2015, Number 3
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Rev Cub Med Mil 2015; 44 (3)
Metabolic Syndrome and Cardiovascular Risk in Workers of a Health Institution
González SOC, Arpa GÁ, Ferrandiz BE
Language: Spanish
References: 29
Page: 263-276
PDF size: 163.88 Kb.
ABSTRACT
Introduction: cardiovascular risk factors are closely related to habits and lifestyles. Knowing its behavior in a health institution is very important due to its influence on the educational work those institutions must perform.
Objective: determine the level of cardiovascular risk among staff at a health care center according to the type of work carried out and to the working time in such
institution.
Methods: a cross-sectional analytical study was designed. The population was staff of "Dr. Luis Diaz Soto" hospital, who were active during the study period (September 2012 - august 2013). A stratified random sample was taken, conforming groups of doctors, nurses and employees. The socio demographic, clinical and laboratory variables were considered. Groups were compared using student's t test,
chi square
and variance analysis.
Results: 49.8% (128 people) was identified to have tobacco addiction. 84.8% of the population declared to be sedentary. The lead body mass index in employees (mean: 28.6; DE: 4.9). Abdominal circumference was larger in women (87.8 cm vs. 83.1 cm). Metabolic syndrome was diagnosed in 34 subjects (13.2%). This metabolic syndrome increased as the number of years of work at the institution was higher.
Conclusions: there is higher cardiovascular risk in the population of workers of this hopsital. The metabolic syndrome takes is associated to the labor groups of lower educational level and the longer time of work in this institution.
REFERENCES
Y. Aizawa Y, Kamimura N, Watanabe H.Cardiovascular risk factors are really linked in the metabolic syndrome:This phenomenon suggests clustering rather than coincidence. International Journal of Cardiology. 2006;109:213-18.
Alberti KG, Eckel RH, Grundy SM.Harmonizing the Metabolic Syndrome.A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009;120:1640-5.
de la LLera Suárez E. Modo y estilo de vida. Álvarez Sintes R. En: Temas de Medicina General Integral. Vol I. Salud y Medicina. La Habana: Ed Ciencias Médicas 2001;39-41.
Kodama S, Saito K, Tanaka S. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA. 2009;301(19):2024–35.
Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38:105–13.
Lakerveld J, Bot S, Chinapaw MJ.Primary prevention of diabetes mellitus type 2 and cardiovascular diseases using a cognitive behavior program aimed at lifestyle changes in people at risk: Design of a randomized controlled trial.BMC Endocr Disord. 2008;8:6-14
Munakata M, Honma H, Akasi M, et al. Japanese study to organize proper lifestyle modifications for metabolic syndrome (J-STOP-MetS): Design and method. Vasc Health Risk Manag. 2008;4(2):415–20.
Schulte PA, Wagner GR, Ostry A.Work, obesity, and occupational safety and health. Am J Public Health. 2007;97(3):428–36.
Alves L, Azevedo A, Barros H. Socioeconomic inequalities in the prevalence of nine established cardiovascular risk factor in a Southern European population. PLoS One 2012;7(5):e37158.
Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2013. La Habana: Ed. Min. Salud Pub. 2014.
Nair CV. Metabolic Syndrome: An Occupational Perspective Indian. J Community Med. 2010;35(1):122-4.
World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Ginebra: World Health Organization; 2009.
Sisson SB, Camhi SM, Katzmarzyk PT. Leisure Time Sedentary Behavior, Occupational/Domestic Physical Activity, and Metabolic Syndrome in U.S. Men and Women. Metab Syndr Relat Disord. 2009;7(6):529-36.
Anderson TJ, Gregorie J, Hegele RA.2012 Update of the Canadian Cardiovascular Society Guidelines for the Diagnosis and Treatment of Dyslipidemia for the Prevention of Cardiovascular Disease in the AdultCanadian. Journal of Cardiology2013;29:151–67.
Reiner Z, Catapano AL, De Backer G.Guia de la ESC/EAS sobre el manejo de las dislipemias. Rev Esp Cardiol. 2011;64(12):1168.e1-e60.
Adeseye A. Akintunde, MBChB, Olugbenga E. Metabolic Syndrome: Comparison of Occurrence Using Three Definitions in Hypertensive Patients. Clinical Medicine & Research. 2011;9(1):26-31.
Mathur SK, Jain P, Mathur P. Microarray Evidences the Role of Pathologic Adipose Tissue in Insulin Resistance and Their Clinical Implications. JObes [Internet]. Jan 1, 2011;2011:587495. [citado: 23 de enero de 2015]. doi: 10.1155/2011/587495. Epub 2011 Apr 28. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21603273.1
Ramsay SE, Whincup PH, Wannamethee SG. Social Class Differences in Secular Trends in Established Coronary Risk Factors over 20 Years: A Cohort Study of British Men from 1978–80 to 1998–2000PLoS One. 2011;6(5):e19742.
Alves L, Azevedo A, Barros H.Socioeconomic Inequalities in the Prevalence of Nine Established Cardiovascular Risk Factors in a Southern European Population. PLoS One. 2012;7(5):e37158.
Bonauto DK, Lu D, Fan ZJ. Obesity Prevalence by Occupation in Washington State, Behavioral Risk Factor Surveillance System. Prev Chronic Dis. 2014;11: e04.
Grupo de Trabajo de la Sociedad Europea de Cardiologia (ESC) y de la Sociedad Europea. Guia de la ESC/EAS sobre el manejo de las dislipemias de Aterosclerosis (EAS).Rev Esp Cardiol. 2011;64(12):1168.e1-e60
Saberi HR, Moravveji AR, Dehdashti AR. Prevalence of metabolic syndrome in bus and truck drivers in Kashan, Iran.Diabetol Metab Syndr. 2011;3: 8-15
Xu S, Ming J, Ji Q. Urban, semi-urban and rural difference in the prevalence of metabolic syndrome in Shaanxi province, northwestern China: a population-based survey. BMC Public Health. 2014;14:104-9
Kwon CS, Lee JH.The Association between Type of Work and Insulin Resistance and the Metabolic Syndrome in Middle-Aged Korean Men: Results from the Korean National Health and Nutrition Examination Survey IV (2007∼2009)World J Mens Health. 2013;31(3):232-238.
Sisson SB, Camhi SM, Katzmarzyk PT.Leisure Time Sedentary Behavior, Occupational/Domestic Physical Activity, and Metabolic Syndrome in U.S. Men and Women. Metab Syndr Relat Disord. 2009;7(6):529–36.
Ferguson TS, Tulloch-Reid MK, Wilks RJ. Prevalence of the metabolic syndrome and its components in relation to socioeconomic status among Jamaican young adults: a cross-sectional study. BMC Public Health. 2010;10:307-12.
Nair CV. Metabolic Syndrome: An Occupational Perspective. Indian J Community Med. 2010;35(1):122–124.
Kobayashi T, Suzuki E, Doi H.Long working hours and metabolic syndrome among Japanese men: a cross-sectional study. BMC Public Health. 2012;12:395-401.
Davila EP, Florez H, Clarke T. Prevalence of the Metabolic Syndrome Among U.S. Workers. Diabetes Care. 2010 November; 33(11):2390–5.