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轮班工人在休闲时间的身体活动水平与日班工人相似,但在工作时久坐不动的时间更多。

Shift workers have similar leisure-time physical activity levels as day workers but are more sedentary at work.

作者信息

Hulsegge Gerben, Gupta Nidhi, Holtermann Andreas, Jørgensen Marie Birk, Proper Karin I, van der Beek Allard J

机构信息

Department of Public & Occupational Health, EMGO+ Institute for Health & Care Research, VU University Medical Center, Van der Boechorststraat 7, Postbus 7047, 1007 MB Amsterdam, The Netherlands.

出版信息

Scand J Work Environ Health. 2017 Mar 1;43(2):127-135. doi: 10.5271/sjweh.3614. Epub 2016 Dec 14.

Abstract

Objective Physical inactivity has been hypothesized as an underlying factor for the association between shift work and adverse health outcomes. We compared leisure-time and occupational physical activity and sedentary behavior between day, night, and non-night shift workers. Methods We identified 612 day workers, 139 night shift workers and 61 non-night shift workers aged 18-65 years (54% men) in two Danish studies: the New method for Objective Measurements of physical Activity in Daily living (NOMAD) and the Danish Physical ACTivity cohort with Objective measurements (DPhacto) between 2011-2013. Sedentary behavior, light, and moderate-to-vigorous physical activity were measured using an accelerometer. Physical activity was expressed as percentage of leisure and work time spent in each activity. Linear regression analyses were used to test differences in physical activity and sedentary behavior between day, night, and non-night shift workers. Results No differences in leisure-time sedentary behavior and physical activity were observed between day and shift workers (P>0.05). Non-night shift workers spent 7.2% [95% confidence interval (95% CI) 2.3-12.1) more time in occupational sedentary behavior than day workers and 5.9% (95% CI -10.1- -1.7) and 1.9% (95% CI -3.7- -0.2) less time in occupational light and moderate-to-vigorous physical activity, respectively. Compared to day workers, night shift workers spent 4.3% (95% CI 2.4-6.1) more time at work in uninterrupted sedentary periods of ≥30 minutes. Conclusions Shift workers had similar leisure-time physical activity patterns as day workers, but were more sedentary at work. Future research should elucidate whether occupational physical inactivity and sedentary behavior contributes to shift work-related adverse health effects.

摘要

目的 缺乏身体活动被认为是轮班工作与不良健康结果之间关联的一个潜在因素。我们比较了日班、夜班和非夜班工作者在休闲时间和职业活动中的身体活动及久坐行为情况。方法 在丹麦的两项研究中,我们确定了612名年龄在18 - 65岁之间的日班工作者、139名夜班工作者和61名非夜班工作者(男性占54%):2011 - 2013年间的日常生活中身体活动客观测量新方法(NOMAD)研究和丹麦客观测量身体活动队列研究(DPhacto)。使用加速度计测量久坐行为、轻度和中度至剧烈身体活动情况。身体活动以每项活动在休闲和工作时间中所占的百分比表示。采用线性回归分析来检验日班、夜班和非夜班工作者在身体活动和久坐行为方面的差异。结果 日班和轮班工作者在休闲时间的久坐行为和身体活动方面未观察到差异(P>0.05)。非夜班工作者在职业久坐行为上比日班工作者多花费7.2% [95%置信区间(95%CI)2.3 - 12.1] 的时间,而在职业轻度和中度至剧烈身体活动上分别少花费5.9%(95%CI -10.1 - -1.7)和1.9%(95%CI -3.7 - -0.2)的时间。与日班工作者相比,夜班工作者在工作中连续久坐≥30分钟的时间多花费4.3%(95%CI 2.4 - 6.1)。结论 轮班工作者的休闲时间身体活动模式与日班工作者相似,但在工作中久坐时间更长。未来的研究应阐明职业性身体活动不足和久坐行为是否会导致与轮班工作相关的不良健康影响。

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