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温新欣, 许德江, 刘肖辉, 宋少锋, 吕艳朋. 济南铁路职工通勤方式及时间与超重肥胖、高血脂、脂肪肝关系[J]. 中国公共卫生, 2016, 32(9): 1242-1245. DOI: 10.11847/zgggws2016-32-09-28
引用本文: 温新欣, 许德江, 刘肖辉, 宋少锋, 吕艳朋. 济南铁路职工通勤方式及时间与超重肥胖、高血脂、脂肪肝关系[J]. 中国公共卫生, 2016, 32(9): 1242-1245. DOI: 10.11847/zgggws2016-32-09-28
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WEN Xin-xin, XU De-jiang, LIU Xiao-hui.et al, . Associations of mode and time of commute to work with overweight,hyperlipidemia,and fatty liver disease among railway workers in Ji'nan city[J]. Chinese Journal of Public Health, 2016, 32(9): 1242-1245. DOI: 10.11847/zgggws2016-32-09-28
Citation: WEN Xin-xin, XU De-jiang, LIU Xiao-hui.et al, . Associations of mode and time of commute to work with overweight,hyperlipidemia,and fatty liver disease among railway workers in Ji'nan city[J]. Chinese Journal of Public Health, 2016, 32(9): 1242-1245. DOI: 10.11847/zgggws2016-32-09-28
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济南铁路职工通勤方式及时间与超重肥胖、高血脂、脂肪肝关系

Associations of mode and time of commute to work with overweight,hyperlipidemia,and fatty liver disease among railway workers in Ji'nan city

    摘要
  • 摘要: 目的 了解山东省济南地区铁路职工通勤方式及时间与超重肥胖、高血脂、脂肪肝之间的关系，为制定相应干预措施提供科学依据。方法 于2014年3-6月采用分层随机整群抽样方法在济南铁路局抽取1 850名20~59岁铁路职工进行问卷调查、体格检查和实验室检测。结果 通勤方式为私人交通、步行、自行车、公共交通的职工超重肥胖检出率分别为38.7%、18.5%、33.6%、31.0%，高血脂检出率分别为11.6%、4.6%、10.3%、10.1%，脂肪肝检出率分别为25.5%、13.0%、19.4%、19.3%；多因素非条件logistic回归分析结果显示，在调整了性别、年龄、文化程度、婚姻状况、月平均收入、吸烟、饮酒、每周锻炼时间、每日业余时间内静态时间、每日睡眠时间、每日通勤时间等混杂因素后，与通勤方式为私人交通相比，步行是超重肥胖的保护因素（OR=0.44，95%CI=0.25~0.77），骑自行车是脂肪肝的保护因素（OR=0.63，95%CI=0.43~0.95）；在调整了除每日通勤时间外的其他混杂因素后，与非活跃的通勤相比，步行时间≤1 h （OR=0.47，95%CI=0.25~0.86）和>1 h （OR=0.32，95%CI=0.10~0.99）、骑自行车时间≤1 h （OR=0.61，95%CI=0.40~0.94）、公共交通时间≤1 h （OR=0.46，95%CI=0.28~0.76）是超重肥胖的保护因素，公共交通时间≤1 h （OR=0.33，95%CI=0.12~0.97）是高血脂的保护因素，骑自行车时间≤1 h （OR=0.57，95%CI=0.35~0.95）和公共交通时间≤1 h（OR=0.45，95%CI=0.24~0.84）是脂肪肝的保护因素。结论 活跃的通勤方式可以降低超重肥胖、高血脂、脂肪肝发生的风险。

     

    Abstract: Objective To assess the associations of mode and time of commute to work with overweight,obesity,hyperlipidemia,and fatty liver disease among railway workers in Ji'nan city and to provide references for developing intervention strategies.Methods From March to June of 2014,a total of 1 850 railway workers aged 20-59 years were selected from Ji'nan city using stratified cluster random sampling and surveyed with a questionnaire survey,physical examination,and laboratory test.Results Among the participants commuting to work by walking,bicycling,public transportation,and private transportation,the detection rate were 18.5%,33.6%,31.0%,and 38.7% for overweight or obesity;4.6%,10.3%,10.1%,and 11.6% for hyperlipidemia;and 13.0%,19.4%,19.3%,and 25.5% for fatty liver disease,respectively.After adjusting for gender,age,education,marital status,monthly income,smoking,alcohol intake,time of physical activity per week,leisure static time per day,sleeping hours per day,and daily commute time,the results of multi-variate logistic regression analysis demonstrated that compared to those of commuting to work by inactive modes,the participants of commuting to work by walking had a reduced risk of overweight or obesity (odds ratioOR=0.44,95% confidence interval95%CI 0.25-0.77) and those by cycling had a decreased risk of fatty liver disease (OR=0.63,95%CI=0.43-0.95).After adjusting confounding factors except for daily commute time,commuting by walking≤1 hour (OR=0.47,95%CI=0.25-0.86) and >1 hour (OR=0.32,95%CI=0.10-0.99),by cycling≤1 hour (OR=0.61,95%CI=0.40-0.94),and by public transportation≤1 hour (OR=0.46,95%CI=0.28-0.76) were protection factors for overweight or obesity;commuting by public transportation≤1 hour (OR=0.33,95%CI=0.12-0.97)was a protective factor for hyperlipidemia;commuting by cycling≤1 hour (OR=0.57,95%CI=0.35-0.95) and public transportation≤1 hour (OR=0.45,95%CI=0.24-0.84) were protective factors for fatty liver disease.Conclusion Active commute is associated with reduced risk for overweight or obesity,hyperlipidemia,fatty liver disease among railway workers in Ji'nan city.

     

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