Work Stress and Metabolic Syndrome in Police Officers. A Prospective Study.

Nicola Magnavita, Sergio Garbarino

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

69 Citazioni (Scopus)

Abstract

Objective: The aim of this longitudinal study was to evaluate the association between occupational stress and metabolic syndrome (MetS) in a rapid response police unit. Method: Work-related stress was continuously monitored during the 5-year period with both the Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models. Blood pressure, body mass index (BMI), waist circumference, triglycerides, HDL-cholesterol, and fasting blood glucose were measured at baseline in January 2009, and in January 2014. 234 out of 290 police officers (81%) completed the follow-up. Results: The majority of police officers had high stress levels. At follow-up, police officers in the highest quartile of stress had significantly higher mean levels of triglycerides, and lower levels of HDL-cholesterol than their colleagues in the lowest quartile. Police officers with high stress had an increased adjusted risk of developing MetS (aOR=2.68; CI95%=1.08-6.70), and hypertriglyceridemia (aOR=7.86; CI95=1.29-48.04). Demand and Effort were significant predictors of MetS. Conclusion: Our study supports the hypothesis that work-related stress induces MetS, particularly through its effects on blood lipids. Future longitudinal studies with continuous monitoring of stress levels will definitively confirm this hypothesis.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
Numero di pagine15
RivistaPLoS One
Volume2015
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • BMI
  • PTSD
  • body mass index
  • cardiovascular disorder, occupational health,
  • distress
  • health promotion
  • medical surveillance
  • metabolic syndrome
  • occupational medicine, public health
  • post-traumatic stress disorder
  • post-traumatic stress symptoms
  • psychosocial factors
  • waist circumference
  • work-related stress, police, metabolic syndrome, hypertension, obesity, elevated triglycerides, reduced HDL cholesterol, glucose intolerance, job strain, effort-reward imbalance. psychological injury
  • workplace

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