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Risk factors for resignation from work during pregnancy among Japanese women: a cross-sectional, multicenter questionnaire survey. 日本妇女怀孕期间辞职的风险因素:一项横断面多中心问卷调查。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-14 DOI: 10.2486/indhealth.2023-0202
Kyoko Namimatsu, Jun Takeda, Motoki Endo, Yuito Ueda, Shintaro Makino, Takeshi Tanigawa, Atsuo Itakura

This study was to investigate the employment status of pregnant women in Japan and identify risk factors associated with resigning from work during pregnancy. We conducted a cross-sectional survey with 975 postpartum women in Tokyo and its suburbs, focusing on those who were employed during pregnancy. Women who were employed when they became pregnant were selected and divided into two groups: those who did not resign and those who resigned; the groups were analyzed separately. Multiple logistic regression analyses were performed to examine associations between employment resignation and risk factors. The analysis revealed that 79% continued working, while 8.1% resigned. Risk factors for resignation included non-regular employment (OR: 13.1, 95% CI: 6.6-25.9), fewer employees (OR: 3.4, 95% CI: 1.8-6.4), and shorter employee tenure (OR: 2.4, 95% CI: 1.1-5.2). Non-regular employment status, a smaller number of employees, and shorter employee tenure were identified as risk factors for working women resigning from their job during pregnancy. In work situations and work environments that encourage pregnant women to leave the workforce, developing systems to improve these conditions for pregnant employees may help women to progress in the labor force.

本研究旨在调查日本孕妇的就业状况,并确定与孕期辞职相关的风险因素。我们对东京及其郊区的 975 名产后妇女进行了横断面调查,重点是那些在怀孕期间有工作的妇女。我们选取了怀孕时有工作的妇女,并将她们分为两组:未辞职和辞职的妇女;对两组妇女分别进行分析。为研究辞职与风险因素之间的关联,进行了多元逻辑回归分析。分析结果显示,79%的人继续工作,8.1%的人辞职。辞职的风险因素包括非正规就业(OR:13.1,95% CI:6.6-25.9)、雇员较少(OR:3.4,95% CI:1.8-6.4)和雇员任期较短(OR:2.4,95% CI:1.1-5.2)。非固定就业状态、雇员人数较少和雇员任期较短被认为是职业妇女在怀孕期间辞职的风险因素。在鼓励孕妇离职的工作情况和工作环境中,为怀孕员工制定改善这些条件的制度可能有助于妇女在劳动力队伍中取得进步。
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引用次数: 0
Sleep disorder risk, perceived control over sleep, and mental health symptoms in paramedicine students. 护理专业学生的睡眠障碍风险、睡眠控制感知和心理健康症状。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-05-10 DOI: 10.2486/indhealth.2023-0135
Madeline Evans, Meagan E Crowther, Brandon W J Brown, Sian Wanstall, Tim Rayner, Andrew Vakulin, Robert J Adams, Amy C Reynolds

Paramedics commonly experience both poor sleep and mental health symptoms. Clarifying whether sleep or mental health symptoms are a challenge prior to commencement of employment is important, as early prevention and intervention initiatives during training could support these workers. Paramedicine students (n=53) were included, with sleep disorder screening (obstructive sleep apnea, insomnia and restless legs syndrome), and mental health outcomes (depressive symptoms: Patient Health Questionnaire-9, and anxiety symptoms: General Anxiety Disorder-7). Data were analysed using robust regression models, adjusted for age, sex, and shift work status. Meeting criteria for a sleep disorder (n=21) was associated with higher scores for anxiety (8.2 [95% CI: 5.9-10.5] v 4.6, [3.4-5.8]) and depressive symptoms (11.1 [8.6-13.6] v 4.4 [3.1-5.7)] compared to those who did not meet the criteria for a sleep disorder (n=32). Depressive symptoms were lower in those with perceived control over sleep (5.2 [3.2-7.2] v 9.8 [7.7-11.8]). There was no interaction between sleep disorder risk and perceived control over sleep on mental health symptoms. Investigation and management of factors contributing to low perceived control over sleep, together with early screening and management of sleep disorders, are likely to be important priorities to support paramedic student wellbeing prior to commencing shift work.

