교대근무와 수면시간이 우리나라 임금근로자의 대사증후군에 미치는 영향
The Effects of Shift Work and Hours of Sleep on Metabolic Syndrome in Korean Workers
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초록
목적: 본 연구는 우리나라 임금근로자들에서 교대근무 여부와 수면시간이 대사증후군에 어떠한 영향을 주는지 살펴보기 위함이다. 연구방법: 본 연구는 국민건강영양조사 제 6기 2년차 자료(the Korean National Health and Nutrition Examination Survey data of 2014)를 이용하여 분석하였다. 만 20세 이상의 임금근로자 총 1579명의 자료를 분석하였다. 카이제곱검정, t-test, 더미변수를 이용한 위계적 다중 로지스틱 회귀분석을 이용하여 분석하였다. 결과: 단변량 분석 결과, 수면시간, 정규직 여부, 직업군, 성별, 연령, 결혼 상태, 교육수준, 흡연, 주관적 건강상태 인식이 대사증후군 위험과 유의한 관련성이 있는 것으로 나타났다. 또한 인구학적 변수, 직업적 변수, 건강행태 변수를 모두 포함하여 분석한 다변량 분석에서는 하루 6시간 미만 수면 군에서 대사증후군 위험이 유의하게 증가한 것으로 나타났다 (AOR: 1.56, CI: 1.01-2.44). 또한 교대근무 여부는 대사증후군과 유의한 관련성이 없는 것으로 나타났으며, 남성과 나이가 많은 근로자에서 대사증후군 위험이 유의하게 증가하였다. 결론: 본 연구 결과는 6시간 미만 수면 근로자, 남성 및 연령이 많은 근로자들이 대사증후군의 위험이 높은 집단이므로, 이들을 대상으로 하는 대사증후군 예방 및 관리 프로그램 개발 및 적용이 시급하다.
Abstract
Purpose: The purpose of this study was to investigate the effects of shift work and hours of sleep on metabolic syndrome in Korean workers. Methods: This study used the Korean National Health and Nutrition Examination Survey data of 2014. The study included 1,579 Korean workers aged over 20. x2 test, t-test, and hierarchical multiple logistic regression were used for statistical analysis of data. Results: From the univariate analysis, hours of sleep, regular work, occupational group, sex, age, marital status, education, smoking, and self-rated health were significantly related to metabolic syndrome. After adjusting demographic, occupational, and health-related variables, workers with under 6 hours/day of sleep showed higher risk for metabolic syndrome (AOR: 1.56, 95% CI: 1.01~2.44), and shift work was not significantly related to metabolic syndrome. Male laborers and workers aged 40 or older also showed higher risk for metabolic syndrome. Conclusion: Results of this study suggest that workers with under 6 hours of sleep, male laborers and workers aged 40 or older are the risk groups of metabolic syndrome. Therefore, prevention and management program for metabolic syndrome should be implemented for this population.
참고문헌 (23)
- Maria Aguilar, "Prevalence of the Metabolic Syndrome in the United States, 2003-2012", JAMA, 313(19), pp.1973~1974 (2015), American Medical Association (AMA)[DOI]
- Raquel Canuto, "Metabolic syndrome and shift work: A systematic review", Sleep Medicine Reviews, 17(6), pp.425~431 (2013), Elsevier BV[DOI]
- Jong-Dar Chen, "OBESITY AND HIGH BLOOD PRESSURE OF 12-HOUR NIGHT SHIFT FEMALE CLEAN-ROOM WORKERS", Chronobiology International, 27(2), pp.334~344 (2010), Informa UK Limited[DOI]
- 최은숙, "일개 전자 제조업체 남자 근로자의 대사증후군과 관련요인", Annals of Occupational and Environmental Medicine, 18(1), pp.35~45 (2006), 대한직업환경의학회
- A. Copertaro, "Assessment of cardiovascular risk in shift healthcare workers", European Journal of Cardiovascular Prevention & Rehabilitation, 15(2), pp.224~229 (2008), SAGE Publications[DOI]
- De Bacquer, D, "Rotating shift work and the metabolic syndrome: A prospective study", International Journal of Epidemiology, 38(3), pp.848~854 (2009)[DOI]
- 도경아, "남녀 근로자의 직업 관련 특성과 대사증후군 - 국민건강영양조사 자료를 이용하여 -", 한국직업건강간호학회지, 24(1), pp.39~47 (2015), 한국직업건강간호학회
- Robert H Eckel, "The metabolic syndrome", The Lancet, 365, pp.1415~1428 (2010), Elsevier BV[DOI]
- Ha, M, "Shiftwork and metabolic risk factors of cardiovascular disease", Journal of Occupational Health, 47(2), pp.89~95 (2005)
- Knutsson, A, "Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27 485 people", Occupational and Environmental Medicine, 58(11), pp.747~752 (2001), BMJ[DOI]
- Nak-Hyun Kim, "Associations between Metabolic Syndrome and Inadequate Sleep Duration and Skipping Breakfast", Korean Journal of Family Medicine, 36(6), pp.273~277 (2015), 대한가정의학회
- 김양현, "조선소 근로자에서 대사증후군의 유병률과 관련요인", Annals of Occupational and Environmental Medicine, 21(3), pp.209~217 (2009), 대한직업환경의학회
- 고대식, "주간근로자의 건강증진 실천행위와대사증후군과의 관계", 한국전자통신학회 논문지, 8(12), pp.1941~1947 (2013), 한국전자통신학회
- Kobayashi, D, "Relation between metabolic syndrome and sleep duration in Japan : A large scale cross-sectional study", Internal Medicine, 50(2), pp.103~107 (2011)
- Yu-Cheng Lin, "Persistent Rotating Shift-Work Exposure Accelerates Development of Metabolic Syndrome among Middle-Aged Female Employees: A Five-Year Follow-Up", Chronobiology International, 26(4), pp.740~755 (2009), Informa UK Limited[DOI]
- Lyou, J. Y, "Prevalence of metabolic syndrome by occupational groups in Korean workers", Paper presented at the fall conference of the Korean Society of Occupational & Environmental Medicine, Byunsan (2012)
- "The sixth Korean National Health and Nutrition Examination Survey (KNHANES VI-2)" (2014)[URL]
- National Cholesterol Education Program (NCEP), "Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report", Circulation, 106, pp.3143~3421 (2002)
- "National sleep foundation recommends new sleep durations" (2015)[URL]
- A Pietroiusti, "Incidence of metabolic syndrome among night-shift healthcare workers", Occupational and Environmental Medicine, 67(1), pp.54~57 (2009), BMJ[DOI]
- Sampsa Puttonen, "The relationship between current and former shift work and the metabolic syndrome", Scandinavian Journal of Work, Environment & Health, 38(4), pp.343~348 (2012), Scandinavian Journal of Work, Environment and Health[DOI]
- "The Asia-Pacific perspective: Redefining obesity and its treatment" (2000)[URL]
- 윤병준, "사회경제적 계층별 주관적 건강수준의 차이", 보건정보통계학회지, 41(1), pp.35~42 (2016), 한국보건정보통계학회[DOI]