臺灣博碩士論文加值系統

背景：睡眠時間越來越被認為是人類健康的關鍵決定因素，對各種生理過程產生深遠的影響。儘管其意義重大，但仍缺乏調查勞工睡眠與健康結果之間關係的實證研究，特別是在台灣勞工的背景更少有這方面的研究。因此本研究旨在透過檢查睡眠不足與不良健康狀況之間的關係來研究，其中包括台灣勞工的心血管、精神、免疫和代謝疾病。材料與方法：本研究的數據是從 2019 年 1 月到 2020 年 12 月所收集的。透過使用Student's t-test的統計分析，嚴格評估潛在臨床風險因素以及性別的差異。根據美國疾病預防控制中心(Centers for Disease Control and Prevention, CDC)的說法，使用卡方（費雪精確檢驗）用於檢查定期體檢與睡眠時間之間的關係。此外，利用研究數據，將應用多元迴歸模型預測睡眠可能的時間。結果：我們的研究結果表明，台灣勞工的睡眠不足與健康檢查中的多個面向之間存在著具有統計顯著性的關聯。值得注意的是，有很大一部分研究人群（即11,935人，佔樣本的50.38%）報告是睡眠不足。睡眠不足的人會出現身體質量指數(BMI)、腰圍、體脂肪率、收縮壓和舒張壓、白血球計數、三酸甘油酯、低密度脂蛋白膽固醇、丙氨酸轉胺脢、鹼性磷酸酵素、γ-麩氨轉移脢、乳酸脫氫酶和空腹血糖、糖化血色素、胰島素阻抗、胰島素抗性異常。討論：我們的研究強調睡眠時間對各項身體健康指標的和多方面的影響，這也是第一份研究針對睡眠時間不足與台灣勞工的有不良健康影響的關聯。有鑑於這些結果，鼓勵醫療保健專業人員建議勞工採用更健康的睡眠模式作為預防措施，以減輕相關的健康風險。本研究的貢獻對於勞工和睡眠不足與健康造成的問題具有重要意義。

Background: Sleep duration is increasingly recognized as a critical determinant of human health, exerting profound effects on various physiological processes. Despite its significance, there remains a dearth of empirical research investigating the relationship between sleep patterns and health outcomes within the working population, particularly in the context of Taiwanese laborers. This study endeavors to address the research gap by examining the associations between inadequate sleep and adverse health conditions, encompassing cardiovascular, mental, immunological, and metabolic disorders among Taiwanese laborers. Methods and analysis: Data for this comprehensive study were meticulously collected from January 2019 to December 2020. The study cohort comprised 29,928 eligible participants. Gender disparities in potential clinical risk factors were rigorously assessed through statistical analyses employing the Student's t-test. According to the US CDC, the Chi-Square (Fisher's exact test) was employed to scrutinize the relationship between regular physical examinations and the prevalence of standard sleep patterns. In addition, utilizing research data, a multiple regression model will be applied to forecast sleep duration. Relust: Our results illuminate a compelling and statistically significant association between abbreviated sleep duration and multiple facets of physical health in Taiwanese laborers. Notably, a substantial proportion of the study population, precisely 11,935 individuals, constituting 50.38% of the sample, reported insufficient sleep. Individuals experiencing insufficient sleep present abnormalities in Body Mass Index (BMI), systolic and diastolic blood pressure, white blood cell count, triglyceride levels, LDL cholesterol, Alanine transaminase (ALT), Alkaline phosphatase (ALP), Gamma Glutamyl Transpeptidase (GGT), Lactate Dehydrogenase (LDH), fasting plasma glucose, Glycated Hemoglobin, Homeostasis Model Assessment-Insulin Resistance (HOMA-IR), and Fasting insulin. Conclusion: Our study underscores sleep duration's profound and multifaceted impact on diverse physical health indicators. To the best of our knowledge, this is the first report demonstrating that inadequate sleep duration is intricately linked to adverse health effects in Taiwanese laborers. In light of these results, healthcare professionals are encouraged to counsel laborers on adopting healthier sleep patterns as a preventive measure to mitigate associated health risks. The contribution of this study holds significant implications for addressing the issues arising from sleep deprivation and its impact on the health of workers.

目 錄 I
表目錄 IV
圖目錄 VI
第壹章 緒論 1
第一節 研究背景 1
第二節 研究目的 3
(一) 生理健康問題 3
(二) 心理健康問題 4
第三節 論文架構 6
第貳章 文獻探討 7
第一節 與睡眠障礙相關疾病 7
(一) 失眠症 7
(二) 睡眠呼吸中止症 8
(三) 猝睡症 12
第二節 基本資料與睡眠的相關性 13
(一) 身體組成指數 13
(二) 體脂肪率 13
(三) 腰圍 14
第三節 慢性疾病與睡眠的相關性 15
(一) 高血壓 19
(二) 高血脂 20
(三) 糖尿病 22
第參章 研究方法 24
第一節 數據選取 24
第二節 資料分析 24
第三節 分析方法 32
(一) 描述性統計 32
(二) 推論性統計 32
第四節 研究架構 33
第五節 資料處理 33
第肆章 研究結果 34
第一節 睡眠不足人口特質的分析 34
第二節 多項迴歸分析 58
第伍章 討論 62
第一節 研究結果與討論 62
第二節 研究限制 63
第三節 提供建議 64
第四節 未來展望 65
參考文獻 66

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網路資料
台灣睡眠醫學學會（2019）。2019 年台灣睡眠醫學學會年度調查。https://www.tssm.org.tw/file/1563864454.pdf
潘文涵（2022）。國民營養健康狀況變遷調查(106-109年)。https://www.hpa.gov.tw/File/Attach/15562/File_18775.pdf