Atlantic PATH, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Centre of Excellence in Cancer Prevention, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Int Arch Occup Environ Health. 2020 Jan;93(1):67-76. doi: 10.1007/s00420-019-01459-8. Epub 2019 Jul 26.
To evaluate the relationship between anthropometric measures and cardiometabolic health in shift workers compared to non-shift workers.
A population health study was conducted with 4155 shift workers and 8258 non-shift workers from the Atlantic Partnership for Tomorrow's Health (PATH) cohort. Linear and logistic regression models were used to assess the differences in anthropometric measures (body adiposity) and self-reported cardiometabolic disease outcomes (obesity, diabetes, and cardiovascular disease) between shift workers and non-shift workers.
There was a significant increased risk of cardiovascular disease, obesity, and diabetes among shift workers compared to matched controls despite higher levels of physical activity and lower levels of sedentary behaviour. Shift workers were 17% more likely to be obese (95% CI 7-27) and 27% more likely to have diabetes (95% CI 8-51). The strength of this association was demonstrated by also controlling for body mass index and fat mass index.
Shift work is associated with obesity, cardiovascular disease, and diabetes despite higher levels of physical activity and lower levels of sedentary behaviour. The association between shift work and cardiometabolic health was independent of body mass index for cardiovascular disease and diabetes, and independent of fat mass index for diabetes.
评估与非轮班工人相比，轮班工人的人体测量指标与心脏代谢健康之间的关系。
采用人群健康研究方法，对来自大西洋未来健康伙伴关系（PATH）队列的 4155 名轮班工人和 8258 名非轮班工人进行研究。采用线性和逻辑回归模型评估轮班工人和非轮班工人之间的人体测量指标（身体肥胖）和自我报告的心脏代谢疾病结果（肥胖、糖尿病和心血管疾病）差异。
与匹配对照组相比，尽管轮班工人的体力活动水平较高，久坐行为水平较低，但轮班工人患心血管疾病、肥胖和糖尿病的风险显著增加。轮班工人肥胖的可能性增加了 17%（95%CI 7-27），糖尿病的可能性增加了 27%（95%CI 8-51）。即使控制了体重指数和脂肪量指数，这种关联仍然存在。
尽管轮班工人的体力活动水平较高，久坐行为水平较低，但轮班工作仍与肥胖、心血管疾病和糖尿病有关。轮班工作与心脏代谢健康之间的关联与心血管疾病的体重指数无关，与糖尿病的脂肪量指数无关。
