伏案工作人员工作时长与中心型肥胖发生关系的分析  

Relationship between working hours and incidence of central obesity among sedentary workers

作　　者：王红雨[1] 孔蓓蓓 WANG Hong-yu;KONG Bei-bei(Health Physical Fitness Center,Bengbu Medical College,Anhui 233030,China;School of Continuous Education,Bengbu Medical College,Anhui 233030,China)

机构地区：[1]蚌埠医学院健康体适能研究中心,安徽蚌埠233030 [2]蚌埠医学院继续教育学院,安徽蚌埠233030

出　　处：《实用预防医学》2021年第6期645-648,共4页Practical Preventive Medicine

基　　金：教育部人文社科研究项目(19YJA890038);蚌埠医学院人文社科重点项目(BYKY2019185skZD)。

摘　　要：目的了解伏案工作人员工作时长与中心型肥胖发生的关系。方法2019年4-7月,采用多阶段随机整群抽样方法选取某市920名伏案工作人员进行问卷调查和腰围测量,采用多因素logistic回归模型分析工作时长与中心型肥胖发生风险的关系。结果共获取有效样本876例,平均工作时长(48.73±3.61)h/周,中心型肥胖检出率为40.63%;不同性别、年龄、吸烟、饮酒、身体活动水平和工作时长之间中心型肥胖检出率差异有统计学意义(χ^(2)=16.703、21.617、16.584、14.523、27.021和20.917,P均<0.001);多因素回归分析显示,在控制混杂因素影响后,与≤34 h/周比较,35~55 h/周和≥56 h/周的OR值分别为1.35(95%CI:1.05~1.66)和1.43(95%CI:1.19~1.73),差异有统计学意义(Waldχ^(2)=9.717、12.351,P均<0.01)。结论伏案工作人员中心型肥胖率较高,工作时长增加是中心型肥胖发生的独立危险因素。Objective To investigate the relationship between working hours and incidence of central obesity in sedentary workers.Methods Questionnaire surveys and waist circumference measurement were conducted among 920 sedentary workers selected by a multi-stage random cluster sampling method in a city from April to July 2019.And multifactor logistic regression model was used to analyze the correlation of working hours with the risk of central obesity.Results A total of 876 valid subjects were obtained from 920 participants.The average working hours were(48.73±3.61)hours/week,and the detection rate of central obesity was 40.63%.There were statistically significant differences in the detection rate of central obesity among subjects with different genders,ages,smoking status,alcohol consumption status,physical activity level and working hours(χ^(2)=16.703,χ^(2)=21.617,χ^(2)=16.584,χ^(2)=14.523,χ^(2)=27.021,χ^(2)=20.917;all P<0.001).After controlling for the potentially confounding effects,compared with≤34 hours/week,multifactor regression analysis revealed that the OR values of 35-55 hours/week and≥56 hours/week were 1.35(95%CI=1.05-1.66)and 1.43(95%CI=1.19-1.73),respectively,with statistically significant differences(Waldχ^(2)=9.717,Waldχ^(2)=12.351,both P<0.01).Conclusion The incidence rate of central obesity in the sedentary workers was higher,and the increment of working hours was an independent risk factor for central obesity.

关 键 词：伏案工作者 工作时长 中心型肥胖 

分 类 号：R589.2[医药卫生—内分泌]