Shift patterns, physical exercise, and Type 2 diabetes mellitus (T2DM): a prospective cohort study in China

Author:

Song Lin1,Shen Jiayang2,Wang Jin1,Zhang Yu1,Zhou Ziqi1,Sang Lingli1,Zhu Lejia1,Wang Yangmei1,Zhang Dajun3,Li Di4,Xiao Jing5,Lian Yulong1ORCID

Affiliation:

1. Division of Epidemiology and Medical Statistics, School of Public Health, Nantong University , Nantong, 226019 Jiangsu , China

2. Nantong Health Inspection, Yuelong South Road , No. 128, Chongchuan District, Nantong, 226001 Jiangsu , China

3. Karamay City Central Hospital Health Management Center , Karamay 834000 , Xinjiang , China

4. Karamay Central Hospital, Clinical Medical Research Center , Karamay 834000, Xinjiang , China

5. Department of Occupational Environmental Toxicology, School of Public Health, Nantong University , Nantong, 226001 Jiangsu , China

Abstract

AbstractTo examine the relationships between different shift patterns and Type 2 diabetes mellitus (T2DM) risk, and determine whether physical exercise reduced the incidence of T2DM in shift workers in the oil industry.Baseline data were collected from participants in May 2013 who were then followed for 4 years in a prospective cohort study. The cohort initially consisted of 3,002 workers and ultimately included 2,827 people. Baseline and follow-up questionnaires were sent to participants every 2 years (in May 2015 and May 2017) to update medical and lifestyle information during the follow-up period. The risk of T2DM among two shift workers [relative risk (RR) = 3.442, 95% CI: 1.904–6.799)], three shift workers (RR = 2.534, 95% CI: 1.484–4.571), and four shift workers (RR = 4.230, 95% CI: 2.680–7.518) was higher than that among day workers. An increasing trend was observed with respect to T2DM risk, with the lowest risk in three shift workers, moderate risk in two shift workers, and highest risk in four shift workers. In the interactive analysis between shift work and physical exercise, taking part in mild physical exercise increased the risk of T2DM for workers. Four shift workers who took part in mild physical exercise had an increased risk of T2DM. The relative excess risk due to interaction (RERI) was 33.769 (0.398–67.140). The attributable proportion due to interaction [API (%)] was 0.704 (0.529–0.880). The synergy index (SI) was 3.563 (1.900–6.683). Shift work is significantly correlated with increased incidence of T2DM. Risk of T2DM is lowest risk in three shift workers, moderate in two shift workers, and highest in four shift workers. Shift workers who participated in moderate and severe physical exercise had reduced risk of developing T2DM.

Funder

Natural Science Foundation of Jiangsu Province

Publisher

Oxford University Press (OUP)

Subject

Behavioral Neuroscience,Applied Psychology

Reference32 articles.

1. Work-life balance of shift workers;Williams;Perspect Labour Income.,2008

2. Shift work and vascular events: systematic review and meta-analysis;Vyas;BMJ. (Clinical Research ed),2012

3. Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain;Markwald;Proc Natl Acad Sci USA.,2013

4. Impact of circadian misalignment on energy metabolism during simulated nightshift work;McHill;Proc Natl Acad Sci USA.,2014

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3