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夜班工作与甲状腺疾病的关系:系统评价和荟萃分析。

Relationship between the night shift work and thyroid disorders: A systematic review and meta-analysis.

机构信息

Italian study group on the metabolic and immunological effects of night shift workDepartment of Occupational Medicine, University of Rome Tor Vergata, Rome, Italy.

Department of Occupational Medicine, University of Chieti G. D'Annunzio, Chieti, Italy.

出版信息

Endocr Regul. 2020 Jan 1;54(1):64-70. doi: 10.2478/enr-2020-0008.

Abstract

OBJECTIVES

The night shift workers were reported to have health consequences, ranging from mild, as cluster headache, to severe, as heart attacks and hormonal irregularities. This study is aimed to perform a systematic review and meta-analyze of the association between the night shift work and the thyroid disorders.

METHODS

We comprehensively searched eight databases, including PubMed and Google Scholar for the relevant articles. This systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement.

RESULTS

We finally included six papers involving 4074 participants. Four papers were eligible for meta-analysis involving 1864 night shift workers and 2017 day shift workers. We against found that thyroid stimulating hormone (TSH) is significantly higher in the night shift group compared to the day shift group.

CONCLUSIONS

The higher TSH among the night shift workers is attributed to disruption of the circadian rhythm and sleep/wake cycle, with subsequent eating disorders. We proposed that more attention should be paid to the working pattern and the related health consequences.

摘要

目的

有报道称,夜班工作者会出现健康后果,从轻症如丛集性头痛,到重症如心脏病发作和激素紊乱。本研究旨在对夜班工作与甲状腺疾病之间的关系进行系统评价和荟萃分析。

方法

我们全面检索了包括 PubMed 和 Google Scholar 在内的八个数据库,以获取相关文章。本系统评价和荟萃分析按照 Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA)声明进行。

结果

我们最终纳入了 6 篇涉及 4074 名参与者的论文。其中 4 篇论文符合纳入标准,涉及 1864 名夜班工作者和 2017 名白班工作者。我们发现,与白班工作者相比,夜班工作者的促甲状腺激素(TSH)显著升高。

结论

夜班工作者的 TSH 升高归因于昼夜节律和睡眠/觉醒周期的紊乱,进而导致饮食紊乱。我们建议应更加关注工作模式和相关的健康后果。

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