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Article type: Research Article
Authors: Rashnuodi, Payama | Afshari, Davoodb; * | Shirali, Gholam Abbasb | Amiri, Armana | Zadeh, Marziye Raesic | Samani, Ali Sahraneshinb
Affiliations: [a] Occupational Health Engineering, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [b] Department of Occupational Health Engineering, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | [c] Occupational Health Engineering, Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Correspondence: [*] Address for correspondence: Davood Afshari, Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Tel.: +98 61 3373 8269; Fax: +98 61 3373 8282; E-mails: afshari@ajums.ac.ir, davodafi@yahoo.com
Abstract: BACKGROUND:The metabolic syndrome is a complex of interdependent risk factors for cardiovascular disease and diabetes. Shift work might have an impact on metabolic variables, and be a risk factor for type 2 diabetes. To date, only few studies have been done on the prevalence of MetS in industrial work environments in Iran, and most of them have been conducted on a small sample size. OBJECTIVE:The aim of this study was to evaluate the impact of shift work on prevalence of metabolic syndrome in one of the petrochemical companies in Iran. METHODS:This cross-sectional study was conducted among 692 male workers of a petrochemical company in south-west Iran. Metabolic syndrome was diagnosed according to criteria recommended by Adult Treatment Panel III. In order to determine correlation between MetS and its factors with shift work odds ratio (ORs) for the MetS, 95% confidence level (95% CL), chi-square test and logistic regression analysis were performed. RESULTS:Overall 15.1% of workers were diagnosed with metabolic syndrome and 80% of them were shift workers. A significant difference for prevalence of metabolic syndrome and mean values for body mass index, blood pressure, fast blood sugar, waist circumference among shift workers and non-shift workers were identified (p < 0.001). Compared with the day workers, shift workers had a significantly higher risk of MetS (odds ratio = 4.852; 95% CI 2.34–9.974). CONCLUSIONS:There is an association between metabolic syndrome and shift work in petrochemical workers. Promising intervention strategies are needed for prevention of metabolic disorders for shift workers.
Keywords: Metabolic syndrome, shift work, worker, cardiovascular diseases, circadian rhythm
DOI: 10.3233/WOR-205223
Journal: Work, vol. 71, no. 4, pp. 1175-1182, 2022
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