<strong>Background:</strong> There are various health problems in rotating shift workers. There have been few studies on the associations of male climacteric symptoms with duration of working and lifestyle...<strong>Background:</strong> There are various health problems in rotating shift workers. There have been few studies on the associations of male climacteric symptoms with duration of working and lifestyle. <strong>Objective: </strong>The aim of this study was to determine the differences in male climacteric symptoms depending on the number of working years and to determine whether lifestyle habits differ depending on the number of working years in rotating shift workers. <strong>Methods:</strong> We collected participant’s data from the manufacturing companies in Japan during the period from March to May in 2017. We conducted a self-administered questionnaire survey in 1561 male rotating night shift workers. Male climacteric symptoms were evaluated by using the Aging Males’ Symptoms (AMS) rating scale. We analyzed 636 rotating shift workers aged over 40 years old whose all AMS data was collected. <strong>Results:</strong> A significant difference in psychological AMS score was found between men who had worked for 10 - 19 years (9.4 ± 3.9) and men who had worked for more than 40 years (7.6 ± 3.0) (p = 0.011). Sexual functional AMS score significantly differed depending on the number of working years (less than 10 years: 8.1 ± 3.9, 10 - 19 years: 9.8 ± 4.1, 20 - 29 years: 7.9 ± 3.3, 30 - 39 years: 9.3 ± 3.5, more than 40 years: 9.3 ± 3.5) (p < 0.001). The proportion of workers with a balanced meal intake was significantly lower in men who had worked for less than 10 years and the proportions of such workers were significantly higher in men who had worked for 10 - 19 years and for more than 40 years. The proportions of men who did not drink alcohol were high in men who had worked for less than 10 years and 20 - 29 years and low in men who had worked more than 30 years. <strong>Conclusion: </strong>Psychological AMS score and sexual functional AMS score are significantly different among the 5 groups according to the number of working years on rotating shift. In addition, well-balanced diet on day shift and reduction of alcohol drinking is a related-factor for long-term rotating night shift workers.展开更多
目的研究简体中文版老年男性症状量表(Chinese version of the Aging Males'Symptoms scale,CN-AMS)应用于国内中老年男性迟发性性腺功能减退时的信度、效度及实际使用效果。方法受访人群包括33岁以下青年男性27人,40岁以上中老年男...目的研究简体中文版老年男性症状量表(Chinese version of the Aging Males'Symptoms scale,CN-AMS)应用于国内中老年男性迟发性性腺功能减退时的信度、效度及实际使用效果。方法受访人群包括33岁以下青年男性27人,40岁以上中老年男性81人。要求所有受访志愿者完成AMS量表填写及间隔4周后的复填,以验证CN-AMS量表的有效性。为了验证中老年受访者是否存在雄激素缺乏,在每次填写量表时抽取空腹晨血,检测血清总睾酮(total serum testosterone,TT)、性激素结合球蛋白(sex hormone binding globulin,SHBG)水平,计算出血清游离睾酮(calculated free testosterone,cFT)水平。统计学上采用α信度系数法(Cronbach’s alpha)和重测信度法(test-retest stability)验证CN-AMS量表的信度。重测信度法采用Pearson相关性(Pearson's correlation)分析重测相关系数。采用单项与总和相关效度分析(Pearson's correlation)验证CN-AMS量表的逻辑效度。结果 27位青年男性完成了量表填写及4周后的复填。81位中老年男性中有57人接受了重复抽血,其中46位完成量表复填。CN-AMS量表的Cronbach’sα信度系数和Pearson's correlation系数在青年组为0.86和0.91,老龄组是0.91和0.83,两组人群合并后的数值则是0.94和0.91,显示出很好的效度和内在结构一致性。以cFT 225 pmol/L作为诊断迟发性性腺功能减退(late onset hypogonadism in males,LOH)的血清学阈值。量表的敏感度为81%,特异性为44%。结论研究证明CN-AMS在中国中老年男性LOH筛查中具有良好的适用性,但其特异性并不高,不适合单独用于LOH的诊断。展开更多
文摘<strong>Background:</strong> There are various health problems in rotating shift workers. There have been few studies on the associations of male climacteric symptoms with duration of working and lifestyle. <strong>Objective: </strong>The aim of this study was to determine the differences in male climacteric symptoms depending on the number of working years and to determine whether lifestyle habits differ depending on the number of working years in rotating shift workers. <strong>Methods:</strong> We collected participant’s data from the manufacturing companies in Japan during the period from March to May in 2017. We conducted a self-administered questionnaire survey in 1561 male rotating night shift workers. Male climacteric symptoms were evaluated by using the Aging Males’ Symptoms (AMS) rating scale. We analyzed 636 rotating shift workers aged over 40 years old whose all AMS data was collected. <strong>Results:</strong> A significant difference in psychological AMS score was found between men who had worked for 10 - 19 years (9.4 ± 3.9) and men who had worked for more than 40 years (7.6 ± 3.0) (p = 0.011). Sexual functional AMS score significantly differed depending on the number of working years (less than 10 years: 8.1 ± 3.9, 10 - 19 years: 9.8 ± 4.1, 20 - 29 years: 7.9 ± 3.3, 30 - 39 years: 9.3 ± 3.5, more than 40 years: 9.3 ± 3.5) (p < 0.001). The proportion of workers with a balanced meal intake was significantly lower in men who had worked for less than 10 years and the proportions of such workers were significantly higher in men who had worked for 10 - 19 years and for more than 40 years. The proportions of men who did not drink alcohol were high in men who had worked for less than 10 years and 20 - 29 years and low in men who had worked more than 30 years. <strong>Conclusion: </strong>Psychological AMS score and sexual functional AMS score are significantly different among the 5 groups according to the number of working years on rotating shift. In addition, well-balanced diet on day shift and reduction of alcohol drinking is a related-factor for long-term rotating night shift workers.
