Group of Evaluation of Health Determinants and Health Policies, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Spain.
Health Sciences Research Institute, University of California Merced (UC Merced), Merced, CA, USA.
J Public Health (Oxf). 2020 Feb 28;42(1):141-148. doi: 10.1093/pubmed/fdz003.
To describe the prevalence of Spanish workers with Metabolic Syndrome (MetS) and those at risk of developing MetS in 2015.
Cross-sectional study of workers (n = 15 614). We used a modified definition of the NCEP:ATPIII criteria for MetS (we used body mass index (BMI) above 28.8 kg/m2 instead of the waist circumference criterion). We calculated the prevalence of MetS (having at least three components) and of being at risk of MetS (having one or two components). We calculated adjusted odds ratios (aOR) of MetS according to socio-economic and workplace characteristics.
The proportions of workers with and at risk of MetS were 7.1 and 31.9%, respectively. The most prevalent criterion was having a BMI > 28.8 kg/m2 (24.1%) in men and cHDL < 40 mg/dl in women (12.9%). There were significant associations between MetS and men (aOR compared to women = 3.73, CI 95%: 3.19; 4.36); age (higher among oldest, aOR = 5.75, CI 95%: 4.37;7.56); and social class (higher among lower social class, aOR = 2.03, CI 95%: 1.65;2.48).
Reducing any of the five MetS components, while taking into account the differences found by socio-economic and workplace characteristics, should be one priority for reducing MetS prevalence.
描述 2015 年西班牙患有代谢综合征（MetS）和有发生代谢综合征风险的工人的流行率。
横断面研究了 15614 名工人。我们使用了 NCEP：ATPIII 标准的改良定义来诊断代谢综合征（我们使用了体重指数（BMI）大于 28.8kg/m2 而不是腰围标准）。我们计算了代谢综合征（至少有三个组成部分）和代谢综合征风险（有一个或两个组成部分）的流行率。我们根据社会经济和工作场所特征计算了代谢综合征的调整比值比（aOR）。
患有代谢综合征和有发生代谢综合征风险的工人比例分别为 7.1%和 31.9%。最常见的标准是男性 BMI>28.8kg/m2（24.1%）和女性 cHDL<40mg/dl（12.9%）。代谢综合征与男性（与女性相比，aOR=3.73，95%CI：3.19；4.36）、年龄（最高者较高，aOR=5.75，95%CI：4.37；7.56）和社会阶层（较低社会阶层较高，aOR=2.03，95%CI：1.65；2.48）之间存在显著相关性。
在考虑社会经济和工作场所特征发现的差异的同时，减少代谢综合征的五个组成部分之一应该是降低代谢综合征流行率的优先事项。
