Xiao M Y, Wang Z Y, Fan H M, Che C L, Lu Y, Cong L X, Gao X J, Liu Y J, Yuan J X, Li X M, Hu B, Chen Y P
Coal Occupational Health and Safety Laboratory of Hebei Province, School of Public Health, North China University of Science and Technology, Tangshan 063000, China.
Tangshan Hong Kindness Hospital, Tangshan 063000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Nov 10;37(11):1468-1472. doi: 10.3760/cma.j.issn.0254-6450.2016.11.007.
To investigate the relationship between shift work and overweight/obesity in male steel workers. A questionnaire survey was conducted among the male steel workers selected during health examination in Tangshan Steel Company from March 2015 to March 2016. The relationship between shift work and overweight/obesity in the male steel workers were analyzed by using logistic regression model and restricted cubic splinemodel. A total of 7 262 male steel workers were surveyed, the overall prevalence of overweight/obesitywas 64.5% (4 686/7 262), the overweight rate was 34.3% and the obesity rate was 30.2%, respectively. After adjusting for age, educational level and average family income level per month by multivariable logistic regression analysis, shift work was associated with overweight/obesity and obesity in the male steel workers. The was 1.19(95% : 1.05-1.35) and 1.15(95% : 1.00-1.32). Restricted cubic spline model analysis showed that the relationship between shift work years and overweight/obesity in the male steel workers was a nonlinear dose response one (nonlinear test =7.43, <0.05). Restricted cubic spline model analysis showed that the relationship between shift work years and obesity in the male steel workers was a nonlinear dose response one (nonlinear test =10.48, <0.05). Shift work was associated with overweight and obesity in the male steel workers, and shift work years and overweight/obesity had a nonlinear relationship.
为研究男性钢铁工人倒班工作与超重/肥胖之间的关系。于2015年3月至2016年3月对唐山钢铁公司健康体检时选取的男性钢铁工人进行问卷调查。采用logistic回归模型和限制性立方样条模型分析男性钢铁工人倒班工作与超重/肥胖之间的关系。共调查7262名男性钢铁工人,超重/肥胖总体患病率为64.5%(4686/7262),超重率为34.3%,肥胖率分别为30.2%。经多变量logistic回归分析校正年龄、教育程度和月家庭平均收入水平后,倒班工作与男性钢铁工人超重/肥胖及肥胖相关。比值比分别为1.19(95%可信区间:1.05 - 1.35)和1.15(95%可信区间:1.00 - 1.32)。限制性立方样条模型分析显示,男性钢铁工人倒班工作年限与超重/肥胖之间的关系为非线性剂量反应关系(非线性检验=7.43,P<0.05)。限制性立方样条模型分析显示,男性钢铁工人倒班工作年限与肥胖之间的关系为非线性剂量反应关系(非线性检验=10.48,P<0.05)。倒班工作与男性钢铁工人超重和肥胖相关,且倒班工作年限与超重/肥胖呈非线性关系。