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职业类型对睡眠时长与空腹血糖受损关联的影响:一项基于中国人群的研究结果。

Influence of occupation type on the association between sleep duration and impaired fasting glucose: results from a Chinese population-based study.

机构信息

Department of Epidemiology and Medical Statistics, Nantong University, Nantong, China.

Department of Epidemiology and Medical Statistics, Nantong University, Nantong, China

出版信息

BMJ Open. 2021 Jun 16;11(6):e042066. doi: 10.1136/bmjopen-2020-042066.

Abstract

OBJECTIVES

Systematic evaluation of the influence of occupation type on the association between sleep-glucose metabolism DESIGN: A cross-sectional study.

SETTING

The Nantong Metabolic Syndrome Study is a Chinese population-based study.

PARTICIPANTS

20 502 participants aged 18-74 years old.

INTERVENTION

No intervention.

PRIMARY AND SECONDARY OUTCOME MEASURES

Impaired fasting glucose (IFG).

RESULTS

A total of 1503 participants (7.33%) with a slightly longer sleep duration had IFG. After being stratified according to occupation, a sleep duration of ≥10 hours daily corresponded to a 1.321-fold risk of IFG (95% CI 1.071 to 1.628, p=0.0092) among moderate and heavy physical workers compared with those with a daily sleep duration of 7-9 hours. There was no significant relationship between sleep and IFG among other types of workers. Moreover, we discovered a gender difference in the influence of occupation on the sleep-IFG. A positive association among moderate and heavy physical men and a negative association among light or sedentary men were established, but not in unemployed men. However, a positive association was evident only in unemployed women; there was no significant association among other occupations.

CONCLUSION

This study highlights the role of occupation in the relationship of sleep-glucose metabolism. A gender difference was found to have been influenced by occupational types on the sleep-metabolic association.

摘要

目的

系统评估职业类型对睡眠-葡萄糖代谢关联的影响。

设计

横断面研究。

地点

南通代谢综合征研究是一项基于中国人群的研究。

参与者

20502 名年龄在 18-74 岁的参与者。

干预措施

无干预。

主要和次要结果测量

空腹血糖受损(IFG)。

结果

共有 1503 名(7.33%)睡眠时间稍长的参与者患有 IFG。按照职业分层后,与每天睡眠时间为 7-9 小时的参与者相比,每天睡眠时间≥10 小时的中度和重度体力劳动者发生 IFG 的风险是其 1.321 倍(95%CI 1.071 至 1.628,p=0.0092)。在其他类型的工人中,睡眠与 IFG 之间没有显著关系。此外,我们发现职业对睡眠-IFG 的影响存在性别差异。中度和重度体力劳动男性中存在正相关,而轻度或久坐男性中存在负相关,但在失业男性中则没有。然而,这种正相关仅在失业女性中明显;在其他职业中则没有显著相关性。

结论

本研究强调了职业在睡眠-葡萄糖代谢关系中的作用。发现性别差异受到职业类型对睡眠代谢关联的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/617c/8211085/9bbc5aa32c2a/bmjopen-2020-042066f01.jpg

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