Comhlachas Idir Uaireanta Oibre Fada Agus Galar Duán Ainsealach de réir Stádais Diaibéitis Ⅱ

TORTHAÍ

Tréithe Ginearálta Daonra an Staidéir Roinneadh na 14,839 rannpháirtí iomlán sa ghrúpa neamh-DM (N ¼ 12,703) agus sa ghrúpa DM (N ¼ 2136). Rinneadh comparáid idir na grúpaí de réir uaireanta oibre. Sa ghrúpa neamh-DM, d'oibrigh 5851 rannpháirtí<40 h/week, 3324 participants worked 41 to 52 h/week, and 3528 participants worked >52 h/seachtain. Sa ghrúpa DM, d'oibrigh 989 rannpháirtí<40 h/week, 465 participants worked 41 to 52 h/week, and 682 participants worked >52 h/seachtain.

Sa ghrúpa neamh-DM, breathnaíodh difríocht aoise de réir uaireanta oibre. Bhí claonadh ag na rannpháirtithe a raibh uaireanta oibre níos faide acu a bheith ceannasach ag fir agus ba lú an seans go mbeidís gníomhach go fisiciúil. Ina theannta sin, bhí comhréireanna na gcaiteoirí reatha agus na rannpháirtithe a raibh fadhb óil acu níos mó sna grúpaí uaireanta oibre níos faide. Breathnaíodh leitheadúlacht níos airde otrachta agus Hipirtheannas sna grúpaí a raibh uaireanta oibre níos faide acu. Ní raibh difríocht idir leitheadúlacht CKD i measc grúpaí uaireanta oibre (P ¼ 0.2074).

Sa ghrúpa DM, breathnaíodh difríocht aoise de réir uaireanta oibre. Is gnách gur fir a bhí i rannpháirtithe a raibh uaireanta oibre níos faide acu. Bhí céatadán na gcaiteoirí reatha níos airde sa ghrúpa a raibh uaireanta oibre níos faide acu. Níor tugadh faoi deara aon difríocht i leitheadúlacht an mhurtaill agus an hipirtheannas i measc na ngrúpaí uaireanta oibre. Ina theannta sin, ní raibh aon difríocht snaleitheadúlacht CKDi measc na ngrúpaí uaireanta oibre (P ¼ 0.0977). Tá saintréithe ginearálta an daonra staidéir léirithe i dTábla 1.

Cliceáil ANSEO CHUN Sliocht CISTANCHE ORGÁNACHA NÁDÚRTHA A FHÁIL LE 25% ECHINACOSIDE AGUS 9% ACTEOSIDE CHUN FEIDHM DUINE

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Comhlachas Idir Uaireanta Oibre agus CKD De réir Stádais Diaibéitis

The association between working hours and CKD is shown in Table 2. The association was assessed according to diabetic status, and the interaction between diabetic status and working hours was also analyzed. The overall P for interaction in the crude model was 0.1584. The P for interaction was 0.0683 in the adjusted model 1 (adjusted for age, sex, educational status, household income, physical activity, smoking and drinking status, obesity, hypertension, worker type, and working schedule). In the crude model, P for interaction was 0.0553 and 0.5105 in the 41 to 52, and >52 h/week groups, respectively, compared with the  40 h/week group. In the adjusted model, there was an interaction effect in the 41 to 52 h/ week group (P ¼ 0.0212) but not in >Grúpa 52 h/seachtain (P ¼ 0.2490).

The crude model presented the relationship between working hours and CKD without any adjustment. Those working for  40 h/ week were set as the reference group. In participants without DM, the OR of having CKD in the 41 to 52 and >52 h/week groups was 0.85 (95% CI 0.62–1.18, P ¼ 0.3312) and 0.75 (95% CI 0.53–1.05, P ¼ 0.0955), respectively. In those with DM, the OR was 1.44 (95% CI 0.94–2.19, P ¼ 0.0908) in the 41 to 52 h/week group and 0.90 (95% CI 0.59–1.36, P ¼ 0.6080) in the >Grúpa 52 h/seachtain.

