Suppr超能文献

韩国大学医院新入职护士的昼夜节律类型和失眠与月经问题的关联。

Associations of chronotype and insomnia with menstrual problems in newly employed nurses at university hospitals in the Republic of Korea.

作者信息

Jung Han-Na, Suh Dongwhan, Jeong Woo Chul, Ryu Jia, Kim Yu-Mi, Yoon Seohyun, Kim Hyunjoo

机构信息

Department of Occupational and Environmental Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea.

Department of Occupational and Environmental Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, Korea.

出版信息

Ann Occup Environ Med. 2023 Aug 4;35:e30. doi: 10.35371/aoem.2023.35.e30. eCollection 2023.

Abstract

BACKGROUND

Dysmenorrhea and menstrual cycle changes occur in women working shifts. Circadian rhythm disruption and sleep disturbances associated with shift work leads to health problems. We identified chronotypes and the occurrence of insomnia among newly employed university hospital nurses and investigated the association of these factors with menstrual problems.

METHODS

We conducted pre-placement health examinations for shift workers using self-reported questionnaires between 2018 and 2020. A total of 463 nurses were included in the study. Sociodemographic data, shift work experience, and information on insomnia were collected from health examination data. In addition, details regarding chronotype, dysmenorrhea, irregular and abnormal menstrual cycles, amenorrhea, and contraceptive use were obtained from the questionnaire. Multiple logistic regression analysis was performed to study the association between chronotype, insomnia, and menstrual problems after controlling for age, body mass index, contraceptive use, amenorrhea, and prior shift work.

RESULTS

The prevalence rates of dysmenorrhea, irregular menstrual cycles, and longer menstrual cycles were 23.8%, 14.9%, and 4.1%, respectively. The risk of dysmenorrhea increased in the evening-type (odds ratio [OR]: 3.209; 95% confidence interval [CI]: 1.685-6.113) and those with insomnia (OR: 1.871; 95% CI: 1.074-3.261). Additionally, the risk of an irregular menstrual cycle (OR: 2.698; 95% CI: 1.167-6.237) increased in the evening-type, and the risk of a longer menstrual cycle (OR: 4.008; 95% CI: 1.354-11.864) increased in individuals with insomnia.

CONCLUSIONS

Our findings suggest that dysmenorrhea is promoted in the evening-type and insomnia individuals. There may be an increased risk of irregular menstrual cycles among evening-type nurses and an increased risk of longer menstrual cycles among those with insomnia. Therefore, factors such as evening-type and insomnia should be considered for the prevention of menstrual problems in women performing shift work.

摘要

背景

从事轮班工作的女性会出现痛经和月经周期变化。与轮班工作相关的昼夜节律紊乱和睡眠障碍会导致健康问题。我们确定了新入职大学医院护士的昼夜节律类型和失眠的发生率,并调查了这些因素与月经问题之间的关联。

方法

我们在2018年至2020年间使用自我报告问卷对轮班工作者进行了岗前健康检查。共有463名护士纳入研究。从健康检查数据中收集社会人口统计学数据、轮班工作经历和失眠信息。此外,通过问卷获取有关昼夜节律类型、痛经、月经周期不规律和异常、闭经以及避孕措施使用的详细信息。在控制年龄、体重指数、避孕措施使用、闭经和既往轮班工作情况后,进行多因素logistic回归分析以研究昼夜节律类型、失眠与月经问题之间的关联。

结果

痛经、月经周期不规律和月经周期延长的患病率分别为23.8%、14.9%和4.1%。夜型(比值比[OR]:3.209;95%置信区间[CI]:1.685 - 6.113)和失眠者(OR:1.871;95%CI:1.074 - 3.261)痛经风险增加。此外,夜型者月经周期不规律风险(OR:2.698;95%CI:1.167 - 6.237)增加,失眠者月经周期延长风险(OR:4.008;95%CI:1.354 - 11.864)增加。

结论

我们的研究结果表明,夜型和失眠个体中痛经更为常见。夜型护士月经周期不规律风险可能增加,失眠者月经周期延长风险可能增加。因此,对于从事轮班工作的女性,预防月经问题时应考虑夜型和失眠等因素。

相似文献

1
2
The menstrual cycle associated with insomnia in newly employed nurses performing shift work: a 12-month follow-up study.
Int Arch Occup Environ Health. 2019 Feb;92(2):227-235. doi: 10.1007/s00420-018-1371-y. Epub 2018 Nov 1.
5
Factors associated with regularity and length of menstrual cycle: Korea Nurses' Health Study.
BMC Womens Health. 2022 Sep 1;22(1):361. doi: 10.1186/s12905-022-01947-z.
6
Relationship between chronotype and depressive symptoms among newly hired hospital nurses in the Republic of Korea.
Ann Occup Environ Med. 2022 Oct 31;34:e32. doi: 10.35371/aoem.2022.34.e32. eCollection 2022.
7
Evening chronotype is associated with poor cardiovascular health and adverse health behaviors in a diverse population of women.
Chronobiol Int. 2020 May;37(5):673-685. doi: 10.1080/07420528.2020.1732403. Epub 2020 Mar 4.
8
Chronotype in relation to shift work: A cohort study among 37,731 female nurses.
J Sleep Res. 2025 Apr;34(2):e14308. doi: 10.1111/jsr.14308. Epub 2024 Aug 19.
9
Association between irregular menstrual cycles and occupational characteristics among female workers in Korea.
Maturitas. 2019 Nov;129:62-67. doi: 10.1016/j.maturitas.2019.07.019. Epub 2019 Aug 2.

引用本文的文献

本文引用的文献

1
Portability of Polygenic Risk Scores for Sleep Duration, Insomnia and Chronotype in 33,493 Individuals.
Clocks Sleep. 2022 Dec 30;5(1):10-20. doi: 10.3390/clockssleep5010002.
2
Health-related quality of life and menstrual problems in adolescents.
J Paediatr Child Health. 2022 Jun;58(6):1028-1032. doi: 10.1111/jpc.15895. Epub 2022 Feb 10.
4
Human circadian variations.
J Clin Invest. 2021 Aug 16;131(16). doi: 10.1172/JCI148282.
7
Meta-Analysis Comparing Menstrual Regularity and Dysmenorrhea of Women Working Rotating Shifts and Fixed Day Shifts.
J Womens Health (Larchmt). 2021 May;30(5):722-730. doi: 10.1089/jwh.2020.8517. Epub 2020 Sep 9.
8
9
Sleep disturbance is associated with an increased risk of menstrual problems in female Chinese university students.
Sleep Breath. 2020 Dec;24(4):1719-1727. doi: 10.1007/s11325-020-02105-1. Epub 2020 May 23.
10
The Menstrual Cycle and Risk of Breast Cancer: A Review.
Front Oncol. 2020 Jan 24;10:21. doi: 10.3389/fonc.2020.00021. eCollection 2020.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验