某醫學中心護理人員之輪班工作與代謝症候群相關參數

A Study Relating Shift Work to the Parameters of Metabolic Syndrome among Nurses in a Medical Center

蔡淑美(Shu-Mei Tsai) ； 翁瑞宏(Ruey-Hong Wong) ； 黃秀梨(Shiow-Li Hwang) ； 楊惠真(Hui-Chen Yang) ； 林豔辰(Yen-Chen Lin) ； 廖玟君(Wen-Chun Liao)

《台灣公共衛生雜誌》 33卷2期 (2014/04) Pp. 119-130

https://doi.org/10.6288/TJPH201433102110

摘要

Objectives: For nursing staff, shift work is inevitable, and it may change related health behaviors. The effects of these factors on the occurrence of metabolic syndrome is still unclear. The aim of this study was to evaluate the association of shift work and related health behaviors with the parameters of metabolic syndrome among nursing staffs. Methods: In this cross-sectional study, a total of 129 healthy nursing staffs were recruited. Questionnaires were administered to obtain the subjects' demographic characteristics and health behaviors. Parameters of metabolic syndrome were also measured. Results: After adjustment for the effects of covariates, a linear regression model showed independent positive associations between rotating shift work and high-density lipoprotein-cholesterol level (p＜0.01), and fixed-night shift work and high-density lipoprotein-cholesterol level (p＜0.01), respectively. In addition, nursing staffs with body mass index ≥ 24 Kg/m^2 also had an independent positive association with waist circumference (p＜0.01) and triglyceride (p=0.04), and an independent negative association with high-density lipoprotein-cholesterol level (p＜0.01). Sleep quality index score ≥ 5 also had an independent positive association with triglyceride (p=0.05). There was no relationship between behaviors including daily refined sugar consumption from tea drinks and parameters of metabolic syndrome in nursing staffs. Conclusions: Increased body mass index and poor sleep quality is associated with higher triglyceride. Shift work, especially rotating shift work and fixed-night shift work, may result in an elevated risk of parameters of metabolic syndrome among nursing staffs.

關鍵字

護理人員 ； 輪班工作 ； 健康行為 ； 代謝症候群

並列摘要

Objectives: For nursing staff, shift work is inevitable, and it may change related health behaviors. The effects of these factors on the occurrence of metabolic syndrome is still unclear. The aim of this study was to evaluate the association of shift work and related health behaviors with the parameters of metabolic syndrome among nursing staffs. Methods: In this cross-sectional study, a total of 129 healthy nursing staffs were recruited. Questionnaires were administered to obtain the subjects' demographic characteristics and health behaviors. Parameters of metabolic syndrome were also measured. Results: After adjustment for the effects of covariates, a linear regression model showed independent positive associations between rotating shift work and high-density lipoprotein-cholesterol level (p＜0.01), and fixed-night shift work and high-density lipoprotein-cholesterol level (p＜0.01), respectively. In addition, nursing staffs with body mass index ≥ 24 Kg/m^2 also had an independent positive association with waist circumference (p＜0.01) and triglyceride (p=0.04), and an independent negative association with high-density lipoprotein-cholesterol level (p＜0.01). Sleep quality index score ≥ 5 also had an independent positive association with triglyceride (p=0.05). There was no relationship between behaviors including daily refined sugar consumption from tea drinks and parameters of metabolic syndrome in nursing staffs. Conclusions: Increased body mass index and poor sleep quality is associated with higher triglyceride. Shift work, especially rotating shift work and fixed-night shift work, may result in an elevated risk of parameters of metabolic syndrome among nursing staffs.

並列關鍵字

nursing staff ； shift work ； health behavior ； metabolic syndrome

參考文獻

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