阎腾龙, 杨思雯, 王煜倩, 朱晓俊, 周兴藩, 马文军, 唐仕川, 李珏, 李涛. 日光温室作业与高龄劳动者部分血生化指标的关系[J]. 环境与职业医学, 2021, 38(12): 1312-1317. DOI: 10.13213/j.cnki.jeom.2021.21306
引用本文: 阎腾龙, 杨思雯, 王煜倩, 朱晓俊, 周兴藩, 马文军, 唐仕川, 李珏, 李涛. 日光温室作业与高龄劳动者部分血生化指标的关系[J]. 环境与职业医学, 2021, 38(12): 1312-1317. DOI: 10.13213/j.cnki.jeom.2021.21306
YAN Tenglong, YANG Siwen, WANG Yuqian, ZHU Xiaojun, ZHOU Xingfan, MA Wenjun, TANG Shichuan, LI Jue, LI Tao. Relationships between solar greenhouse working and selected blood biochemical indexes of elderly workers[J]. Journal of Environmental and Occupational Medicine, 2021, 38(12): 1312-1317. DOI: 10.13213/j.cnki.jeom.2021.21306
Citation: YAN Tenglong, YANG Siwen, WANG Yuqian, ZHU Xiaojun, ZHOU Xingfan, MA Wenjun, TANG Shichuan, LI Jue, LI Tao. Relationships between solar greenhouse working and selected blood biochemical indexes of elderly workers[J]. Journal of Environmental and Occupational Medicine, 2021, 38(12): 1312-1317. DOI: 10.13213/j.cnki.jeom.2021.21306

日光温室作业与高龄劳动者部分血生化指标的关系

Relationships between solar greenhouse working and selected blood biochemical indexes of elderly workers

  • 摘要: 背景

    劳动力人口高龄化已成为全球趋势,多种职业活动均与血生化指标改变及代谢性疾病发生风险升高有关。高龄劳动者是日光温室产业中的主要劳动人群,其血生化指标亟需关注。

    目的

    探究日光温室高龄劳动者部分血生化指标改变,为开展高龄劳动者代谢性疾病管理提供线索。

    方法

    以我国西北某地区从事日光温室作业和非温室作业的人员为研究对象,分别以匹配和不匹配的方式从研究对象中选取高龄劳动者。匹配条件为性别(一致)、年龄(±2岁)、体重指数(BMI)(±1 kg·m−2)、受教育程度(±1个等级)、吸烟(一致)和饮酒(一致)。采用临床检验常用方法检测两组人员血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇(LDLC)、空腹血糖(GLU)和白蛋白(ALB)。对匹配法所得结果开展单因素分析;对非匹配法所得结果开展多因素分析,以验证结果。匹配和非匹配法分别纳入80对和327名研究对象。

    结果

    在匹配研究中,温室组HDLC浓度(1.61±0.34)mmol·L−1低于非温室组(2.09±0.37)mmol·L−1P<0.05),温室组TG/HDLC(1.17±0.74)高于非温室组(0.78±0.47)(P<0.05),温室组LDLC/HDLC(1.87±0.36)高于非温室组(1.39±0.27)(P<0.05),其余指标组间差异无统计学意义(均P>0.05)。在非匹配研究中,多元线性回归分析结果显示,日光温室作业与高龄劳动者HDLC降低、TG/HDLC和LDLC/HDLC升高有关(均P<0.05)。

    结论

    日光温室作业可能与高龄劳动者血生化指标改变有关,应加强对高龄劳动者的职业健康监护。

     

    Abstract: Background

    The aging of the labor force has become a global trend, and various occupational activities can affect blood biochemical indexes and increase the risk of metabolic diseases. Elderly workers are the main laborers in the solar greenhouse industry, and their blood biochemical indexes need more attention.

    Objective

    The purpose of this study is to explore the alternation of selected blood biochemical indexes and provide clues for conducting management programs of metabolic diseases in the elderly solar greenhouse workers.

    Methods

    The research subjects of the greenhouse group and the non-greenhouse group were selected from a vegetable production base in Northwest China. The elderly workers were selected from a recruited subjects pool for an earlier project by means of matching and non-matching respectively. The matching conditions were gender (consistent), age (±2 years old), body mass index (BMI) (±1 kg·m−2), education level (±1 level), smoking (consistent), and drinking (consistent). Routine clinical tests were used to detect serum total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDLC), low-density lipoprotein cholesterol (LDLC), fasting blood glucose (GLU), and albumin (ALB), and single-factor and multi-factor analyse were used to identify different indexes in matching and non-matching samples, respectively. The matching and the non-matching samples included 80 pairs of subjects and 327 subjects, respectively.

    Results

    In the matching sample set, the greenhouse group's HDLC (1.61±0.34) mmol·L−1 was lower than the non-greenhouse group's (2.09±0.37) mmol·L−1 (P<0.05), the level of TG/HDLC in the greenhouse group was (1.17±0.74), higher than that in the non-greenhouse group (0.78±0.47) (P<0.05), and the level of LDLC/HDLC in the greenhouse group was (1.87±0.36), also higher than that in the non-greenhouse group(P<0.05), while there was no statistical difference of the other indexes between the two groups (allPs>0.05). In the non-matching sample set, the results of multiple linear regression analysis showed that solar greenhouse working correlated with decreased HDLC, and increased TG/HDLC and LDLC/HDLC among the elderly workers (allPs<0.05).

    Conclusion

    Solar greenhouse working may correlate with variations of selected blood biochemical indexes in elderly workers, and the occupational health surveillance of elderly workers should be strengthened.

     

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