站内查询
您现在的位置是:主页 > 可以打牌赢真钱的游戏app > 加班易患高血压!每周加班1~8小时,患病率升高51%
加班易患高血压!每周加班1~8小时,患病率升高51%
2020-01-07 23:26  www.welcome2asia.com

  2019年刚刚过去了。按照日历,19年全年一共应该有247个工作日,工作时间1976小时。不过嘛,鉴于996都成为了年度网络热词,估计这个工作量,不少人几个月前就干完了。

2019 has just passed. According to the calendar, there should be 247 working days and 1976 working hours for the full year of 19. Well, given that 996 has become an annual internet buzzword, it's estimated that a lot of people finished it months ago.

  都说996ICU,这996加班加点把工作干完了,也就容易进ICU休息了。每天工作10个小时以上的人,中风风险比常人高了29%!而且工作时间长了,影响的可不止是中风,多种心血管疾病共同的危险因素——血压,也会随着工作时间延长而增高。

All say 996 ICU, this 996 overtime work finished, also easy to enter ICU rest. People who work more than 10 hours a day have a 29% higher risk of stroke! And longer working hours affect more than just stroke, and blood pressure, a common risk factor for many cardiovascular diseases, increases with longer working hours.

  近日,魁北克大学的XavierTrudel和AlainMilot等,对魁北克省三个事业单位的3547名白领员工进行调查发现,相比每周工作不到35小时的人,每周工作49小时以上,与隐匿性和持续性高血压发生率分别升高70%和66%相关,一周工作41~48小时也与隐匿性高血压发生率升高51%相关。这一研究发表在Hypertension上[1]。

A recent survey of 3,547 white-collar workers in three Quebec institutions by the University of Quebec, including Xavier Trudel and Alain Milot, found that people who worked less than 35 hours a week worked more than 49 hours a week,70 percent and 66 percent higher rates of occult and persistent hypertension, respectively. This study was published in Hypertension [1].

  加班这事,并不是中国专利,根据国际劳工组织的调查,本世纪初,全球大约1/5的员工每周工作时间超过48小时,也就是超过了一周六天的8小时工作制。哪怕是在经济发达的美国和欧洲,根据2010年和2015年的两项调查,也分别有19%和15%的人每周工作超过48小时[3,4]。至于国内的加班情况,就不用奇点糕说了吧。

Working overtime isn't a Chinese patent, according to the International Labour Organization. At the beginning of the decade, about a fifth of the world's employees worked more than 48 hours a week, or eight hours a week over six days a week. Even in the economically advanced United States and Europe,19% and 15% of people work more than 48 hours a week, respectively, according to the 2010 and 2015 surveys [3,4]. As for the domestic overtime situation, there is no need to say the singularity.

  这工作时间长了,睡觉肯定受影响。像996这种每天上班坐一天,来回通勤再花掉几个小时,剩下的时间用来睡觉都不够,更别说锻炼了。就连每天吃饭恐怕都是快餐外卖,高脂高盐的,说不定早餐还没时间吃。

The hours are long and sleep must be affected. Sitting for a day at work like 996, commuting back and forth for a few more hours, the rest of the time for sleep is not enough, let alone exercise. Even daily meals may be fast food take-out, high in fat and salt, perhaps breakfast has no time to eat.

  缺乏睡眠,缺乏运动,饮食不健康。要是再碰上个暴躁的老板,工作压力大了,这血压想不高都难。血压高了,心血管死亡率可就跟着往上涨了[5]。尤其是一般量不出来的隐匿性高血压,不易发现,很难及时诊断干预[6]。

Lack of sleep, lack of exercise, unhealthy diet. If you run into another grumpy boss, you're under a lot of stress. When blood pressure is high, the cardiovascular mortality rate goes up [5]. Especially the general amount of hidden hypertension, not easy to find, it is difficult to diagnose intervention in time [6].

  不过以往的研究中,或许是因为采用临床测量乃至自我报告的方式收集血压数据,而没有采用最为准确的动态血压监测(ABP),工作时长和血压间的关系并不一致。这回,研究人员使用ABP对加拿大魁北克的3547名事业单位工作人员进行了研究。

But in previous studies, perhaps because of the use of clinical measurements and even self-reports to collect blood pressure data, the most accurate ambulatory blood pressure monitoring (ABP) was not used. This time around, researchers used ABP to study 3,547 institutions in Quebec, Canada.

