昼夜节律紊乱与工作相关肌肉骨骼疾患的研究进展

Research progress on correlation between circadian rhythm disturbance and work-related musculoskeletal disorders

  • 摘要: 昼夜节律是人体内以24 h为周期的行为、生理和分子的周期变化。生物钟的紊乱不仅会影响个体的精神状态,还与多种代谢系统疾病有关,包括骨与肌肉的代谢调节。有研究发现,工作相关肌肉骨骼疾患(WMSDs)除了受劳动负荷因素影响外,还受轮班等昼夜节律因素调控。本文通过综述昼夜节律相关前因变量、结果变量与WMSDs的关系,深入探讨两者共同的代谢标志物和作用机制,系统阐述昼夜节律紊乱与WMSDs的内在联系。尽管现有研究已揭示昼夜节律紊乱对肌肉骨骼疾患的影响,但两者关系的深入探索仍面临诸多混杂因素的挑战。未来应结合时间生物学,整合主客观数据,探讨环境-中间表型-疾病的作用路径,更全面地揭示WMSDs发生的网络机制。

     

    Abstract: Circadian rhythm refers to the 24-hour periodic changes in behavior, physiology, and molecular processes in the human body. Disruptions to the circadian rhythm not only affect mental health but are also associated with various metabolic disorders, including the regulation of bone and muscle metabolism. Research has shown that work-related musculoskeletal disorders (WMSDs) are influenced not only by workload but also by circadian rhythm factors, such as shift work. This review examined the relationships between circadian rhythm-related antecedents, outcomes, and WMSDs, exploring their shared metabolic markers and mechanisms. It provided a systematic overview of the intrinsic connection between circadian rhythm disruptions and WMSDs. While current studies highlight the impact of circadian rhythm disturbances on musculoskeletal disorders, further investigation is required to address the confounding factors involved. Future research should integrate chronobiology with both subjective and objective data to explore the pathway from environmental factors to intermediate phenotypes to diseases, ultimately providing a more comprehensive understanding of the network mechanisms underlying WMSDs.

     

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