From the Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia (Ms Sooriyaarachchi and Drs Jayawardena, Pavey, and King); and Health and Wellness Unit, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka (Ms Sooriyaarachchi); and Department of Physiology, Faculty of Medicine, University of Colombo, Sri Lanka (Dr Jayawardena).
J Occup Environ Med. 2022 Jul 1;64(7):e397-e402. doi: 10.1097/JOM.0000000000002544. Epub 2022 Jun 8.
This study evaluated the association between shiftwork and metabolic syndrome (MetS) among a group of health care workers in Sri Lanka.
This study was in comparative cross-sectional design with 78 shiftworkers and nonshiftworkers 18 years and older. Data were collected through questionnaires, anthropometric measures, and blood tests. Metabolic syndrome was diagnosed based on the International Diabetes Federation and modified National Cholesterol Education Program, Adult Treatment Panel III criteria.
The prevalence of MetS according to the International Diabetes Federation criteria was 16.2% and 36.6% among day workers and shiftworkers ( P = 0.043). According to modified National Cholesterol Education Program, Adult Treatment Panel III, 18.9% of day workers and 36.6% of shiftworkers had MetS ( P = 0.083). The best predictors of MetS were age (odds ratio, 1.07; 95% confidence interval, 1.02-1.12; P = 0.008) and shiftwork (odds ratio, 2.78; confidence interval, 0.90-8.72; P = 0.076).
Shiftworkers had a more than twofold increased risk of developing MetS than day workers. Intervention targeting diet, physical activity, awareness sessions, and health screenings should be promoted.
本研究评估了斯里兰卡一组医护人员轮班工作与代谢综合征（MetS）之间的关联。
本研究为对比性横断面设计，纳入了 78 名 18 岁及以上的轮班工作者和非轮班工作者。通过问卷调查、人体测量和血液检测收集数据。代谢综合征根据国际糖尿病联合会和改良国家胆固醇教育计划成人治疗专家组 III 标准进行诊断。
根据国际糖尿病联合会标准，日间工作者和轮班工作者的代谢综合征患病率分别为 16.2%和 36.6%（P=0.043）。根据改良国家胆固醇教育计划成人治疗专家组 III 标准，日间工作者和轮班工作者的代谢综合征患病率分别为 18.9%和 36.6%（P=0.083）。代谢综合征的最佳预测因素是年龄（比值比，1.07；95%置信区间，1.02-1.12；P=0.008）和轮班工作（比值比，2.78；置信区间，0.90-8.72；P=0.076）。
轮班工作者发生代谢综合征的风险是日间工作者的两倍多。应推广针对饮食、体育活动、意识提高课程和健康筛查的干预措施。
