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每周工作超过 38 小时:报告每周工作超过 38 小时的澳大利亚年轻工人是否存在心脏代谢健康风险?

Working (longer than) 9 to 5: are there cardiometabolic health risks for young Australian workers who report longer than 38-h working weeks?

机构信息

Appleton Institute, CQ University Australia, 44 Greenhill Road, Wayville, SA, 5034, Australia.

School of Psychological Science, University of Western Australia, Perth, Australia.

出版信息

Int Arch Occup Environ Health. 2018 May;91(4):403-412. doi: 10.1007/s00420-018-1289-4. Epub 2018 Jan 18.

Abstract

PURPOSE

The average Australian working week in middle-aged and older workers exceeds government recommendations. Long working weeks are associated with poor health outcomes; however, the relationship between long working weeks and health in young Australian workers is unknown.

METHODS

Data were drawn from the 22-year follow-up of the Western Australian Pregnancy Cohort (Raine) Study in Perth, Western Australia. Information was available from 873 young adults about working hours per week, shift work and sleep duration. Blood samples provided measures of cardiometabolic risk (CMR) factors.

RESULTS

Almost one-third (32.8%) of young workers reported > 38 h working weeks. This was commonly reported in mining and construction industries for males; health and social assistance, mining and retail trade industries for females. CMR factors including increased waist circumference, higher fasting plasma glucose and reduced HDL cholesterol were associated with > 38 h working weeks. These relationships were not moderated by gender or by BMI for glucose and HDL cholesterol. Total sleep time was significantly lower in both male and female workers reporting > 38 h working weeks, but did not mediate the relationships seen with CMR factors.

CONCLUSIONS

These findings point to early associations between > 38 h working weeks and CMR risk, and highlight the potential benefit of making young employees aware of the health associations with working arrangements to reduce the longer-term relationships seen with working hours and poor cardiometabolic health in population studies.

摘要

目的

澳大利亚中年和老年工人的平均每周工作时间超过了政府的建议。长时间工作与健康状况不佳有关;然而,在澳大利亚年轻工人中,长时间工作周与健康之间的关系尚不清楚。

方法

数据来自西澳大利亚妊娠队列(Raine)研究在珀斯的 22 年随访,西澳大利亚。有关每周工作时间、轮班工作和睡眠时间的信息可从 873 名年轻成年人那里获得。血液样本提供了心血管代谢风险(CMR)因素的测量值。

结果

近三分之一(32.8%)的年轻工人报告每周工作超过 38 小时。这在男性中常见于采矿业和建筑业;女性中则常见于卫生和社会援助、采矿业和零售业。CMR 因素包括腰围增加、空腹血糖升高和高密度脂蛋白胆固醇降低,与每周工作超过 38 小时有关。这些关系不受性别或 BMI 对葡萄糖和高密度脂蛋白胆固醇的调节。报告每周工作超过 38 小时的男性和女性的总睡眠时间明显较低,但并未介导与 CMR 因素相关的关系。

结论

这些发现表明,每周工作超过 38 小时与 CMR 风险之间存在早期关联,并强调了使年轻员工意识到工作安排与健康之间的关联的潜在益处,以减少人群研究中与工作时间和不良心血管代谢健康相关的长期关系。

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