Storz Maximilian Andreas, Lombardo Mauro, Rizzo Gianluca, Müller Alexander, Lederer Ann-Kathrin
Center for Complementary Medicine, Department of Internal Medicine II, Freiburg University Hospital, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy.
Int J Environ Res Public Health. 2022 Mar 11;19(6):3334. doi: 10.3390/ijerph19063334.
Working outside of regular daytime hours is increasingly common in current societies and poses a substantial challenge to an individual's biological rhythm. Disruptions of the gastrointestinal tract's circadian rhythm and poor dietary choices subsequent to shiftwork may predispose the shift workforce to an increased risk of gastrointestinal disorders, including constipation, peptic ulcer disease, and erosive gastritis. We investigated bowel health in a US population of shift workers, using data from the National Health and Nutrition Examination Survey, and compared bowel movement (BM) frequency and defecation patterns between 2007 day workers and 458 shift workers (representing 55,305,037 US workers). Using bivariate and multivariate logistic regression techniques, our results suggested no association between shiftwork status and BM frequency, bowel leakage of gas, and stool consistency. Constipation prevalence was high but comparable in both groups (6.90% vs. 7.09%). The low fiber intake observed in both groups (15.07 vs. 16.75 g/day) could play a potential role here. The two groups did not differ with regard to other nutrients that may influence BM frequency and stool consistency (e.g., carbohydrate or caffeine intake). Additional studies including food group analyses and fecal biomarkers are warranted for a better understanding of GI health in shift workers.
在现代社会，非常规白天工作时间工作的情况越来越普遍，这对个人的生物钟构成了重大挑战。轮班工作导致的胃肠道昼夜节律紊乱和不良饮食选择，可能使轮班工作人群更容易患胃肠道疾病，包括便秘、消化性溃疡病和糜烂性胃炎。我们利用美国国家健康与营养检查调查的数据，对美国轮班工作人群的肠道健康进行了调查，并比较了2007名日班工人和458名轮班工人（代表55305037名美国工人）的排便频率和排便模式。使用双变量和多变量逻辑回归技术，我们的结果表明轮班工作状态与排便频率、肠道气体泄漏和大便稠度之间没有关联。两组便秘患病率都很高，但相当（6.90%对7.09%）。两组观察到的低纤维摄入量（分别为15.07克/天和16.75克/天）可能在此起到了潜在作用。两组在可能影响排便频率和大便稠度的其他营养素（如碳水化合物或咖啡因摄入量）方面没有差异。有必要进行包括食物组分析和粪便生物标志物在内的进一步研究，以更好地了解轮班工人的胃肠道健康状况。
