• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.41.1-41.11
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• 2023

Background: Shift work has been reported to have several harmful effects on the human body. However, a small number of studies have evaluated the association between shift work and adverse effects on the thyroid. In our longitudinal study, we examined the causal association between shift work and the risk of hypothyroidism. Methods: A Kangbuk Samsung Cohort Study was conducted on 112,648 men without thyroid disease at baseline who were followed up at least once between 2012 and 2019. Shift work status and shift schedule types were categorized using standardized questionnaires. Hypothyroidism was defined using the reference ranges of serum thyroid-stimulating hormones and free thyroxine levels. Hazard ratios (HRs) and 95% confidence intervals (CIs) for incident hypothyroidism were estimated using Cox proportional hazards regression analyses with the daytime work group as the reference. Results: During the 501,237 person-years of follow-up, there were 6,306 incident cases of hypothyroidism (incidence density, 1.26 per 100 person-years). The multivariable-adjusted HR of incident hypothyroidism for the shift work total group that included all shifts compared with the daytime work group was 1.27 (95% CI: 1.15-1.40). For the fixed evening, fixed night, rotating shift, and other shift workers, the multivariable-adjusted HRs (95% CI) were 1.11 (0.76-1.61), 2.18 (1.20-3.93), 1.39 (1.23-1.56), and 1.00 (0.82-1.22), respectively. In subgroup analyses by age, the association between shift work and hypothyroidism was more pronounced in younger participants (< 40 years; HR: 1.31; 95% CI: 1.16-1.47). Conclusions: Our large-scale cohort study showed an association between shift work and the incidence of hypothyroidism, especially in younger workers with night shifts.

• 한국식품영양학회지
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• 제33권3호
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• pp.266-278
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• 2020

This study was conducted with 375 workers in Changwon to examine the effects of working patterns on dietary habits and health. A self-administered questionnaire was conducted July 22 October 30, 2019. According to the results of the dietary habits and health related factors analysis, non-shift administrative workers showed significantly higher rates of green tea intake (p<0.05), and shift production workers showed significantly higher smoking rates (p<0.001) and waist circumferences (p<0.01). According to the results of the Pearson's correlation coefficient analysis, work hours showed negative correlations with job satisfaction (r=0.22, p<0.01) and positive correlations with perceived stress level (r=0.14, p<0.01). Temporary workers showed negative correlations with feel job satisfaction(r=0.14, p<0.01), perceived stress level (r=0.12, p<0.05), and concern about health (r=0.13, p<0.05). Diabetes showed positive correlations with hypertension (r=0.20, p<0.01), low HDL cholesterolemia (r=0.22, p<0.01), abdominal obesity (r=0.13, p<0.05), and hypertriglyceridemia(r=0.22, p<0.01). Based on these results, this researcher proposes that continuous attention and support of industries and communities are necessary for nutritional education and counseling relative to improving workers' dietary lives as well as disease prevention and control.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.39.1-39.14
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• 2023

Background: Diseases affecting the lungs and airways contribute significantly to the global burden of disease. The problem in low- and middle-income countries appears to be exacerbated by a shift in global manufacturing base to these countries and inadequate enforcement of environmental and safety standards. In Ghana, the potential adverse effects on respiratory function associated with occupational wood dust exposure have not been thoroughly investigated. Methods: Sixty-four male sawmill workers and 64 non-woodworkers participated in this study. The concentration of wood dust exposure, prevalence and likelihood of association of respiratory symptoms with wood dust exposure and changes in pulmonary function test (PFT) parameters in association with wood dust exposure were determined from dust concentration measurements, symptoms questionnaire and lung function test parameters. Results: Sawmill workers were exposed to inhalable dust concentration of 3.09 ± 0.04 mg/m³ but did not use respirators and engaged in personal grooming habits that are known to increase dust inhalation. The sawmill operators also showed higher prevalence and likelihoods of association with respiratory symptoms, a significant cross-shift decline in some PFT parameters and a shift towards a restrictive pattern of lung dysfunction by end of daily shift. The before-shift PFT parameters of woodworkers were comparable to those of non-woodworkers, indicating a lack of chronic effects of wood dust exposure. Conclusions: Wood dust exposure at the study site was associated with acute respiratory symptoms and acute changes in some PFT parameters. This calls for institution and enforcement of workplace and environmental safety policies to minimise exposure at sawmill operating sites, and ultimately, decrease the burden of respiratory diseases.

