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Poor Diet in Shift Workers A New Occupational Health Hazard 英文参考文献
Editorial
PoorDietinShiftWorkers:ANewOccupationalHealth
Hazard?
ThePLoSMedicineEditors*
As a specialty, occupational health has
changed dramatically from its inception
when industrial hazards predominated. It
retains, however, a critical role in safe-
guarding workers and their health rights.
As weargued in aneditorialin 2007[1],
‘‘the right to work in safety is a basic
humanright,andprotectionofthehealth
ofworkersisultimatelyofbenefittoallof
society’’. A paper published earlier this
month in PLoS Medicine by An Pan and
colleagues provides a new angle on the
link between wider public health and
occupational health, specifically the effect
ofshiftwork.
speculate on the mechanisms that might
underlie this association, which include
disruption of the circadian rhythms that
regulatemetabolicandcardiovascularsys-
tems, a negative effect on diet and ex-
ercise, and an effect on both quality and
quantityofsleep.
involvement of employers, government,
and labor) is typical in its advice on the
developmentofahealthyeatingprogram:
‘‘Asalways,theseprogramsshouldbepart
of a complete workplace health program
andshouldnottakeresourcesorattention
awayfromworkplacehazardsthatmaybe
present.’’ It’s interesting to contrast this
advicewiththaton,forexample,reducing
exposure to tobacco smoke, which is
generally much more prescriptive; indeed
it is interesting to note how the wording
makes the assumption that eating un-
healthilyisnotitselfa‘‘hazard.’’
Suggesting as it does that working pa-
tterns are a specific risk factorfor obesity
andtype2diabetes—currentlyatepidem-
icproportionsinthedevelopedworldand
likely to become so soon in the less-
developedworld—theauthorsdrawatten-
tion to some intriguing possibilities for
where the field of occupational health
might now fruitfully focus its efforts.
Althoughsomeoftheeffectsofshiftwork
areprobablyunavoidable(suchasdisrup-
tion of circadian rhythms, although even
this effect can be ameliorated somewhat
by careful management of shifts),
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