Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Sleep Med. 2018 Nov;51:53-58. doi: 10.1016/j.sleep.2018.07.003. Epub 2018 Jul 12.
Social jetlag, ie, the mismatch between biological and social timing, has been suggested to induce obesity and cardiometabolic abnormalities. Yet, no study has currently linked social jetlag to metabolic syndrome (MetS) among Asians. The aim of this study was to investigate the cross-sectional association of social jetlag with MetS in a Japanese working population.
Participants were 1164 employees, aged 18-78 years, who completed a health survey at a periodic checkup. Social jetlag was calculated as the difference in hours of midpoint of sleep times between weekdays and weekends. MetS was defined according to the Joint Interim Statement criteria. Multivariable logistic regression was used to examine the association between social jetlag and MetS with adjustment for potential confounding variables.
Greater social jetlag was significantly associated with an increased likelihood of having MetS. The multivariable adjusted odds ratio (95% confidence intervals) for ≥2 h of social jetlag was 1.92 (1.01-3.67) compared to those with <1 h of social jetlag. Of the components of MetS, greater social jetlag was significantly associated with an increased likelihood of having high waist circumference; the multivariable adjusted odds ratio (95% confidence intervals) for ≥2 h of social jetlag was 2.26 (1.33-3.84) compared to those with <1 h of social jetlag.
Social jetlag may be associated with an increased likelihood of having MetS among non-shift workers.
社会时差,即生物时间和社会时间不匹配,据推测会导致肥胖和代谢异常。然而,目前尚无研究将社会时差与亚洲人群的代谢综合征(MetS)联系起来。本研究旨在调查日本工作人群中社会时差与 MetS 的横断面相关性。
参与者为 1164 名年龄在 18-78 岁之间的员工,他们在定期体检时完成了健康调查。社会时差是通过工作日和周末睡眠中点时间的小时差计算得出的。MetS 根据联合临时声明标准定义。多变量逻辑回归用于检查社会时差与 MetS 之间的关联,同时调整潜在混杂变量。
较大的社会时差与 MetS 的发生几率增加显著相关。与社会时差<1 小时相比,社会时差≥2 小时的多变量调整比值比(95%置信区间)为 1.92(1.01-3.67)。在 MetS 的组成部分中,较大的社会时差与高腰围的发生几率增加显著相关;与社会时差<1 小时相比,社会时差≥2 小时的多变量调整比值比(95%置信区间)为 2.26(1.33-3.84)。
对于非轮班工人,社会时差可能与 MetS 的发生几率增加有关。