辅助医务人员通常会出现睡眠不足和心理健康症状。在开始工作之前明确睡眠或心理健康症状是否是一个挑战非常重要,因为培训期间的早期预防和干预措施可以为这些工作者提供支持。研究纳入了护理专业的学生(人数=53),对他们进行了睡眠障碍筛查(阻塞性睡眠呼吸暂停、失眠和不安腿综合征)和心理健康结果筛查(抑郁症状、患者健康问卷-9、患者健康问卷-4):患者健康问卷-9 和焦虑症状:一般焦虑症-7)。数据采用稳健回归模型进行分析,并对年龄、性别和轮班工作状况进行了调整。与未达到睡眠障碍标准者(人数=32)相比,达到睡眠障碍标准者(人数=21)的焦虑(8.2 [95% CI: 5.9-10.5] v 4.6, [3.4-5.8])和抑郁症状(11.1 [8.6-13.6] v 4.4 [3.1-5.7])得分更高。认为自己能控制睡眠的人抑郁症状较轻(5.2 [3.2-7.2] v 9.8 [7.7-11.8])。睡眠障碍风险与感知到的睡眠控制能力对心理健康症状没有交互影响。在开始轮班工作之前,调查和管理导致睡眠控制感知能力低的因素,以及早期筛查和管理睡眠障碍,可能是支持护理专业学生健康的重要优先事项。
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引用次数: 0
Heat strain in professional firefighters: physiological responses to a simulated smoke dive in extremely hot environments and the subsequent recovery phase. 职业消防员的热应变:在极热环境中模拟烟雾潜入的生理反应以及随后的恢复阶段。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-17 DOI: 10.2486/indhealth.2023-0151
M. Sandsund, Edvard Aamodt, J. Renberg
Firefighters risk heat strain during occupational tasks when exposed to extremely hot environmental conditions and performing high-intensity work. Relevant training scenarios are therefore essential. This study investigated the effect of a single simulated smoke dive and the following recovery phase on physiological and perceptual responses. Nineteen professional male firefighters (43 ± 8 yr) performed a 2-min stair walk and a15-min simulated smoke dive in a two-floor heat chamber (110 °C to 272°C) (HEAT), followed by a 5-min stair walk outside the heat chamber. Heart rate (HR), gastrointestinal temperature (Tgi) and skin temperatures were registered continuously during the test. The Tgi increased significantly from the start (37.5 ± 0.3°C) to the end of HEAT (38.4 ± 0.4°C) and further increased after the heat exposure (39.6 ± 0.5°C).The HR also increased significantly from the start (92 ± 14 bpm) to the end of HEAT (185 ± 13 bpm) and increased after the heat exposure to a maximum of 190 ± 13 bpm. The simulated smoke dive induced high physiological strain on the firefighters, and the increase in Tgi and HR after the hot exposure must be considered during live fire events when repeated smoke dives are required.
消防员在执行职业任务时,如果暴露在极热的环境条件下并从事高强度的工作,就会有中暑的危险。因此,相关的训练场景至关重要。本研究调查了单次模拟烟雾俯冲和随后的恢复阶段对生理和知觉反应的影响。19 名专业男性消防员(43 ± 8 岁)在一个两层楼高的热室(110 °C 至 272°C)(HEAT)中进行了 2 分钟的阶梯行走和 15 分钟的模拟烟雾潜水,随后在热室外进行了 5 分钟的阶梯行走。测试期间连续记录心率(HR)、胃肠道温度(Tgi)和皮肤温度。从开始(37.5 ± 0.3°C)到热潜结束(38.4 ± 0.4°C),胃肠道温度明显升高,热暴露后胃肠道温度进一步升高(39.6 ± 0.5°C);从开始(92 ± 14 bpm)到热潜结束(185 ± 13 bpm),心率也明显升高,热暴露后心率最高升至 190 ± 13 bpm。模拟烟雾潜水对消防员造成了很大的生理压力,在需要反复进行烟雾潜水的实战火灾事件中,必须考虑到高温暴露后 Tgi 和心率的增加。
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引用次数: 0
Manganism due to occupational welding fume exposure: a case report. 职业性焊接烟尘暴露导致的锰中毒:病例报告。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-16 DOI: 10.2486/indhealth.2023-0171
Mediha ANNAÇ ASILDAĞ, Gulden Sari, Adem Koyuncu, Ceprail Şimşek
Occupational exposure to manganese (Mn) primarily occurs through the inhalation of manganese-containing fumes and dust, with welding environments being significant sources of such exposure. Elevated levels of Mn in welding fumes can lead to a neurological syndrome known as manganism. A 28-yr-old male welder with 14 yr of experience, is presenting with complaints of forgetfulness, reasoning disorder, and decreased mental functions persisting for 10 yr. Three months ago, when he started working at the new workplace, he underwent employment screening conducted by the workplace physician. During this screening process, the physician identified a high whole blood Mn level of 25.9 µg/l. The diagnosis of manganism in this patient was established based on exposure to Mn and its compounds, high levels of Mn detected in the whole blood, hyperactive patellar reflexes observed during the physical examination, cranial Magnetic Resonance Imaging (MRI) findings consistent with manganism and complaints reported by the patient that are characteristic of manganism. In this report, the aim is to emphasize the significance of taking a comprehensive occupational history and to draw attention the potential health hazards associated with Mn and its compounds.
