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Shift work and its association with metabolic disorders

机译:轮班工作及其与代谢紊乱的关系

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Although the health burden of shift work has not been extensively studied, evidence suggests that it may affect the metabolic balance and cause obesity and other metabolic disorders. Sleep deprivation, circadian desynchronization and behavioral changes in diet and physical activity are among the most commonly mentioned factors in studies of the association between night work and metabolic disorders. Individual adaptation to night work depends greatly on personal factors such as family and social life, but occupational interventions may also make a positive contribution to the transition to shift work, such as exposure to bright lights during the night shift, melatonin use, shift regularity and clockwise rotation, and dietary adaptations for the metabolic needs of night workers. The evaluation of the impact of night work on health and of the mechanisms underlying this relationship can serve as a basis for intervention strategies to minimize the health burden of shift work. This review aimed to identify highlights regarding therapeutic implications following the association between night and shift work and metabolic disorders, as well as the mechanisms and pathways responsible for these relationships.
机译:尽管轮班工作的健康负担尚未得到广泛研究,但证据表明,轮班工作可能会影响代谢平衡并导致肥胖和其他代谢异常。在夜班与代谢紊乱之间的关系研究中,睡眠不足,昼夜节律不同步以及饮食和身体活动的行为变化是最常提及的因素。个体对夜班工作的适应性在很大程度上取决于个人因素,例如家庭和社交生活,但是职业干预也可能对轮班工作的过渡做出积极的贡献,例如夜班期间暴露在明亮的灯光下,褪黑素的使用,轮班规律和顺时针旋转,并适应夜班工人的新陈代谢需求。对夜间工作对健康的影响以及这种关系所依据的机制的评估可以作为干预策略的基础,以最大程度地减少轮班工作对健康的负担。这篇综述旨在找出有关夜班和轮班工作与代谢紊乱之间的关联以及与这些关系相关的机制和途径后的治疗意义的重点。

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