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一年中不同季节各职业工人的心率变异性。

Heart rate variability in workers of various professions in contrasting seasons of the year.

作者信息

Markov Alexander, Solonin Iuriy, Bojko Evgeniy

机构信息

Komi Science Center, The Ural Branch of the Russian Academy of Sciences, Syktyvkar, Russia (Department of Ecological and Medical Physiology, Institute of Physiology).

出版信息

Int J Occup Med Environ Health. 2016;29(5):793-800. doi: 10.13075/ijomeh.1896.00276.

Abstract

OBJECTIVES

It is known that professional occupation affects the heart rate variability (HRV). However, most studies have not taken into account seasonal features of the HRV. The aim of this study has been to evaluate the HRV differences in winter and in summer in the case of the Ministry of the Russian Federation for Civil Defense, Emergencies and Elimination of Consequences of Natural Disasters (EMERCOM) workers and scientific workers from the Komi Science Center of the Ural Branch of the Russian Academy of Sciences.

MATERIAL AND METHODS

The short-term HRV was examined for 13 EMERCOM workers and 13 scientific workers. The data was collected in winter (December) and summer (July) for the same groups of workers. The time domain and frequency domain HRV analyses were performed. The EMERCOM workers had more contact with the external environment than the scientific workers.

RESULTS

The two-way analysis of variance with repeated observations on a single factor has shown that "Season" and interaction of two factors "Season" and "Profession" significantly influenced the HRV among volunteers. The "Profession" factor did not influence the HRV parameters (except for the heart rate in winter, p = 0.042). Seasonal changes in the HRV parameters were not significant in the case of scientific workers. In contrast, the EMERCOM workers showed significantly decreased parameters of parasympathetic activity (the root-mean-square of successive differences in RR intervals, percentage of consecutive RR intervals differing by > 50 ms and the relative value high frequency power, p = 0.001, p = 0.014 and p = 0.009, respectively) and increased parameters of sympathetic activity (the stress index and ratio of low-frequency power to high-frequency power, p = 0.012 and p = 0.006, respectively) in winter as compared to summer.

CONCLUSIONS

The results of our study indicate that, unlike the scientific workers, the EMERCOM workers showed significant changes in the HRV in contrasting seasons (winter and summer). A season of a year should be considered when assessing the HRV among workers of various professions. Int J Occup Med Environ Health 2016;29(5):793-800.

摘要

目的

已知职业会影响心率变异性(HRV)。然而,大多数研究并未考虑HRV的季节性特征。本研究的目的是评估俄罗斯联邦民防、紧急情况和消除自然灾害后果部(紧急情况部)工作人员以及俄罗斯科学院乌拉尔分院科米科学中心科研人员在冬季和夏季的HRV差异。

材料与方法

对13名紧急情况部工作人员和13名科研人员进行短期HRV检测。针对相同的工作人员群体,在冬季(12月)和夏季(7月)收集数据。进行时域和频域HRV分析。紧急情况部工作人员比科研人员与外部环境有更多接触。

结果

单因素重复观测的双向方差分析表明,“季节”以及“季节”和“职业”这两个因素的相互作用对志愿者的HRV有显著影响。“职业”因素对HRV参数无影响(冬季心率除外,p = 0.042)。科研人员的HRV参数季节性变化不显著。相比之下,与夏季相比,紧急情况部工作人员在冬季副交感神经活动参数(RR间期连续差值的均方根、连续RR间期相差>50 ms的百分比以及高频功率相对值,分别为p = 0.001、p = 0.014和p = 0.009)显著降低,交感神经活动参数(应激指数以及低频功率与高频功率之比,分别为p = 0.012和p = 0.006)升高。

结论

我们的研究结果表明,与科研人员不同,紧急情况部工作人员在不同季节(冬季和夏季)的HRV有显著变化。在评估不同职业工作人员的HRV时应考虑一年中的季节。《国际职业医学与环境卫生杂志》2016年;29(5):793 - 800。

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