Relationship Between Shift Work and Clustering of the Metabolic Syndrome Diagnostic Components
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概要
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Aim: To examine the relationship between the type of work and the number of metabolic syndrome diagnostic components(MetS-DC), as well as the risk of MetS, with adjustment for lifestyle habits in Japanese workers.Methods: We examined the baseline data from 4,427 participants(81.4% male) aged 19 to 69 years old. The physical activity of each participant was classified according to the International Physical Activity Questionnaire(IPAQ). We defined the four MetS-DC in this study as follows: 1) high blood pressure(BP): systolic BP ≥130 mmHg, or diastolic BP ≥85 mmHg, or the use of antihypertensive drugs; 2) dyslipidemia: high-density lipoprotein-cholesterol concentration <40 mg/dl or triglyceride concentration ≥150 mg/dl, or on medication for dyslipidemia; 3) dysglycemia: fasting blood sugar level ≥110 mg/dl, or if less than eight hours after meals ≥140mg/dl, or on medication for diabetes mellitus; 4) overweight: a body mass index ≥25kg/m2. We defined MetS as overweight plus two or more of the MetS-DC.Results: There were 3,094 subjects in the daytime work group, 73 in the fixed nighttime work group, 1,017 in the shift work group and 243 in the day-to-night work group. The Poisson regression analysis revealed that fixed nighttime (regression coefficient [b]=−0.233, P=0.028) and shift work (b=0.098, P=0.034) independently contributed to the number of MetS-DC, compared to daytime work. The multivariate logistic analysis not including sleep hours in the model showed that shift work was positively related to MetS (odd ratio=1.47, P<0.01).Conclusion: Shift work were significantly associated with the number of MetS-DC, and was related to risk of MetS compared to daytime work.
- 一般社団法人 日本動脈硬化学会の論文
著者
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OKAYAMA Akira
The First Institute for Health Promotion and Health Care, Japan Anti-tuberculosis Association
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Miura Katsuyuki
Department Of Applied Pharmacology And Therapeutics Osaka City University Medical School
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Ueshima Hirotsugu
Department Of Health Sceicne Shiga University Of Medical Science
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Okamura Tomonori
Department Of Cardiology National Cardiovascular Center
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Murakami Yoshitaka
Department Of Health Science Shgia University Of Medical Science
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Nakamura Yasuyuki
Cardiovascular Epidemiology Faculty Of Home Economics Kyoto Women's University
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Takebayashi Toru
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
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Tanaka Taichiro
Department of Environmental and Occupational Health, School of Medicine, Toho University
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Kawabe Yuri
Cardiovascular Epidemiology, Kyoto Women's University
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Kikuchi Sayuri
Department of Community Network and Collaborative Medicine, Kyoto University Hospital
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