• 대한지역사회영양학회지
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• 제18권1호
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• pp.55-64
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• 2013

This study was conducted to investigate the effect of nutrition education on improving dietary attitudes, food habits and Food Frequency of 32 female shift workers by administering questionnaires. Dietary nutrient consumption data were obtained from the female shift workers by using 1 day 24-hr recall. The results were as follows: Score on 'Concerns about health (p < 0.05)' was significantly higher after-training. Dietary attitude (32.3 vs. 34.9, p < 0.01) and food habits (60.2 vs. 67.1, p < 0.01) were significantly higher after the training. Scores on 'Eating a lot of food that I want to eat is more important than nutrition (p < 0.01)', 'I have a tendency to use instant foods when I am busy (p < 0.01)', 'I am interested in information on nutrition and health (p < 0.01)' were significantly higher after the training. Scores on 'I have three meals a day (p < 0.001)', 'I have breakfast regularly (p < 0.01)', 'I take vegetables other than kimchi at every meal (p < 0.01)', 'I drink milk every day (p < 0.001)', 'I eat fruits every day (p < 0.01)', and 'I apply nutrition knowledge to daily life (p < 0.001)' were significantly higher after the training. Protein (p < 0.05), fiber (p < 0.05), vitamin C (p < 0.01), and calcium (p < 0.001) intakes were significantly higher after the training. These results showed that nutrition education had improved the dietary attitudes, food habits, and nutrient intakes. Therefore, we conclude that providing more systematic and appropriate nutrition education to shift workers during their tenure of office period is likely to improve dietary attitudes, food habits, and nutrient intakes.

• 수면정신생리
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• 제6권1호
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• pp.68-75
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• 1999

목 적 : 본 연구는 야간 광 노출시 야간교대근무자의 수면양상과 기분상태가 어떠한 변화를 보이는지와 광 노출의 부작용의 정도와 빈도를 알아보고자 하였다. 이런 과정을 통해 광 노출이 야간교대근무적응에 사용될 수 있는지를 밝히고자 하였다. 방 법 : 용인정신병원에 근무하는 야간교대근무 간호사 12명이 본 연구에 참여하였다. 본 연구는 야간근무 대조연구, 야간근무 광노출연구, 주간근무 대조연구의 3부분으로 구성 되었으며 1명의 간호사가 주간근무 대조연구에 참여하지 않은 것을 제외하고는 모든 간호사가 세 연구에 모두 참여하였다. 야간근무 광노출연구시 새벽 1시부터 새벽 5시까지 4시간동안 빛에 노출되었다. 수면양상은 활동기록기와 자동수면 분석프로그램을 통해, 기분상태와 광노출의 부작용은 자기보고척도에 의해 평가하였다. 결 과 : 수면기간시간, 총수면시간, 수면효율은 야간근무 대조연구에 비해 야간근무 광노출연구시 증가되었으며 야간근무 광노출연구는 주간근무 대조연구와 차이를 보이지 않았다. 야간근무 광노출연구시 수면효율의 일간변동도 야간근무 대조연구에 비해 현저하지 않고 안정된 양상을 보였다. 야간근무 광노출연구시 간호사들은 주간수면을 취한 후 저녁시간에 야간근무 대조연구에 비해 좀 더 기분이 고양되고 활기가 넘친다고 보고하였다. 광 노출이 진행되면서 광노출 부작용에 대한 내성이 생겨 부작용의 빈도나 정도가 감소하였으며 광노출 3일째 심한 정도의 부작용을 호소한 사람은 한명도 없었다. 결 론 : 광 노출시 주간수면은 주간근무시의 야간수면만큼 호전되는 것으로 관찰되었고 이러한 수면호전으로 인해 야간교대근무자들은 기분이 고양되고 좀 더 활기가 넘친다고 보고하였다. 광 노출의 부작용도 시간이 지남에 따라 감소하므로 야간교대근무 적응을 위해 광 노출법을 권장할 수 있을 것이다.

