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工作时长作为新型冠状病毒感染的一个风险因素:轮班工作者的心脏代谢和睡眠特征

Work hours as a risk factor for SARS-CoV-2 infections: cardiometabolic and sleep characteristics in rotating shift workers.

作者信息

Nascimento Raiza Aranha, Fajardo Virgínia Capistrano, Menezes Junior Luiz Antônio Alves, Mendonça Pedro Henrique Marques, Nascimento Maria Cristina Veiga Aranha, Tristão Pedro Marques Oliveira, Oliveira Fernando Luiz Pereira, Nascimento Neto Raimundo Marques

机构信息

Belo Horizonte City Hall, Endocrinologist - Belo Horizonte - Minas Gerais - Brazil.

Sciences Applied to Adult Health Care Postgraduate Program, School of Medicine, Federal University of Minas Gerais, Belo Horizonte.

出版信息

Sleep Sci. 2022 Apr-Jun;15(Spec 2):380-387. doi: 10.5935/1984-0063.20210013.

DOI:10.5935/1984-0063.20210013
PMID:35371397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8906381/
Abstract

OBJECTIVE

This study aims to describe the health characteristics of rotating shift mining workers that may be related to a worse course scenario for COVID-19, according to literature data.

METHODS

Is a cross-sectional from three studies with 1478 shift workers. Social, demographic, clinical, and biochemical variables were analyzed. Risk factors for COVID-19 analyzed: hyperglycemia, altered blood pressure, dyslipidemia, hypovitaminosis D, obesity, presence of pre-existing cardiovascular diseases, and smokers.

RESULTS

Evaluating the grouped risk factors for an unfavorable evolution of COVID-19 most workers (91.0%) presented at least one risk factor.

DISCUSSION

With coronavirus in pandemic circulation, we noticed that mineworkers are in a vulnerable position. Their exposure to occupational risk factors, to the shift system, which directly affects sleep and negatively influences immunity, added to the conditions of favorable transmissibility by the flow of people from the mines leads us to believe in their greater susceptibility to acquiring the most serious forms of the disease.

摘要

目的

根据文献数据,本研究旨在描述轮班采矿工人可能与COVID-19更严重病程相关的健康特征。

方法

这是一项对三项研究中1478名轮班工人进行的横断面研究。分析了社会、人口统计学、临床和生化变量。分析了COVID-19的危险因素:高血糖、血压异常、血脂异常、维生素D缺乏、肥胖、既往心血管疾病的存在以及吸烟者。

结果

评估COVID-19不利病程的综合危险因素时,大多数工人(91.0%)至少存在一种危险因素。

讨论

随着冠状病毒在全球大流行传播,我们注意到矿工处于脆弱地位。他们暴露于职业危险因素、轮班制度,这直接影响睡眠并对免疫力产生负面影响,再加上矿井人员流动导致的有利传播条件,使我们相信他们更容易感染最严重形式的疾病。

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本文引用的文献

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Dyslipidemia Increases the Risk of Severe COVID-19: A Systematic Review, Meta-analysis, and Meta-regression.血脂异常增加重症新型冠状病毒肺炎的风险:一项系统评价、荟萃分析和meta回归分析
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Obesity as a risk factor for COVID-19 mortality in women and men in the UK biobank: Comparisons with influenza/pneumonia and coronary heart disease.肥胖是英国生物银行中男女 COVID-19 死亡率的一个风险因素:与流感/肺炎和冠心病的比较。
Diabetes Obes Metab. 2021 Jan;23(1):258-262. doi: 10.1111/dom.14199. Epub 2020 Oct 11.
4
SARS-CoV-2 positivity rates associated with circulating 25-hydroxyvitamin D levels.与循环 25-羟维生素 D 水平相关的 SARS-CoV-2 阳性率。
PLoS One. 2020 Sep 17;15(9):e0239252. doi: 10.1371/journal.pone.0239252. eCollection 2020.
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Vitamin D Deficiency and Outcome of COVID-19 Patients.维生素 D 缺乏与 COVID-19 患者结局的关系。
Nutrients. 2020 Sep 10;12(9):2757. doi: 10.3390/nu12092757.
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