职业接触锰(Mn)主要是通过吸入含锰的烟雾和粉尘,而焊接环境是此类接触的重要来源。焊接烟尘中锰含量的升高会导致一种被称为锰中毒的神经系统综合症。一名有 14 年工作经验的 28 岁男性电焊工主诉健忘、推理障碍和精神功能减退已持续 10 年。在筛查过程中,医生发现他的全血锰含量高达 25.9 微克/升。根据与锰及其化合物的接触、全血中检测到的高浓度锰、体格检查中观察到的髌骨反射亢进、与锰中毒相符的头颅磁共振成像(MRI)结果以及患者报告的具有锰中毒特征的主诉,确定了该患者的锰中毒诊断。本报告旨在强调全面了解职业史的重要性,并提请注意锰及其化合物对健康的潜在危害。
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引用次数: 0
The association of long working hours and short sleep duration on mental health among Japanese physicians. 日本医生工作时间长和睡眠时间短与心理健康的关系。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-16 DOI: 10.2486/indhealth.2023-0174
Yushi Matsuura, K. Tomooka, H. Wada, S. Sato, M. Endo, Kenichiro Taneda, T. Tanigawa
This cross-sectional study investigate the association between long working hours, short sleep duration, and mental health among Japanese physicians. We enrolled 232 Japanese physicians. We used the Brief Job Stress Questionnaire to assess high-stress status, and the Japanese version of the Center for Epidemiologic Studies Depression scale to assess depressive status. Daily sleep duration (DSD) and weekly working hours (WWHs) were collected using a self-administered questionnaire. Multivariable-adjusted logistic regression analysis was performed to examine the association of the combined categories of DSD and WWHs with high-stress and depressive status. Compared to physicians with WWHs <80 h and DSD ≥6 h, the multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of high-stress status for those with WWHs ≥80 and DSD ≥6, WWHs <80 and DSD <6, and WWHs ≥80 and DSD <6 were 2.76 (0.97-7.87), 3.36 (1.53-7.40), and 3.92 (1.52-10.14), respectively. The respective ORs (CIs) of depressive status were 1.82 (0.42-7.81), 4.03 (1.41-11.53), and 4.69 (1.33-16.62). The results showed that regardless of working long hours or not, physicians with DSD <6 h had significantly higher stress and depressive status, suggesting that not only regulating long working hours but also ensuring adequate sleep duration is important for preventing physicians' mental health.