• 한국산업보건학회지
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• 제16권4호
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• pp.356-363
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• 2006

To investigate the exposure effect of benzene, we measured airborne benzene as external doses, uninary tt-muconic acid as an internal dose of benzene exposure and analyzed the relationship between tt-muconic acid concentration and benzene exposure. The study population of eight businesses included 157 workers(87 workers in field; exposure group, 70 workers in board; control group) who produce or use benzene in petrochemical industry. The concentrations of airborne benzene were evaluated by personal samples and urine was sampled at the pre and end shift. Urinary t,t-muconic acid as internal dose was to analyze the relationship with airborne benzene. The geometric means(GM) of airborne benzene was 0.0231 ppm(range ND-1.0471 ppm) in exposure group and 0.0147 ppm(range ND-0.3162 ppm) in control group. The geometric means(GM) of urinary t,t-muconic acid at end-shift was $196.8{\pm}2.23{\mu}g/g$ creatinine in exposure group and $149.2{\pm}2.08{\mu}g/g$ creatinine in control group. There was significant correlation between the airborne concentration of benzene and the urinary concentration of t,t-muconic acid( r=0.711, p<0.01). From the results of stepwise multiple regression analysis about t,t-muconic acid at end-shift, significant independents was airborne benzene. In this study, there were significant correlation between the urinary concentration of t,t-muconic acid and the airborne concentration of benzene. More extensive studies ruling out healthy worker effect is needed.

• Safety and Health at Work
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• 제4권3호
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• pp.160-165
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• 2013

Background: Occupational accidents are unplanned events that cause damage. The socio-economic impacts and human costs of accidents are tremendous around the world. Many fatalities happen every year in workplaces such as electricity distribution companies. Some electrical injuries are electrocution, electric shock, and burns. This study was conducted in an electricity distribution company (with rotational 12-hour shift work) in Iran during an 8-year period to survey descriptive factors of injuries. Methods: Variables collected included accident time, age of injured worker, employment type, work experience, injury cause, educational background, and other information about accidents. Results: Results indicated that most of the accidents occurred in summer, and 51.3% were during shift work. Worker negligence (malpractice) was the cause of 75% of deaths. Type of employment had a significant relationship with type of injuries (p < 0.05). Most injuries were electrical burns. Conclusion: High rate of accidents in summer may be due to the warm weather or insufficient professional skills in seasonal workers. Shift workers are at risk of sleep complaints leading to a high rate of work injuries. Acquiring knowledge about safety was related to job experiences. Temporary workers have no chance to work all year like permanent workers, therefore impressive experiences may be less in them. Because the lack of protective equipment and negligence are main causes of accidents, periodical inspections in workshops are necessary.

• 생물정신의학
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• 제24권2호
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• pp.59-67
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• 2017

Shift workers experience a disruption in the circadian sleep-wake rhythm, which brings upon adverse health effects such as fatigue, insomnia and decreased sleep quality. Moreover, shift work has deleterious effects on both work productivity and safety. In this review, we present a brief overview of the current literature on the consequences of shift work, especially focusing on attention-associated cognitive decline and related behavioral changes. We searched two electronic databases, PubMed and RISS, using key search terms related to cognitive domains, deleterious effects, and shift work. Twenty studies were eligible for the final review. The consequences of shift work can be classified into the following three categories extracted from the literature review : 1) work accidents ; 2) commuting accidents such as car accidents that occur on the way to and from work ; and 3) attendance management at work (i.e., absenteeism, tardiness, and unscheduled early departure). These cognitive and behavioral consequences of shift work were also found to be associated with sleep disorders in shift workers. Thus, improvements in the shift work system are necessary in order to enhance workers' health conditions, work productivity, and safety.

