Kazemi Reza, Zare Sajad, Hemmatjo Rasoul
Department of Ergonomics, School of Health, Shiraz University of Medical Sciences, IR.
Department of Occupational Health, School of Health, Kerman University of Medical Sciences, Kerman, IR.
J Circadian Rhythms. 2018 Feb 21;16:1. doi: 10.5334/jcr.155.
A two-shift work schedule with different rotations is common among firefighters in Iranian petrochemical companies. This study compared salivary melatonin and sleepiness on the last night before turning to day shift at 19:00, 23:00, 3:00, and 7:00 among petrochemical firefighters (PFFs) working seven and four consecutive night shifts.
Sixty four PFFs working in the petrochemical industry were selected. To measure melatonin, saliva samples were taken, whereas the KSS index was used to assess sleepiness. Chi-square and independent samples t-test were carried out to analyze the data, and generalized linear model (GLM) was employed to determine the effect of confounding factors such as lighting and caffeine.
The levels of melatonin at 3:00 and 7:00, and the overall changes during the shift in the two shift patterns under the study were different (P < 0.05). Sleepiness was significantly different only at 3:00 in the two studied shift patterns, while the effects of lighting and caffeine on melatonin changes were not significant (P > 0.05).
It seems that a slow shift rotation is better because it reduces the secretion of melatonin (hence reducing sleepiness during the night) and changes the peak of melatonin secretion to the daytime, which is a sign of adaptation.
在伊朗石化公司,消防员通常实行两班倒且班次不同的工作安排。本研究比较了连续上七个夜班和四个夜班的石化消防员(PFFs)在转为白班前的最后一晚19:00、23:00、3:00和7:00时的唾液褪黑素水平和嗜睡程度。
选取了64名在石化行业工作的PFFs。采集唾液样本以测量褪黑素,同时使用KSS指数评估嗜睡程度。采用卡方检验和独立样本t检验分析数据,并使用广义线性模型(GLM)确定光照和咖啡因等混杂因素的影响。
研究中的两种轮班模式在3:00和7:00时的褪黑素水平以及整个轮班期间的总体变化有所不同(P < 0.05)。仅在3:00时,两种研究轮班模式下的嗜睡程度存在显著差异,而光照和咖啡因对褪黑素变化的影响不显著(P > 0.05)。
似乎缓慢的轮班转换更好,因为它会减少褪黑素的分泌(从而减少夜间的嗜睡感),并将褪黑素分泌高峰转移到白天,这是一种适应的迹象。