这项横断面研究调查了日本医生工作时间长、睡眠时间短与心理健康之间的关系。我们招募了 232 名日本医生。我们使用简明工作压力问卷来评估高压力状态,并使用流行病学研究中心抑郁量表的日文版来评估抑郁状态。每日睡眠时间(DSD)和每周工作时间(WWHs)是通过自填问卷收集的。我们进行了多变量调整逻辑回归分析,以研究DSD和WWHs的综合类别与高压力和抑郁状态之间的关系。与WWH<80 h和DSD≥6 h的医生相比,WWH≥80和DSD≥6、WWH<80和DSD<6以及WWH≥80和DSD<6的医生的高压力状态的多变量调整后的几率比(OR)和95%置信区间(CI)分别为2.76(0.97-7.87)、3.36(1.53-7.40)和3.92(1.52-10.14)。抑郁状态的ORs(CIs)分别为1.82(0.42-7.81)、4.03(1.41-11.53)和4.69(1.33-16.62)。结果表明,无论工作时间长短与否,DSD小于6小时的医生的压力和抑郁状态都明显较高,这表明不仅要调节长工作时间,还要保证充足的睡眠时间,这对预防医生的心理健康非常重要。
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引用次数: 0
Influence of nurse work environment and psychological distress on resignation from hospitals: a prospective study. 护士工作环境和心理困扰对从医院辞职的影响:一项前瞻性研究。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-08 DOI: 10.2486/indhealth.2023-0184
Yasuko Ogata, Miki Sasaki, Noriko Morioka, Mutsuko Moriwaki, Yuki Yonekura, Eileen T Lake
With the global nurse shortage, identifying nurse work environments that allow nurses to continue working is a common concern worldwide. This study examined whether a better nurse work environment (1) is associated with reducing nurses' psychological distress; (2) reduces nurse resignations; (3) weakens the influence of psychological distress on their resignation through interaction effect; and (4) whether psychological distress increases nurse turnover. Multilevel logistic regression analyses were performed using data obtained in 2014 from 2,123 staff nurses from a prospective longitudinal survey project of Japanese hospitals. The nurse work environment was measured by the Practice Environment Scale of the Nursing Work Index (PES-NWI) consisting of five subscales and a composite, and psychological distress by K6. All the PES-NWI subscales and composite (ORs 0.679-0.834) were related to K6, significantly. Regarding nurse turnover, K6 had a consistent effect (ORs 1.834-1.937), and only subscale 2 of the PES-NWI had a direct effect (OR 0.754), but there was no effect due to the interaction term. That is, (1) and (4) were validated, (2) was partly validated, but (3) was not. As better work environment reduces K6 and a lower K6 decreases nurses' resignation, high-level hospital managers need to continue improving the nurse work environment.
在全球护士短缺的情况下,确定能让护士继续工作的护士工作环境是全世界共同关心的问题。本研究探讨了更好的护士工作环境是否(1)与减少护士的心理困扰相关;(2)是否会减少护士辞职;(3)是否会通过交互效应削弱心理困扰对护士辞职的影响;以及(4)心理困扰是否会增加护士的离职率。我们利用 2014 年日本医院前瞻性纵向调查项目中获得的 2 123 名护士的数据进行了多层次逻辑回归分析。护士工作环境由护理工作指数实践环境量表(PES-NWI)的五个分量表和一个综合量表测量,心理困扰由K6测量。所有 PES-NWI 分量表和综合量表(ORs 0.679-0.834)均与 K6 显著相关。在护士流失率方面,K6 有一致的影响(ORs 1.834-1.937),只有 PES-NWI 的分量表 2 有直接影响(ORs 0.754),但交互项没有影响。也就是说,(1)和(4)得到了验证,(2)得到了部分验证,但(3)没有得到验证。由于更好的工作环境会降低 K6,而较低的 K6 会降低护士的辞职率,因此医院高层管理者需要继续改善护士的工作环境。
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引用次数: 0
Loneliness without distress, chosen isolation (solitude) at the workplace, and mental health and job performance: a cross-sectional study of Japanese employees. 没有痛苦的孤独感、工作场所选择的孤立(独处)与心理健康和工作表现:一项针对日本员工的横断面研究。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-08 DOI: 10.2486/indhealth.2023-0181
N. Sasaki, R. Kuroda, K. Tsuno, K. Imamura, Hisashi Eguchi, Akihito Shimazu, Norito Kawakami
While loneliness and social isolation in the workplace affect the mental health and job performance of employees, the effects of loneliness without distress and solitude (i.e., chosen isolation) on these outcomes are unclear. The cross-sectional association was examined by using online survey of full-time employees in Japan (n=846). The results showed that the "loneliness with distress" group had significantly higher psychological distress and lower job performance than the other groups. Work engagement was lower both in the "loneliness with distress" and "loneliness without distress" groups, compared to the "non-loneliness" group. The "unchosen isolation" and the "solitude" groups had poorer scores of psychological distress, work engagement, and work performance, compared to the "non-isolation" group. The preliminary findings showed that loneliness without distress and solitude were associated with poor levels of mental health and job performance and should become a target of mental health promotion interventions in the workplace.
