Body mass index, blood pressure, and glucose and lipid metabolism among permanent and fixed-term workers in the manufacturing industry: a cross-sectional study.
Body mass index, blood pressure, and glucose and lipid metabolism among permanent and fixed-term workers in the manufacturing industry: a cross-sectional study.
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DOI：
10.1186/1471-2458-14-207
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发表时间：
2014-02-27
影响因子：
4.5
通讯作者：
Yano E
中科院分区：
文献类型：
--
作者：
Inoue M;Minami M;Yano E
临时就业是一种不稳定的就业形式，被认为是健康状况不佳的社会决定因素。然而，支持不稳定就业是健康风险因素的证据主要来自主观数据。使用客观临床测量数据评估健康状况的研究有限。本研究比较了制造业长期工和定期工的身体质量指数（BMI）、血脂和葡萄糖代谢以及与健康相关的生活方式因素。收集并分析了日本1，701名50岁以下男性制造业工人的数据。人体测量数据是BMI，使用测量的研究参与者的身高和体重计算，以及血压。对于脂质代谢，测定低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和甘油三酯水平。对于葡萄糖代谢，测量空腹血糖和血红蛋白A1 c（HbA 1c）水平。进行了年龄和生活方式因素调整的多元回归分析。长期工人的BMI（22.9 kg/m2）显著高于定期工人（22.4 kg/m2）。定期工人中较瘦的人群（BMI < 18.5）（8.3%）高于长期工人（4.0%），而超重人群（BMI ≥ 25.0）在长期工人中（21.4%）高于定期工人（18.1%）。虽然定期工作者往往不会超重，但经年龄和生活方式因素调整后的回归分析表明，定期工作与高血压显著相关（收缩期β = 2.120，舒张期β = 2.793），甘油三酯空腹血糖（β = 2.218）、糖化血红蛋白（β = 0.107）与长工组比较（均P < 0.01）。固定期限工人表现出更多的健康风险，如血压、血脂和葡萄糖代谢较差，即使调整了年龄和生活方式变量，但固定期限工人的BMI低于长期工人。不稳定的工作可能会导致健康状况恶化，即使是在体重较轻的人群中也是如此。
Temporary employment, a precarious form of employment, is recognized as social determinant of poor health. However, evidence supporting precarious employment as a risk factor for health is mainly obtained from subjective data. Studies using objective clinical measurement data in the assessment of health status are limited. This study compared body mass index (BMI), lipid and glucose metabolism, and health-related lifestyle factors between permanent workers and fixed-term workers employed in the manufacturing industry. Data of 1,701 male manufacturing industry workers <50 years old in Japan were collected and analyzed. Anthropometric data were BMI, calculated using measured height and weight of study participants, and blood pressure. For lipid metabolism, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglyceride levels were determined. For glucose metabolism, fasting plasma glucose and hemoglobin A1c (HbA1c) levels were measured. Multiple regression analysis adjusted for age and lifestyle factors was performed. BMI was significantly higher in permanent workers (22.9 kg/m2) compared with fixed-term workers (22.4 kg/m2). The leaner population (BMI < 18.5) was greater among fixed-term workers (8.3%) compared with permanent workers (4.0%), whereas the overweight population (BMI ≥ 25.0) was greater among permanent workers (21.4%) compared with fixed-term workers (18.1%). Although fixed-term workers tended not to be overweight, regression analysis adjusted for age and lifestyle factors suggested that fixed-term employment was significantly associated with higher blood pressure (systolic β = 2.120, diastolic β = 2.793), triglyceride (β = 11.147), fasting blood glucose (β = 2.218), and HbA1c (β = 0.107) compared with permanent workers (all p < 0.01). Fixed-term workers showed more health risks, such as poorer blood pressure and lipid and glucose metabolism, even when adjusted for age and lifestyle variables, although BMI of fixed-term workers were lower than permanent workers. Precarious work might contribute to a deteriorating health status even among less overweight populations.
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影响因子：
3.3
作者：
Ho, Chi-Kung;Yen, Ya-Lin;Chang, Po-Ya
通讯作者：
Chang, Po-Ya
影响因子：
2.1
作者：
Inoue, Mariko;Tsurugano, Shinobu;Yano, Eiji
通讯作者：
Yano, Eiji
影响因子：
5.2
作者：
Nakao, M;Yano, E
通讯作者：
Yano, E
影响因子：
--
作者：
Stürmer, T;Hasselbach, P;Amelang, M
通讯作者：
Amelang, M
影响因子：
5
作者：
Kivimäki, M;Vahtera, J;Ferrie, JE
通讯作者：
Ferrie, JE