  这3547人,主要工作内容是为魁北克的普通居民提供保险服务,职位上包括了中高级管理人员、专业人员、技术人员和办公室职员,囊括了所有的白领职位。

The 3,547 people, whose main job is to provide insurance services to ordinary Quebec residents, include middle and senior management, professionals, technicians and office workers, including all white-collar jobs.

  在随访的第1、3、5年,研究人员分三次收集了参与者们的信息,测量临床血压(CBP),从早八点到晚四点进行动态血压监测。此外还收集了他们的工作环境、工作压力,以及性别、年龄、家族史、糖尿病等等高血压危险因素的信息。一共收集到6733人次的记录。

During the first, third, and fifth years of follow-up, the researchers collected information from participants three times, measured clinical blood pressure (CBP), and monitored ambulatory blood pressure from eight a.m. to four p.m. information was also collected on their work environment, work stress, and risk factors for hypertension such as gender, age, family history, diabetes, etc. A total of 6733 person-times were collected.

  根据参与者们的临床血压和动态血压,研究人员按照欧洲高血压学会的指南[7]将他们分为四类:正常血压(CBP140/90,ABP135/85)、白大褂高血压(CBP≥140/90,ABP135/85)、隐匿性高血压(CBP140/90,ABP≥135/85)和持续性高血压(CBP≥140/90,ABP≥135/85)。服用降压药的人也被归位了持续性高血压患者。

based on participants ' clinical and ambulatory blood pressure, the researchers classified them into four categories according to the european society of hypertension guidelines [7]: normal blood pressure (cbp 140/90, abp 135/85), white coat hypertension (cbp ≥140/90, abp 135/85), occult hypertension (cbp 140/90, abp ≥135/85), and persistent hypertension (cbp ≥140/90, abp ≥135/85). People who took antihypertensive drugs were also placed in patients with persistent hypertension.

  可能由于是事业单位,这3547人的6733次记录中,每周工作时间不到35小时、36~40小时、41~48小时和49小时以上的分别占%、%、%和%。相应的平均年龄分别为、、和岁。其中每周工作不到35小时的人中,女性占了%,而其它工作时间组别中,男女基本一半一半。这些人中,隐匿性高血压和持续性高血压的总体患病率分别为%和%。

In the 6733 records of these 3,547 persons, perhaps as institutions, work less than 35 hours,36 to 40 hours,41 to 48 hours and more than 49 hours per week, respectively,%,%,% and%. The corresponding average ages are,,, and. Women accounted for% of those who worked less than 35 hours a week, compared with almost half of the other working-hour groups. among these individuals, the overall prevalence of occult and persistent hypertension was% and%, respectively.

  毕竟事业单位,加班情况还是很少的。而在这3547人之外,还有33人因每周工作时间不足21小时,没被纳入研究,着实令人羡慕。

After all, institutions, overtime is still very few. In addition to these 3547 people,33 are not included in the study because they work less than 21 hours a week.

  在排除掉年龄、性别、生活方式,乃至工作压力的影响后,每周工作49小时以上仍然与隐匿性高血压发病率升高70%,持续性高血压发病率升高66%相关。而每周工作41~48小时,也与隐匿性高血压发病率升高51%相关。而每周工作40小时以内,对这两种高血压的发病率基本没有影响。

After excluding the effects of age, sex, lifestyle, and even work stress, working more than 49 hours a week is still associated with a 70% increase in the incidence of occult hypertension and a 66% increase in the incidence of persistent hypertension. and work 41-48 hours a week, also associated with a 51% increase in the incidence of occult hypertension. Within 40 hours a week, there was little effect on the incidence of these two types of hypertension.

  而且,这一结果已经排除了工作压力的影响。要是再考虑到国内公司,经常加班的人工作压力通常也更大,增加的高血压风险可能更高。

Moreover, this result has excluded the effect of work pressure. When domestic companies are taken into account, people who work overtime are often more stressed and may have a higher risk of high blood pressure.

