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

目標：護理人員的輪班工作是無可避免的，並且可能改變其相關的健康行為；然而護理人員其不同的輪班工作與相關健康行為對於代謝症候群發生之效應仍並不清楚。因此，本研究評估護理人員其輪班工作和健康行為與代謝症候群相關參數之相關。方法：本橫斷式研究中，共收納129名健康的護理人員。以問卷收集研究對象的特徵，包括人口學、工作狀況與健康行為；並測量代謝症候群參數。結果：在調整共變項的效應後，線性迴歸模式顯示輪值三班工作（p＜0.01）與固定輪值夜班（p＜0.01）對於高密度脂蛋白膽固醇濃度分別具有獨立性負相關。此外，護理人員其身體質量指數大於24Kg/m2也與腰圍（p＜0.01）以及三酸甘油酯（p=0.04）具有獨立性正相關，與高密度脂蛋白膽固醇濃度具有獨立性負相關（p＜0.01）；睡眠品質指標≥5分也對於三酸甘油酯具有獨立性正相關（p=0.05）。每日由茶飲料攝取到精製糖量等行為與護理人員其代謝症候群相關參數之間則無統計顯著相關。結論：高身體質量指數與較差的睡眠品質可能導致較高的三酸甘油脂。輪值三班以及固定輪值夜班的輪班工作對於護理人員的代謝症候群相關參數可能具有提升的危險。

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/m2 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.