• 한국직업건강간호학회지
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• 제12권1호
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• pp.5-18
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• 2003

The purpose of this study was to survey working conditions of women workers. We conducted a field survey of 504 manufacturing company with many women working from May 13 to June 29, 2002. We focused on only 3 categories of metal, textile and electronics industry. The result were as follows : 1. Subjects were constituted metal 27.0%, textile 37.9% and electronics industry 35.1%. Size distribution was small scale(<50 workers) 38.1%, medium(50-299 workers) 50.2% and large(${\geq}300$ workers) company 11.7%. Women workers' proportion was 43.6% of total workers, 63.8% of total contractors. 2. A medical examination enforcement of contractors workers was very poor in comparison with that of employees(p<0.001). 3. A 53.8% of total companies have conducted shiftwork system and 2-crew 2-shift(12 hours shift system) ranked first, 56.1%(151 companies). 4. Only 61.3% of total companies conducted more than 90 days as legal standard of a maternity leave and only 2.6% of total companies had a day nursery. In conclusion, many strategies for women workers are needed by companies and government. For example, the raising of understanding about maternity protection, social support insurancing of woman worker and occupational health system improvement for contractors and small size companies.

• Journal of Nutrition and Health
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• 제51권6호
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• pp.567-579
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• 2018

본 연구는 국민건강영양조사 자료를 이용하여 교대 근무자의 근무시간이 대사증후군의 유병률에 영향을 미치는 요인을 파악하는데 대사증후군의 위험군으로 식습관, 영양섭취상태, 일상생활 관련 특성의 관점에서 관리하는 데 도움을 주고자 진행되었다. 본 연구의 분석결과는 다음과 같다. 첫째, 교대 근무자의 근무시간과 식습관 관계는 직접관계 (direct causality)가 있지 않으나 일상생활과는 직접관계를 갖는 것으로 나타났다. 또한, 식습관과 영영 상태, 대사증후군과는 직접관계가 있지 않은 것으로 나타났고 영양섭취상태와 대사증후군과는 직접관계가 없으나 일상생활과는 직접 인과관계가 있는 것으로 나타났다. 둘째, 교대 근무자의 근무시간과 대사증후군 관계에서 각각 식습관, 일상생활의 개별 매개 효과 (specific mediator effect)는 통계적으로 유의한 것으로 나타났으나, 식습관과 영양섭취상태의 다중매개효과 (multiple mediator effect), 그리고 식습관, 영양섭취상태, 일상생활의 다중매개 효과는 통계적으로 유의하지 않는 것으로 나타났다. 셋째, 교대 근무자의 근무시간이 배제된 상태에서 영양섭취상태, 일상생활 그리고 대사증후군 간의 관계에서 영양섭취상태와 일상생활 그리고 일상생활과 대사증후군과는 직접 인과관계는 없으나 일상생활에 의한 매개 효과는 통계적으로 유의한 것으로 나타났다. 넷째, 교대 근무자의 근무시간과 식습관은 대사증후군에 대해 전체 총 효과 (total effect)를 가진 것으로 나타났으나 영양섭취상태와 일상생활은 대사증후군에 대해 총 효과를 갖고 있지 않은 것으로 나타났다. 결론적으로, 구조방정식 모델을 사용하여 교대 근무자의 교대시간은 그들의 일상생활 또는 식습관에 영향을 주고 대사증후군 유병률과 관련성이 있음을 밝혔다.