  论文作者Trudel表示:“人们应该意识到长时间的工作可能会影响他们的心脏健康,如果他们长时间工作,他们应该咨询医生,进行动态血压监测。隐匿性高血压会影响一个人很长一段时间,从长远来看,它会增加患心血管疾病的风险。我们之前的研究表明,5年多来,约1/5的隐匿性高血压患者从未在临床环境中表现出高血压,这可能会耽误诊断和治疗。”

\"People should be aware that long hours of work may affect their heart health, and if they work long hours, they should consult a doctor for ambulatory blood pressure monitoring,\" said Trudel, author of the paper. Hidden hypertension affects a person for a long time, and it increases the risk of cardiovascular disease in the long run. Our previous studies have shown that about a fifth of patients with occult hypertension have never exhibited hypertension in a clinical setting for more than five years, which may delay diagnosis and treatment.

  1。TrudelX,BrissonC,Gilbert-OuimetM,etal。LongWorkingHoursandthePrevalenceofMaskedandSustainedHypertension[J]。Hypertension,2019:HYPERTENSIONAHA。。

1。 Trudel X, Brisson C, Gilbert-Ouimet M, et al. LongWorkingHoursandthePrevalenceofMaskedandSustainedHypertension [J]. Hypertension,2019: HYPERTEN SIONAHA. 。

  2。MessengerJC,LeeS,McCannD。Workingtimearoundtheworld:Trendsinworkinghours,laws,andpoliciesinaglobalcomparativeperspective[M]。Routledge,2007。

2。 Messenger JC, Lee S, McCann D. Working time around the world: Trendsinworkinghours, laws, andpoliciesinaglobalcomparativeperspective [M]. Routledge,2007.

  3。AltermanT,LuckhauptSE,DahlhamerJM,etal。PrevalenceratesofworkorganizationcharacteristicsamongworkersintheUS:datafromthe2010NationalHealthInterviewSurvey[J]。Americanjournalofindustrialmedicine,2013,56(6):647-659。

3。 Alterman T, Luckhaupt SE, Dahlhamer JM, et al. PrevalenceratesofworkorganizationcharacteristicsamongworkersintheUS datafromthe2010NationalHealthInterviewSurvey [J]. Americanjournalofindustrialmedicine,2013,56(6):647-659.

  4。Parent-ThirionA,BilettaI,CabritaJ,etal。Eurofound,sixtheuropeanworkingconditionssurvey–overviewreport(2017update)[J]。PublicationsOfficeoftheEuropeanUnion,LuxembourgGoogleScholar,2017。

4。 Parent-Thirion A, Biletta I, Cabreta J, et al. Eurofound, sixtheuropeanworkingconditionssurvey -overview report (2017 update)[ J]. PublicationsOfficeoftheEuropeanUnion, Luxebourg Google Scholar,2017.

  5。BanegasJR,RuilopeLM,delaSierraA,etal。Relationshipbetweenclinicandambulatoryblood-pressuremeasurementsandmortality[J]。NewEnglandJournalofMedicine,2018,378(16):1509-1520。

5。 Banegas JR, Ruilope LM, dela Sierra A, et al. Relationshipbetweenclinicandambulatoryblood - pressuremeasurementsandmortality [J]. New England Journal of Medicine,2018,378(16):1509-11520.

  6。TrudelX,MilotA,BrissonC。Persistenceandprogressionofmaskedhypertension:a5-yearprospectivestudy[J]。Internationaljournalofhypertension,2013,2013。

6。 Trudel X, Milot A, Brisson C. Persistenceandprogressionofmaskedhypertension: a5-yearspectivestudy [J]. Internationaljournalofhypertension 2013,2013.

  7。O‘BRIENE。EuropeanSocietyofHypertensionWorkingGrouponBloodPressureMonitoring:EuropeanSocietyofHypertensionrecommendationsforconventional,ambulatoryandhomebloodpressuremeasurement[J]。JHypertens,2003,21:821-848。

7。 O'BRIENE. EuropeanSocietyofHypertensionWorkingGrouponBloodPressureMonitoring: EuropeanSocietyofHypertensionrecommendationsforconventional, ambulatoryandhomebloodpressuremeasurement [J]. JHypertens,2003,21:82-1-848.