From the Cancer Prevention and Control Program (Drs Wirth, Burch, Shivappa, Steck, and Hébert and Mr Hurley), University of South Carolina, Columbia, SC; Department of Epidemiology and Biostatistics (Drs Burch, Shivappa, Steck, and Hébert), University of South Carolina, Columbia, SC; WJB Dorn VA Medical Center (Dr Burch), Columbia, SC; and Department of Epidemiology and Biostatistics (Dr Vena), College of Public Health, University of Georgia, Athens, Ga.
J Occup Environ Med. 2014 Feb;56(2):145-8. doi: 10.1097/JOM.0000000000000088.
Shift workers are affected by diet- and inflammation-related diseases, including cardiovascular disease, diabetes, and cancer. We examined a dietary inflammatory index (DII) in relation to shift work from the National Health and Nutrition Examination Survey data (2005 to 2010).
The DII was calculated using data from a 24-hour dietary recall. Shift work categories included day workers, evening/night shift workers, or rotating shift workers. General linear models were fit to examine the relationship between shift work and adjusted mean DII values.
Among all shift workers and specifically rotating shift workers, higher (ie, more pro-inflammatory) mean DII scores (1.01 and 1.07 vs 0.86; both P ≤ 0.01) were observed compared with day workers. Women tended to express strong evening/night shift effects.
More proinflammatory diets observed among shift workers may partially explain increased inflammation-related chronic disease risk observed in other studies among shift workers compared with their day-working counterparts.
轮班工人易患与饮食和炎症相关的疾病,包括心血管疾病、糖尿病和癌症。我们从国家健康和营养检查调查数据(2005 年至 2010 年)中研究了与轮班工作相关的饮食炎症指数(DII)。
使用 24 小时饮食回忆数据计算 DII。轮班工作类别包括白班工人、夜班/轮班工人或倒班工人。使用一般线性模型来检验轮班工作与调整后的平均 DII 值之间的关系。
与白班工人相比,所有轮班工人,尤其是倒班工人,DII 评分较高(分别为 1.01 和 1.07 比 0.86;均 P≤0.01)。女性往往表现出强烈的夜班/轮班效应。
轮班工人中观察到的促炎饮食可能部分解释了与轮班工人相比,其他研究中观察到的与炎症相关的慢性疾病风险增加。