美国糖尿病患者中，工作时间长与血糖控制不佳有关。
Long work hours is associated with suboptimal glycemic control among US workers with diabetes.
机构信息
Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Florida 33136, USA.
出版信息
Am J Ind Med. 2011 May;54(5):375-83. doi: 10.1002/ajim.20923. Epub 2011 Jan 18.
BACKGROUND
Increasing numbers of US workers are diabetic. We assessed the relationship between glycemic control and work hours and type of occupation among employed US adults with type 2 diabetes.
METHODS
Data were obtained from the 1999-2004 National Health and Nutrition Examination Survey (NHANES). A representative sample of employed US adults ≥20 years with self-reported type 2 diabetes (n = 369) was used. Two dichotomous glycemic control indicators, based on various HbA1c level cut-points, were used as dependent variables in weighted logistic regression analyses with adjustment for confounders.
RESULTS
Adults working over 40 hr/week were more likely to have suboptimal glycemic control (HbA1c ≥ 7%) compared to those working 20 hr or less (odds ratio = 5.09; 95% confidence interval: [1.38-18.76]).
CONCLUSIONS
Work-related factors, such as number of hours worked, may affect the ability of adults with type 2 diabetes to reach and maintain glycemic control goals. These factors should be considered in the development of workplace policies and accommodations for the increasing number of workers with type 2 diabetes.
背景
越来越多的美国工人患有糖尿病。我们评估了美国 2 型糖尿病患者中血糖控制与工作时间和职业类型之间的关系。
方法
数据来自于 1999-2004 年的全国健康和营养检查调查（NHANES）。我们使用了一份具有代表性的、报告有 2 型糖尿病的、年龄在 20 岁及以上的美国成年在职人员的样本（n=369）。两个基于不同 HbA1c 水平切点的二分类血糖控制指标被用作加权逻辑回归分析中的因变量，调整了混杂因素。
结果
与每周工作 20 小时或更少的人相比，每周工作超过 40 小时的成年人更有可能血糖控制不佳（HbA1c≥7%）（比值比=5.09；95%置信区间：[1.38-18.76]）。
结论
工作相关因素，如工作时间的长短，可能会影响 2 型糖尿病成年人达到和维持血糖控制目标的能力。在制定针对越来越多的 2 型糖尿病患者的工作场所政策和适应措施时，应考虑这些因素。
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