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职业噪声暴露与空腹血糖升高发生率:一项为期 3 年的多中心回顾性研究。

Occupational Noise Exposure and Incidence of High Fasting Blood Glucose: A 3-Year, Multicenter, Retrospective Study.

机构信息

Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea.

Office of Research Affairs, Yonsei University, Seoul 03722, Korea.

出版信息

Int J Environ Res Public Health. 2021 Sep 6;18(17):9388. doi: 10.3390/ijerph18179388.

Abstract

The role of hazardous occupational noise exposure on the development of prediabetes is not well researched. We aimed to elucidate exposure to hazardous occupational noise as an independent risk factor for high fasting blood glucose (FBG). Participants exposed/non-exposed to occupational noise were recruited from the Common Data Model cohorts of 2013/2014 from two centers and were followed-up for 3 years. Multivariate time-dependent Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) and were adjusted for various covariates. Pooled HRs were calculated. Among the 43,858 participants of this retrospective cohort study, 37.64% developed high FBG. The mean (standard deviation) age in the cohort was 40.91 (9.71) years. In the fully adjusted models, the HRs of high FBG in the two centers were 1.35 (95% CI: 1.24-1.48) and 1.22 (95% CI: 1.17-1.28), and the pooled HR was 1.28 (95% CI: 1.16-1.41). A Kaplan-Meier plot of high FBG incidence by occupational noise exposure showed significant results ( < 0.001). We found that occupational noise exposure is significantly associated with high FBG. Preventing exposure to hazardous noise in the work environment may help reduce the risk for prediabetes among workers.

摘要

职业性噪声暴露对糖尿病前期发展的作用尚未得到充分研究。我们旨在阐明职业性噪声暴露作为空腹血糖(FBG)升高的独立危险因素的作用。参与者根据是否接触职业性噪声,从两个中心的 2013/2014 年通用数据模型队列中招募,并随访 3 年。采用多变量时依 Cox 比例风险模型估计风险比(HR)和 95%置信区间(CI),并调整了各种协变量。计算了合并的 HR。在这项回顾性队列研究的 43858 名参与者中,37.64%发展为高 FBG。队列的平均(标准差)年龄为 40.91(9.71)岁。在完全调整的模型中,两个中心的高 FBG 的 HR 分别为 1.35(95%CI:1.24-1.48)和 1.22(95%CI:1.17-1.28),合并 HR 为 1.28(95%CI:1.16-1.41)。职业性噪声暴露与高 FBG 的 Kaplan-Meier 图显示出显著的结果(<0.001)。我们发现职业性噪声暴露与高 FBG 显著相关。在工作环境中预防接触有害噪声可能有助于降低工人患糖尿病前期的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5004/8431404/845bf6b23abf/ijerph-18-09388-g001.jpg

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