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男性刑事警察代谢综合征危险因素的配对巢式病例对照研究

[A matched nested case-control study on the risk factors of metabolic syndrome among male criminal policemen].

作者信息

Song Fu-jun, Tang Nai-jun, Li Shu-xin, Yu Hao, Chen Xi, Song Guang-xin

机构信息

Dagang Centers for Disease Control and Prerention in Binhai New Area of Tianjin, Tinjin 300270, China.

Dagang Centers for Disease Control and Prerention in Binhai New Area of Tianjin, Tinjin 300270, China. E-mail:

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2013 Nov;31(11):834-8.

Abstract

OBJECTIVE

To explore the risk factors and their differences of metabolic syndrome (MS) on male criminal police, thereby provide the scientific basis to make prevention and control strategies about the metabolic syndrome for the criminal police career.

METHODS

Based on physical examination data of criminal police in 2010, 439 patients with MS (CDS) were randomly selected as cases. And as the 1:2 matched nested case-control study, 878 health controls were employed, which were matched with on the basis of sex and age (±1 year). An face-to-face epidemiological investigations on the past exposure status of several possible risk factors was conducted, such as the family history of hypertension and other social economic status, as well as body height and weight, waist circumference, blood pressure, serum lipid and plasma sugar. and the data were analyzed with logistic regression.

RESULTS

1317 cases were surveyed, through single factor logistic regression analysis found that 12 factors are related to exposure. Multivariate logistic regression analysis suggested that six factors, such as stress events (OR = 1.989, 95%CI: 1.467∼2.696), snoring (OR = 1.672, 95%CI: 1.218∼2.294), sweets (OR = 0.562, 95%CI: 0.412∼0.766), meat and products (OR = 1.494, 95%CI: 1.065∼2.094), siting after dinner for more than 3 h (OR = 1.399, 95%CI: 1.023∼1.915).

CONCLUSIONS

MS has become a important public health problems among criminal police. For their professional special, a series of bad habits , unhealthy life style and psychological problems became important risk factors of MS on criminal police. Targeted prevention and control measures should be taken to reduce the incidence of MS.

摘要

目的

探讨男性刑事警察代谢综合征(MS)的危险因素及其差异,为制定针对刑事警察职业的代谢综合征防控策略提供科学依据。

方法

基于2010年刑事警察体检数据,随机选取439例MS(CDS)患者作为病例组。采用1∶2匹配的巢式病例对照研究,选取878名健康对照,按照性别和年龄(±1岁)进行匹配。对高血压家族史等多种可能危险因素的既往暴露状况进行面对面的流行病学调查,同时测量身高、体重、腰围、血压、血脂和血糖,并采用logistic回归进行数据分析。

结果

共调查1317例,经单因素logistic回归分析发现12个因素与暴露有关。多因素logistic回归分析显示,应激事件(OR = 1.989,95%CI:1.467~2.696)、打鼾(OR = 1.672,95%CI:1.218~2.294)、甜食(OR = 0.562,95%CI:0.412~0.766)、肉类及制品(OR = 1.494,95%CI:1.065~2.094)、餐后久坐3小时以上(OR = 1.399,95%CI:1.023~1.915)等6个因素与MS有关。

结论

MS已成为刑事警察群体中的重要公共卫生问题。由于其职业特殊性,一系列不良习惯、不健康的生活方式和心理问题成为刑事警察发生MS的重要危险因素。应采取针对性的防控措施以降低MS的发病率。

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