Holanda Narriane Chaves Pereira de, de Castro Moreno Claudia Roberta, Marqueze Elaine Cristina
a Epidemiology , Public Health Graduate Program - Catholic University of Santos , Santos , Brazil.
d Department of Internal Medicine School of Medicine , Federal University of Paraiba , João Pessoa , PB , Brazil.
Chronobiol Int. 2018 Jun;35(6):801-810. doi: 10.1080/07420528.2018.1450267. Epub 2018 Mar 26.
The aim of this study was to compare metabolic aspects potentially associated with metabolic syndrome (MetS), in addition to serum leptin levels and sleep, according to exposure to night work among nursing staff. A cross-sectional study involving 60 nursing staff was conducted. Sociodemographic, sleep (Karolinska Sleep Questionnaire), physical activity (International Physical Activity Questionnaire), and nutrition data (16-Food Intake Questionnaire) were collected. Body measurements and blood pressure were taken and blood collected to determine glycemia, total cholesterol and portions of low-density lipoprotein and high-density lipoprotein and triglycerides, and leptin levels. The sample was divided into three groups according to exposure to night work (nonexposed, currently exposed, past exposure). Furthermore, to evaluate the relationship between exposure time and prevalence of MetS, the night-exposed groups (past and current) were divided according to time exposed to night shifts (<10 years and ≥10 years). Mean age of participants was 39.8 ± 10.5 years. The groups were homogenous with regard to sociodemographic characteristics, physical activity, dietary patterns, and health aspects. The prevalence of MetS in the population studied was 32%, above the rate for the general population. However, there were no significant differences among the groups. In addition, a higher proportion of participants with hypertriglyceridemia and diastolic arterial hypertension was observed in the currently exposed group. The currently exposed group also reported less sleep and higher sleep debt than the other groups on workdays. Although no differences were observed among the groups regarding MetS, the currently exposed group had more sleep disturbances than the others, and a higher prevalence of two out of three risk factors for the MetS diagnosis.
本研究的目的是根据护理人员接触夜班工作的情况,比较除血清瘦素水平和睡眠外,可能与代谢综合征(MetS)相关的代谢方面。开展了一项涉及60名护理人员的横断面研究。收集了社会人口统计学、睡眠(卡罗林斯卡睡眠问卷)、身体活动(国际身体活动问卷)和营养数据(16项食物摄入问卷)。进行了身体测量和血压测量,并采集血液以测定血糖、总胆固醇、低密度脂蛋白和高密度脂蛋白部分以及甘油三酯,还有瘦素水平。根据接触夜班工作的情况将样本分为三组(未接触、当前接触、过去接触)。此外,为了评估接触时间与MetS患病率之间的关系,将接触夜班的组(过去和当前)根据接触夜班的时间分为<10年和≥10年。参与者的平均年龄为39.8±10.5岁。这些组在社会人口统计学特征、身体活动、饮食模式和健康方面是同质的。在所研究的人群中,MetS的患病率为32%,高于一般人群的患病率。然而,各组之间没有显著差异。此外,在当前接触组中观察到高甘油三酯血症和舒张期动脉高血压的参与者比例更高。在工作日,当前接触组报告的睡眠也比其他组少,睡眠债更高。虽然在MetS方面各组之间未观察到差异,但当前接触组的睡眠障碍比其他组更多,并且在MetS诊断的三个风险因素中有两个的患病率更高。