工作时间与糖尿病患者血糖控制不佳的关联：康伯三星健康研究。
Association Between Working Hours and Poor Glycemic Control in Patients With Diabetes: The Kangbuk Samsung Health Study.
机构信息
From the Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
出版信息
J Occup Environ Med. 2022 Oct 1;64(10):e629-e634. doi: 10.1097/JOM.0000000000002651. Epub 2022 Aug 2.
OBJECTIVE
This study aimed to evaluate the relationship between working hours and glycemic control.
METHODS
Study was performed among Korean participants who underwent at least two health screening examinations between 2012 and 2018. The study included 2169 participants who were older than 40 years and undergoing treatment for diabetes at baseline. A hemoglobin A1c level >9% at the follow-up visit was defined as poor glycemic control. The weekly working hours were divided into three groups for analysis.
RESULTS
Compared with participants with 45-54 weekly working hours, multivariate-adjusted hazard ratios (95% confidence intervals) for incident poor glycemic control among participants with ≥55 and 35-44 working hours were 1.40 (1.01-1.96) and 1.51 (1.09-2.09), respectively.
CONCLUSIONS
Standard working hours and long working hours were independent risk factors for poor diabetes control in patients with diabetes.
目的
本研究旨在评估工作时间与血糖控制之间的关系。
方法
本研究纳入了 2012 年至 2018 年间至少接受过两次健康筛查检查的韩国参与者。研究共纳入 2169 名年龄大于 40 岁且基线时正在接受糖尿病治疗的参与者。随访时血红蛋白 A1c 水平＞9%定义为血糖控制不佳。每周工作时间分为三组进行分析。
结果
与每周工作 45-54 小时的参与者相比，每周工作≥55 小时和 35-44 小时的参与者发生血糖控制不佳的多变量调整后危险比（95%置信区间）分别为 1.40（1.01-1.96）和 1.51（1.09-2.09）。
结论
标准工作时间和长时间工作是糖尿病患者血糖控制不佳的独立危险因素。
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