大医院女性倒班从业护士群体超重、肥胖现况调查
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摘要
目的了解中国医科大学附属盛京医院女性倒班从业护士群体超重、肥胖现况。方法收集2017年中国医科大学附属盛京医院医护人员春季体检大数据,选择她们中从事临床外科倒班制女性护理人员537人(倒班护理组),常年从事白班护理工作女性护士102人(对照组)。比较2组入选对象与超重、肥胖相关体检测量指标。结果 2组对象超重及肥胖数据比较中,倒班护士组的超重例数(115)例、超重率(21.42)%、肥胖例数(89)例及肥胖率(16.57)%均明显高于对照组(均P <0.05)。不同年龄、工作年限倒班护士超重及肥胖数据比较中, 31～40岁组的超重例数、超重率、肥胖例数及肥胖率均明显高于≤30岁组(均P <0.05),≥5年组的超重例数、超重率、肥胖例数及肥胖率均明显高于<5年组(均P <0.05)。结论一线女性倒班从业护士群体超重、肥胖现况不容乐观,且随增龄和从业时间延长而趋于严重,应制定有针对性的预防、干预计划。
Objective To examine the prevalence of overweight and obesity among nurses with nightshift work in Shengjing Hospital Affiliated to China Medical University. Methods We extracted data of spring season physical examination in 2017 on 537 and 102 female nurses engaged in night shift work(nightshift group) and day shift work(control group) in Shengjing Hospital Affiliated to China Medical University. Then overweight and obesity statuses of the two groups were analyzed and compared based on calculations of body mass index(BMI). Results In comparison with those in the control group, significantly higher rates of overweight(21.42%, n = 115) and obesity(16.57%, n = 89) were found in the nightshift group(both P < 0.05). For the night shift nurses, those aged 31 – 40 years and those with nightshift work experience of 5 years and more had significantly higher rates of overweight and obesity than the nurses aged 30 years and younger and with nightshift work experience of less than 5 years(P < 0.01 for all). Conclusion The prevalence of overweight and obesity are relatively high and the rates increase with increment of age and years of work experience among nurses engaged in night shift work. The results suggest that specific interventions on overweight and obesity should be developed in the occupational population.
Objective To examine the prevalence of overweight and obesity among nurses with nightshift work in Shengjing Hospital Affiliated to China Medical University. Methods We extracted data of spring season physical examination in 2017 on 537 and 102 female nurses engaged in night shift work(nightshift group) and day shift work(control group) in Shengjing Hospital Affiliated to China Medical University. Then overweight and obesity statuses of the two groups were analyzed and compared based on calculations of body mass index(BMI). Results In comparison with those in the control group, significantly higher rates of overweight(21.42%, n = 115) and obesity(16.57%, n = 89) were found in the nightshift group(both P < 0.05). For the night shift nurses, those aged 31 – 40 years and those with nightshift work experience of 5 years and more had significantly higher rates of overweight and obesity than the nurses aged 30 years and younger and with nightshift work experience of less than 5 years(P < 0.01 for all). Conclusion The prevalence of overweight and obesity are relatively high and the rates increase with increment of age and years of work experience among nurses engaged in night shift work. The results suggest that specific interventions on overweight and obesity should be developed in the occupational population.
引文
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[11]Macagnan J,Pattussi MP,Canuto R,et al.Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil[J].Chronobiology International,2012,29(3):336-343.
[12]Tada Y,Kawano Y,Maeda I,et al.Association of body mass index with lifestyle and rotating shift work in Japanese female nurses[J].Obesity,2015,22(12):2489-2493.
[13]Williams GM.Obesity among night shift nurses:time to intervene[J].Am J Public Health,2017,107(1):41-42.
[14]Kim MJ,Son KH,Park HY,et al.Association between shift work and obesity among female nurses:Korean Nurses'Survey[J].BMCPublic Health,2013,13:1204-1213.
[15]严玲,刘超喜,潘英菊,等.高铁某夜班人群超重、肥胖现状及影响因素分析[J].疾病监测与控制杂志,2017,11(2):108-109.
[16]肖孟迎,王朝阳,范红敏,等.倒班对男性钢铁工人超重/肥胖的影响[J].中华流行病学杂志,2016,37(11):1468-1472.
[2]刘立忠,常野,孙英贤.辽宁省农村居民不同肥胖相关人体测量指数与脑卒中患病关系[J].中国公共卫生,2017,32(10):1434-1439.
[3]Sun M,Feng W,Wang F,et al.Meta-analysis on shift work and risks of specific obesity types[J].Obes Rev,2018,19(1):28-40.
[4]Ferri P,Guadi M,Marcheselli L,et al.The impact of shift work on the psychological and physical health of nurses in a general hospital:a comparison between rotating night shifts and day shifts[J].Risk Management and Healthcare Policy,2016,9:203-211.
[5]Books C,Coody LC,Kauffman R,et al.Night shift work and its health effects on nurses[J].Health Care Manag,2017,36(4):347-353.
[6]Macagnan J,Pattussi MP,Canuto R,et al.Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil[J].Chronobiology International,2012,29(3):336-343.
[7]Zhao I,Bogossian F,Turner C.A cross-sectional analysis of the association between night-only or rotating shift work and overweight/obesity among female nurses and midwives[J].Journal of Occupational and Environmental Medicine,2012,54(7):834-840.
[8]巾华人民共和同卫牛部疾病预防控制司.中国成人超重和肥胖症预防控制指南.北京:人民卫生出版社,2006:1-4
[9]McGlynn N,Kirsh VA,Cotterchio M,et al.Shift work and obesity among Canadian women:a cross-sectional study using a novel exposure assessment tool[J].PLoS One,2015,10(9):561-570.
[10]Bernardes SB,Mussi MN,de Oliveira FL,et al.Lifetime shift work exposure:association with anthropometry,body composition,blood pressure,glucose and heart rate variability[J].Occupational and Environmental Medicine,2015,72(3):208-215.
[11]Macagnan J,Pattussi MP,Canuto R,et al.Impact of nightshift work on overweight and abdominal obesity among workers of a poultry processing plant in southern Brazil[J].Chronobiology International,2012,29(3):336-343.
[12]Tada Y,Kawano Y,Maeda I,et al.Association of body mass index with lifestyle and rotating shift work in Japanese female nurses[J].Obesity,2015,22(12):2489-2493.
[13]Williams GM.Obesity among night shift nurses:time to intervene[J].Am J Public Health,2017,107(1):41-42.
[14]Kim MJ,Son KH,Park HY,et al.Association between shift work and obesity among female nurses:Korean Nurses'Survey[J].BMCPublic Health,2013,13:1204-1213.
[15]严玲,刘超喜,潘英菊,等.高铁某夜班人群超重、肥胖现状及影响因素分析[J].疾病监测与控制杂志,2017,11(2):108-109.
[16]肖孟迎,王朝阳,范红敏,等.倒班对男性钢铁工人超重/肥胖的影响[J].中华流行病学杂志,2016,37(11):1468-1472.