轮班工作所致昼夜节律紊乱与肥胖症的研究进展

Advances in research on shift work associated circadian rhythm disruption and obesity

  • 摘要: 昼夜节律紊乱是一种普遍现象,由内部和外部原因共同作用。内部原因是指睡眠-觉醒行为内在调节机制障碍,外部原因包括睡眠习惯改变、睡眠时间严重不足、轮班工作、社交时差、夜间灯光照射时间延长、夜间晚进食等。轮班工作作为较常见的职业暴露因素,可导致中枢/外周生物钟紊乱,生物钟调控几乎整个基因组的表达,生物钟紊乱可导致遗传变异、激素分泌异常、胰岛素抵抗、氧化应激和全身炎症等,而这些因素正是肥胖症的危险因素。在全球经济和工业化进程高速发展的背景下,传统认知范畴内的单纯性肥胖流行率正以线性增长趋势上升,同时,与代谢紊乱密切相关的中心性肥胖发病率亦呈现增长态势。近年来,轮班工作所致昼夜节律紊乱与肥胖症的机制研究备受关注,本文就其最新研究进展予以综述,旨在为防治轮班工作所致昼夜节律紊乱导致的肥胖症提供参考依据。

     

    Abstract: Circadian rhythm disruption is a universal phenomenon that is associated with a combination of internal and external factors, with internal factors referring to disturbances in the intrinsic regulatory mechanisms of sleep-wake behavior, and external factors including changes in sleep habits, severe sleep deprivation, shift work, social jet lag, prolonged exposure to nighttime light, and late nighttime eating. Shift work, as a common occupational factor, can lead to disruption of the central/ peripheral biological clock which regulates the expression of almost the entire genome, and the disruption of the biological clock can lead to genetic variants, hormonal secretion abnormalities, insulin resistance, oxidative stress, and systemic inflammation, which are risk factors for obesity. In the context of rapid advancement of global economy and industrialization, the prevalence of simple obesity in the traditional cognitive category is increasing in a linear trend, while the incidence of abdominal obesity, which is closely related to metabolic disorders, is also showing an increasing trend. In recent years, the mechanism of circadian rhythm disorder and obesity associated with shift work has attracted much attention, and this article summarized the latest research progress, aiming to provide a basis for the prevention and treatment of obesity caused by circadian rhythm disruption due to shift work.

     

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