虽然工作场所的孤独感和社会隔离会影响员工的心理健康和工作表现,但没有痛苦的孤独感和独处(即选择性隔离)对这些结果的影响尚不清楚。我们通过对日本全职员工(人数=846)进行在线调查,研究了两者之间的横向联系。结果显示,"孤独与苦恼 "组的心理苦恼显著高于其他组,工作绩效也较低。与 "非孤独 "组相比,"有苦恼的孤独 "组和 "无苦恼的孤独 "组的工作投入度都较低。与 "非孤独 "组相比,"未选择孤独 "组和 "孤独 "组在心理困扰、工作投入度和工作绩效方面的得分都较低。初步研究结果表明,没有痛苦的孤独和独处与心理健康水平和工作表现较差有关,应成为工作场所心理健康促进干预措施的目标。
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引用次数: 0
Estimating metabolic rate from International Organization for Standardization heart rate method and two walking equations. 根据国际标准化组织的心率法和两个步行方程估算代谢率。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-03 DOI: 10.2486/indhealth.2024-0015
Thomas E Bernard, Karl E Williams, C. Ashley
Assigning a value for metabolic rate is central to heat stress assessment. ISO 8996 describes a predictive method for walking based on the American College of Sports Medicine (ACSM) method and another generalized method based on average heart rate. In addition, the US Army uses the load carriage decision aid (LCDA) predictive equation to estimate metabolic rate. The purpose of this study was to assess the accuracy/bias and precision of the ISO heart rate method and the ACSM and LCDA equations. The laboratory database included metabolic rate, heart rate, treadmill speed, and grade during a progressive heat stress protocol. Treadmill speed and grade were set to represent one of three metabolic rates. Accuracy and precision were assessed with Bland-Altman plots. All three methods had good accuracy (low bias). For precision, the ISO heart rate method had a root mean square error (RMSE) of 34 W and 11% when adjusted for repeated measures. The RMSE for two equations was 20 W and 7%. Although the heart method had less accuracy, its application is more generalizable. The heart rate method should be used below the occupational exposure limit to avoid a bias toward higher predicted values due to heat strain.
为新陈代谢率赋值是热应力评估的核心。ISO 8996 描述了一种基于美国运动医学学院(ACSM)方法的步行预测方法和另一种基于平均心率的通用方法。此外,美国陆军还使用负荷搬运辅助决策(LCDA)预测方程来估算代谢率。本研究的目的是评估 ISO 心率法以及 ACSM 和 LCDA 方程的准确性/偏差和精确度。实验室数据库包括代谢率、心率、跑步机速度和渐进热应激方案中的坡度。跑步机速度和坡度被设定为代表三种代谢率之一。准确度和精确度通过布兰-阿尔特曼图进行评估。三种方法都具有良好的准确性(偏差小)。在精确度方面,ISO 心率法的均方根误差(RMSE)为 34 W,经重复测量调整后为 11%。两个方程的均方根误差分别为 20 瓦和 7%。虽然心率法的准确性较低,但其应用更具普遍性。心率法应在低于职业接触限值时使用,以避免因热应变而导致预测值偏高。
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引用次数: 0
Boredom and engagement at work: do they have different antecedents and consequences? 工作中的无聊和投入:它们有不同的前因和后果吗?
