More classes make more diseases From The lancet

The following is the More classes make more diseases From The lancet recommended by recordtrend.com. And this article belongs to the classification: Life data.

The money you earn may not be yours in the end, but the health you strive for must belong to you in the end.

I don’t know when, “overtime” has gradually become a daily routine in the workplace. Working in Beijing, Shanghai and Guangzhou for a year, anyone who hasn’t met a city at 4 a.m. several times is embarrassed to talk about his career.

However, the latest scientific research has found that your deteriorating health is closely related to your increasing working hours every day.

Recently, a study published in the Journal of The Lancet Regional Health-Europe (lancet regional health (Europe)) showed that workers who worked longer than 55 hours per week had a higher risk of cardiovascular disease and even death when they were 65 years old, and had a higher risk of diabetes and musculoskeletal disorders or diseases.

Add more classes and get more diseases

Jenni ervasti from the Finnish Institute of occupational health (fioh) led the team to complete this complex study.

Before the study was officially launched, Jenni et al. Sorted out all the studies on the relationship between overwork and health by June 2021 by searching for keywords in PubMed.

They found that previous studies had more or less limitations, such as too narrow disease coverage (mainly cardiac metabolic diseases and depression), no limited follow-up time, etc.

In order to analyze the relationship between overwork and health more comprehensively, we must first make up for these deficiencies in evidence.

Therefore, they expanded the coverage of diseases to 46 common physical and mental health conditions and 4 deaths from different causes, so as to obtain the correlation results between long-time work and comprehensive physical and mental health conditions. At the same time, the follow-up time for monitoring diseases and deaths was limited to 65 years old (the common legal retirement age).

Then we get to the point. The research team chose to conduct a multi cohort study in four European countries.

Firstly, two prospective cohorts from Finland were selected as the main analysis cohort, which included the data of 50 disease and death endpoints required for the study; Then multiple cohorts from Sweden, Denmark and the United Kingdom were selected as replication analysis cohorts.

All participants were associated with electronic health records from the National Health Registry, and the end of follow-up was between 2009 and 2020, depending on the study cohort.

▲ preliminary analysis sample selection process

In the division of working hours, the researchers divided the working hours per week into five grades “< 35 hours", "35-40 hours", "41-48 hours", "49-54 hours" and "≥ 55 hours".

Among them, “< 35 hours" includes part-time workers, and "48 hours" is a watershed. Because the EU working hours directive (2003 / 88 / EC) guarantees the right of employees to limit the working hours per week to 48 hours, which means that more than 48 hours is considered overwork. "≥ 55 hours" is defined as "long-time work".

Let’s take a look at the performance of migrant workers in four European countries.

Under the preliminary analysis, 2747 of the 599 participants (4.6% of the total) were defined as long-time work. This long-time work pattern accounted for 9.6% of male participants, much higher than that of women (2.9%), and was more common in lower socio-economic groups.

In general, the average follow-up time of disease in long-time working population was 13.8 years, and the time of death was 15.3 years.

One disease all

So, what is the health status of this group of Europeans who work ≥ 55 hours a week?

Incidence rate and gender risk of 14 diseases (28%) were related to long time work in 50 common physical and mental diseases, including 6 cases (12%), such as diabetes, bacterial infection, cardiovascular death, musculoskeletal disorders, etc.

However, it is worth noting that long-time work has nothing to do with all-cause death.

▲ comparison of mortality between standard time workers and long-time workers in the main analysis

In addition, by examining the time sequence of related diseases, the researchers also found that these diseases are interrelated. Diabetes, for example, is a risk factor for cardiovascular disease, a two-way infection with bacterial infection, and a correlation with musculoskeletal disorders and injuries.

▲ correlation between participants working long hours and high-risk diseases

In other words, working long hours is likely to make you “sick”.

Long time work ≈ 996 blessing

You may be relieved to see that those who work more than 55 hours a week must not include themselves.

Well, let’s make an account.

If an ordinary office worker living in a big city works 55 hours a week except for his daily sleeping, eating and commuting time, it means that he works 9-12 hours a day from Monday to Saturday without overtime on Sunday. Simply put, it’s 996.

Yes, it’s you, Fu Baoren!

Having said that, we don’t have to panic too much.

Based on the findings, we can conclude that long time work in European countries is associated with adverse health outcomes such as diabetes, bacterial infections and cardiovascular deaths, but is generally relatively mild and independent of all-cause deaths.

As the researcher pointed out at the end of the paper, in order to obtain a more balanced view, future research needs to test the relationship between long-time work and health benefits, as well as the relationship with job promotion and improvement of job security, both of which are important health resources.

In addition, it is necessary to further analyze whether long-time work under different reasons will lead to different negative health outcomes.

In this inner volume era, it seems unrealistic to say that there is no overtime at all.

However, whether to take “super long standby” as a weight and not hesitate to give up physical and mental health to gamble on a career is the choice of each migrant worker. Here, I would like to advise readers to take care of their bodies and avoid working for a long time.

After all, the money you earn may not be yours in the end, but the health you strive for must belong to you in the end.

Author Xu keying, Li Chenyang

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