倒班对男性钢铁工人超重／肥胖的影响  

Relationship between shift work and overweight/obesity in male steel workers

作　　者：肖孟迎 王朝阳[2] 范红敏[1] 车崇亮 陆瑶[1] 丛龙学 高雪娟[1] 刘亚静[1] 袁聚祥[1] 李小明[1] 胡泊[1] 陈银苹[1] 

机构地区：[1]华北理工大学公共卫生学院河北省煤矿卫生与安全实验室,唐山063000 [2]唐山弘慈医院(原唐钢集团职工医院)体检科,063000

出　　处：《中华流行病学杂志》2016年第11期1468-1472,共5页Chinese Journal of Epidemiology

基　　金：河北省科技支撑重大项目（132777090）;河北省自然科学基金课题（H2016209058）;国家重点研发计划（2016YFC0900605）

摘　　要：目的 探讨倒班对钢铁工人超重/肥胖的影响。方法 对2015年3月至2016年3月进行职业健康查体的唐山钢铁集团有限责任公司男性在职员工进行问卷调查和体格测量。采用logistic回归模型和限制性立方样条模型，分析倒班及倒班年限对钢铁工人超重/肥胖的影响。结果 共纳入7 262例男性钢铁工人，超重/肥胖率为64.5%（4 686/7 262），其中超重率为34.3%，肥胖率为30.2%。调整年龄、文化程度、家庭人均月收入等因素后，多因素logistic回归分析结果显示，现在倒班与超重/肥胖、肥胖有关，OR值（95%CI）分别是1.19（1.05-1.35）、1.15（1.00-1.32）。限制性立方样条模型分析显示，男性工人中倒班年限与超重/肥胖具有相关性（χ^2=8.91，P〈0.05）且呈非线性关系（非线性检验χ^2=7.43，P〈0.05）。倒班年限与肥胖具有相关性（χ^2=15.95，P〈0.05）且呈非线性关系（非线性检验χ^2=10.48，P〈0.05）。结论 男性钢铁工人倒班与超重/肥胖有关，且倒班年限与超重/肥胖呈非线性关系。Objective To investigate the relationship between shift work and overweight/obesity in male steel workers. Methods A questionnaire survey was conducted among the male steel workers selected during health examination in Tangshan Steel Company from March 2015 to March 2016. The relationship between shift work and overweight/obesity in the male steel workers were analyzed by using logistic regression model and restricted cubic splinemodel. Results A total of 7 262 male steel workers were surveyed, the overall prevalence of overweight/obesitywas 64.5% （4 686/7 262）, the overweight rate was 34.3% and the obesity rate was 30.2%, respectively. After adjusting for age, educational level and average family income level per month by multivariable logistic regression analysis, shift work was associated with overweight/obesity and obesity in the male steel workers. The OR was 1.19（95%CI： 1.05-1.35） and 1.15（95%CI： 1.00-1.32）. Restricted cubic spline model analysis showed that the relationship between shift work years and overweight/obesity in the male steel workers was a nonlinear dose response one （nonlinear test χ^2=7.43, P〈0.05）. Restricted cubic spline model analysis showed that the relationship between shift work years and obesity in the male steel workers was a nonlinear dose response one （nonlinear test χ^2=10.48, P〈0.05）. Conclusion Shift work was associated with overweight and obesity in the male steel workers, and shift work years and overweight/obesity had a nonlinear relationship.

关 键 词：倒班 超重 肥胖 钢铁工人 

分 类 号：R135[医药卫生—劳动卫生]