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-03 Epub Date: 2023-09-26 DOI: 10.2486/indhealth.2023-0028
Michiko Kawada, Akihito Shimazu, Daisuke Miyanaka, Masahito Tokita, Keiko Sakakibara, Naana Mori, Fuad Hamsyah, Lin Yuheng, Kojiro Shojima, Wilmar B Schaufeli

This study aimed to demonstrate the empirical distinctiveness of boredom at work and work engagement in relation to their potential antecedents (job demands and job resources) and consequences (psychological distress and turnover intention) based on the Job Demands-Resources model. A three-wave longitudinal survey was conducted among registered monitors of an Internet survey company in Japan. The questionnaire included scales for boredom at work, work engagement, psychological distress, and turnover intention as well as participants' job characteristics and demographic variables. The hypothesized model was evaluated via structural equation modeling with 1,019 participants who were employed full-time. As expected, boredom at work was negatively associated with quantitative job demands and job resources and positively associated with psychological distress and turnover intention. In contrast, work engagement was positively associated with job resources and negatively associated with turnover intention. Thus, boredom at work and work engagement had different potential antecedents and were inversely related to employee well-being and organizational outcomes. However, contrary to expectations, qualitative job demands were not significantly associated with boredom at work. Further investigation is needed to understand the relationship between boredom and qualitative job demands, which require sustained cognitive load and the use of higher skills.

本研究旨在基于工作需求-资源模型,证明工作无聊和工作投入与其潜在前因(工作需求和工作资源)和后果(心理困扰和离职意向)之间的经验差异。在日本一家互联网调查公司的注册监督员中进行了一项三波纵向调查。问卷包括工作无聊感、工作投入、心理困扰和离职意向的量表,以及参与者的工作特征和人口统计变量。通过结构方程建模对假设模型进行了评估,1019名全职参与者参与了评估。正如预期的那样,工作无聊与定量的工作需求和工作资源呈负相关,与心理困扰和离职意向呈正相关。相反,工作投入与工作资源呈正相关,与离职意愿呈负相关。因此,工作无聊和工作投入有不同的潜在前因,与员工幸福感和组织结果呈负相关。然而,与预期相反,定性的工作需求与工作中的无聊感没有显著关联。需要进一步的调查来了解无聊和定性工作需求之间的关系,这需要持续的认知负荷和更高技能的使用。
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引用次数: 0
Factors affecting the changes in body mass index among emergency workers at the Fukushima Daiichi Nuclear Power Plant. 影响福岛第一核电站急救人员身体质量指数变化的因素。
IF 2 4区 医学 Q2 Medicine Pub Date : 2024-04-03 Epub Date: 2023-10-11 DOI: 10.2486/indhealth.2023-0009
Kenta Tomonaga, Akira Ogami, Hajime Ando, Toshiteru Okubo

Understanding the effects of lifestyle and radiation on health is important for the health management of disaster recovery workers. International research has demonstrated the relationship between natural disasters and diseases. The lifestyle and working conditions following the Great East Japan Earthquake potentially increased the incidence of cardiovascular disease and obesity among affected individuals. The aim of this study was to analyze the body mass index (BMI) of 1,341 emergency workers who responded to the accident at the Fukushima Daiichi Nuclear Power Plant. The BMI of each emergency worker was measured immediately after the accident and compared with that measured at the initial survey conducted 5 yr later to determine the effect of lifestyle habits on BMI. Awareness of the frequency of eating out and caloric intake helped maintain their BMI, while evacuation contributed to the increase in BMI. Prevention of obesity, which can trigger or exacerbate certain health conditions, such as heat exhaustion, infection, and cerebro-cardiovascular disease, requires diet counseling, with a focus on maintaining adequate caloric intake; moreover, special consideration should be provided to evacuated workers.

了解生活方式和辐射对健康的影响对于灾后恢复工作人员的健康管理非常重要。国际研究表明了自然灾害与疾病之间的关系。东日本大地震后的生活方式和工作条件可能会增加受影响人群中心血管疾病和肥胖的发病率。本研究的目的是分析1341名应对福岛第一核电站事故的急救人员的身体质量指数(BMI)。事故发生后立即测量每位急救人员的BMI,并将其与5年后进行的首次调查中测量的BMI进行比较,以确定生活习惯对BMI的影响。对外出就餐频率和热量摄入的认识有助于维持他们的BMI,而疏散有助于BMI的增加。预防肥胖会引发或加剧某些健康状况,如热衰竭、感染和脑心血管疾病,需要进行饮食咨询,重点是保持足够的热量摄入;此外,应特别考虑撤离的工人。
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引用次数: 0
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