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轮班工作者中阻塞性睡眠呼吸暂停的患病率:一项系统综述

[Prevalence of obstructive sleep apnea in shift workers: a systematic review].

作者信息

Sakamoto Yuri Saho, Porto-Sousa Fernanda, Salles Cristina

机构信息

Escola Bahiana de Medicina e Saúde Pública. Av. Dom João VI 274, Brotas. 40285-001 Salvador BA Brasil.

出版信息

Cien Saude Colet. 2018 Oct;23(10):3381-3392. doi: 10.1590/1413-812320182310.21362018.

Abstract

The obstructive sleep apnea (OSA) is one of the most common sleep disorders and is associated with increased risk for obesity, hypertension and cardiovascular event. The present study aimed to investigate the prevalence of OSA in shift workers. The systematic literature review was performed using the descriptors "sleep apnea" and "shift work", in the databases PubMed, PubMed Central, Biblioteca Virtual em Saúde, Web of Science and Scopus, including studies that presented the frequency of OSA in shift workers; published between 2004 and 2014; in English, Portuguese or Spanish; only with human beings, older than 18 years old; using the polysomnography. Review articles or those including participants with previous comorbidities (except overweight/obesity), treated for sleep disorders or pregnant women were excluded. From 1,428 studies identified, four were included in the analysis, resulting in 819 participants, with a predominance of men. The prevalence of OSA in shift workers varied from 14.3% to 38.1%, higher than that estimated for the general population, suggesting an important association with shift work and the need for prevention, diagnostic and intervention on the possible negative impacts of working range on the health of shift workers.

摘要

阻塞性睡眠呼吸暂停(OSA)是最常见的睡眠障碍之一,与肥胖、高血压和心血管事件风险增加相关。本研究旨在调查轮班工作者中OSA的患病率。在PubMed、PubMed Central、虚拟健康图书馆、科学网和Scopus数据库中,使用“睡眠呼吸暂停”和“轮班工作”等描述词进行系统文献综述,纳入的研究需呈现轮班工作者中OSA的发生率;发表于2004年至2014年之间;语言为英语、葡萄牙语或西班牙语;仅针对18岁以上的人类;采用多导睡眠图。排除综述文章或纳入有既往合并症(超重/肥胖除外)、接受过睡眠障碍治疗的参与者或孕妇的研究。从识别出的1428项研究中,4项被纳入分析,共有819名参与者,其中男性占多数。轮班工作者中OSA的患病率在14.3%至38.1%之间,高于一般人群的估计患病率,这表明轮班工作与之存在重要关联,且有必要针对工作模式对轮班工作者健康可能产生的负面影响进行预防、诊断和干预。

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