The model after adjusting for covariates including age, sex, educational status, household income, physical activity, smoking and drinking status, obesity, hypertension, and working environment (adjusted model 1) was also analyzed. In the non-DM group, compared with participants who worked  40 h/week, those who worked 41 to 52 h/week showed an OR of 0.92 (95% CI 0.66–1.27, P ¼ 0.6021), and those who worked >Léirigh 52 h/seachtain OR de 0.72 (95% CI 0.50–1.03, P ¼ 0.0695). Sa ghrúpa DM, bhí an seans 1.85 uair níos airde ag an ngrúpa 41 go 52 h/seachtain go raibh CKD (coigeartaithe NÓ 1.85, 95% CI 1.15–2.96, P ¼ 0.0112) ná an<40 h/week group. The OR in the >Ba é an grúpa 52 h/seachtain, i gcomparáid leis an ngrúpa 40 h/seachtaine, ná 0.97 (95% CI 0.61–1.53, P ¼ 0.8786).

An additional analysis was performed to determine whether there was an association between long working hours and CKD after adjusting for diabetes-related factors. Additional adjustment for the duration of diabetes and control of HbA1c was performed (adjusted model 2). In the adjusted model 2, the OR was 1.92 (95% CI 1.20– 3.08, P ¼ 0.0063) in participants who worked 41 to 52 h/week and 1.01 (95% CI 0.62–1.62, P ¼ 0.9781) in those who worked >52 h/ seachtain.

Comhlachas idir Uaireanta Oibre agus CKD i gCritéir Iolra Uaireanta Oibre

Rinneadh anailís ar an gceangal idir uaireanta oibre agus CKD de réir critéar uaireanta oibre iolracha. Rinneadh anailís ar an gcomhlachas bunaithe ar thrí chritéar éagsúil uaireanta oibre i rannpháirtithe a bhfuil diaibéiteas orthu. Rinneadh anailís ar gach samhail tar éis covariates a choigeartú lena n-áirítear aois, gnéas, stádas oideachais, ioncam teaghlaigh, gníomhaíocht fhisiciúil, stádas caitheamh tobac agus óil, murtall, Hipirtheannas, timpeallachtaí oibre, agus fachtóirí a bhaineann le diaibéiteas.

In criterion 1, participants were classified into those who work  40 h/week, 41 to 60 h/week, >60 h/week. Those working for  40 h/week were set as the reference group. The OR of having CKD in the 41 to 60 h/week group and >Ba é an grúpa 60 h/seachtaine ná 1.61 (95% CI 1.{{10}} 5–2.47, P ¼ 0.0294) agus 0.95 (95% CI 0.53– 1.68, P ¼ 0.8470), faoi seach.

In criterion 2, participants were classified into those who work  35 h/week, 36 to 50 h/week, >50 h/week. Those working for  35 h/week were set as the reference group. The OR of having CKD in the 35 to 50 h/week group and >Ba é an grúpa 50 h/seachtaine ná 2.27 (95% CI 1.40–3.68, P ¼ 0.0009) agus 1.35 (95% CI 0.80–2.27, P ¼ 0.2655), faoi ​​seach.

I gcritéar 3, rangaíodh rannpháirtithe i seacht ngrúpa (35 h/seachtain, 36–40 h/seachtain, 41–45 h/seachtain, 46–50 h/seachtain, 51–55 h/seachtain, 56–60 h/seachtain, agus > 60 h/seachtain) agus socraíodh iad siúd a bhí ag obair ar feadh 35 h/seachtain mar ghrúpa tagartha. Bhí an OR ina raibh CKD i bhfad níos airde sa ghrúpa 36 go 40 h/seachtaine (coigeartaithe NÓ 1.91, 95% CI 1.03–3.53, P ¼ 0.0399), 41 go 45 h/grúpa seachtain (coigeartaithe NÓ 2.77, 95-3.53% CI 1. 5.38, P ¼ 0.0026), agus grúpa 46 go 50 h/seachtain (coigeartaithe NÓ 2.50, 95% CI 1.35–4.61, P ¼ 0.0035). Tá na torthaí mionsonraithe curtha i láthair i dTábla 3.