% of working women to suffer from depression or general anxiety disorder, compared to women with lesser levels of psychological demand at work. The study cited scientific evidence that healthy diet and adequate physical activity - at least 30 minutes of moderate activity at least five days a week - helped prevent NCDs. In India, 10% of adults suffer from hypertension while the country is home to 25-30 million diabetics. Three out of every 1,000 people suffer a stroke. The number of deaths due to heart attack is projected to increase from 1.2 million to 2 million in 2010. The diet [or lifestyle] of different populations might partly determine their rates of cancer, and the basis for this hypothesis was strengthened by results of studies showing that people who migrate from one country to another generally acquire the cancer rates of the new host country, suggesting that environmental [or lifestyle factors] rather than genetic factors are the key determinants of the international variation in cancer rates. Some of the common diseases encountered because of occupational lifestyle are Alzheimer's disease, arteriosclerosis, cancer, chronic liver disease/cirrhosis, chronic obstructive pulmonary disease (COPD), diabetes, hypertension, heart disease, nephritis/CRF, and stroke. Occupational lifestyle diseases include those caused by the factors present in the vicinity like heat, sound, dust, fumes, smoke, cold, and other pollutants. These factors are responsible for allergy, respiratory and hearing problems, and heat or cold shock. So, A healthy lifestyle must be adopted to combat these diseases with a proper balanced diet, physical activity and by giving due respect to biological clock. Kids spending too much time slouched in front of the TV or PCs, should be encourage to find a physical sport or activity they enjoy. Fun exercises should be encouraged into family outings. A pizza-and-video evening should be replaced for a hike and picnic. Kids who do participate in sport, especially at a high competitive level, can find the pressure to succeed very stressful. To decrease the ailments caused by occupational postures, one should avoid long sitting hours and should take frequent breaks for stretching or for other works involving physical movements.

摘要

生活方式疾病是指那些主要基于人们日常习惯而发生的疾病,是人们与其环境之间不适当关系的结果。导致生活方式疾病的主要因素包括不良饮食习惯、缺乏体育活动、错误的身体姿势以及紊乱的生物钟。世界卫生组织(WHO)和世界经济论坛联合发布的一份报告称,到2015年,由于不健康的生活方式和错误的饮食,印度将累计损失2366亿美元。根据该报告,2005年全球所有死亡人数中的60%(3500万)是由非传染性疾病导致的,占过早死亡人数的44%。更糟糕的是,这些死亡中约80%将发生在印度等低收入和中等收入国家,这些国家还受到传染病负担不断增加、孕产妇和围产期条件差以及营养缺乏的困扰。根据印度工商联合会(ASSOC-HAM)进行的一项调查,在21至52岁年龄段的职业女性中,68%被发现患有肥胖、抑郁、慢性背痛、糖尿病和高血压等生活方式疾病。“预防性医疗保健与企业女性劳动力”研究还称,与工作中心理需求较低的女性相比,长时间工作和在严格的期限内工作导致高达75%的职业女性患有抑郁症或广泛性焦虑症。该研究引用科学证据表明,健康的饮食和充足的体育活动——每周至少五天、每天至少30分钟的适度活动——有助于预防非传染性疾病。在印度,10%的成年人患有高血压,该国还有2500万至3000万糖尿病患者。每1000人中就有三人中风。预计2010年因心脏病发作死亡的人数将从120万增加到200万。不同人群的饮食[或生活方式]可能部分决定他们的癌症发病率,这一假设的依据因研究结果而得到加强,这些研究表明,从一个国家移民到另一个国家的人通常会患上新东道国的癌症发病率,这表明环境[或生活方式因素]而非遗传因素是癌症发病率国际差异的关键决定因素。一些因职业生活方式而常见的疾病包括阿尔茨海默病、动脉硬化、癌症、慢性肝病/肝硬化、慢性阻塞性肺疾病(COPD)、糖尿病、高血压、心脏病、肾炎/慢性肾衰竭和中风。职业生活方式疾病包括由附近存在的因素如热、声音、灰尘、烟雾、烟尘、寒冷和其他污染物引起的疾病。这些因素会导致过敏、呼吸和听力问题以及热或冷休克。因此,必须采用健康的生活方式,通过适当的均衡饮食、体育活动以及尊重生物钟来对抗这些疾病。花太多时间无精打采地坐在电视或电脑前的孩子,应该被鼓励去寻找一项他们喜欢的体育运动或活动。有趣的运动应该被纳入家庭郊游。一个吃披萨看视频的晚上应该换成徒步旅行和野餐。确实参加体育运动的孩子,尤其是在高水平竞技的情况下,可能会发现成功的压力非常大。为了减少因职业姿势引起的疾病,应该避免长时间坐着,应该经常休息以伸展身体或进行其他涉及身体活动的工作。

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