College of Nursing, Konyang University, Daejeon 35365, Korea.
College of Nursing, Ewha Womans University, Seoul 03760, Korea.
Int J Environ Res Public Health. 2020 Oct 21;17(20):7697. doi: 10.3390/ijerph17207697.
Metabolic syndrome (MetS) is an important public health problem, and unhealthy dietary habits and shift work are considered major factors that increase the prevalence of MetS. The purpose of this study was to examine whether dietary habits, alcohol drinking, and shift-working were associated with development of MetS in shift-working female nurses. This study analyzed cross-sectional survey data from the Korea Nurses' Health Study (KNHS). Of the 1638 nurses, 403 participants were selected based on the propensity score matching method (PSM). These participants had either no or more than three MetS determinant factors. Analysis was conducted by using multivariable logistic regression to confirm the factors influencing MetS. The prevalence of MetS in this group (1638 participants) was 5.6% (92 participants). Consumption of over 50% of daily calorie intake after 7 p.m., consumption of carbonated drinks, family history of diabetes, and non-shift work were significant factors influencing MetS. Nurses are one of the at-risk groups for unhealthy dietary habits due to the nature of their work. Therefore, nurse managers should include regular dietary education for nurses and continue their policy efforts to resolve health problems that may arise in connection with nurses' work.
代谢综合征（MetS）是一个重要的公共卫生问题，不健康的饮食习惯和轮班工作被认为是增加 MetS 患病率的主要因素。本研究旨在探讨饮食习惯、饮酒和轮班工作是否与轮班女性护士代谢综合征的发生有关。本研究分析了韩国护士健康研究（KNHS）的横断面调查数据。在 1638 名护士中，根据倾向评分匹配法（PSM）选择了 403 名参与者。这些参与者要么没有，要么有三个以上的 MetS 决定因素。采用多变量逻辑回归分析来确认影响 MetS 的因素。在这组（1638 名参与者）中，MetS 的患病率为 5.6%（92 名参与者）。晚 7 点后摄入超过 50%的日热量、饮用碳酸饮料、糖尿病家族史和非轮班工作是影响 MetS 的显著因素。由于工作性质，护士是不健康饮食习惯的高危人群之一。因此，护士管理人员应为护士提供定期的饮食教育，并继续努力解决与护士工作相关的健康问题。
