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巴西东北部一个小镇警察的血脂异常、高血压及超重/肥胖与轮班工作及工作时长的关联

Association of dyslipidemia, hypertension and overweight/obesity with work shift and duration of employment among police officers in a small town in Northeastern Brazil.

作者信息

da-Silva Cícero Adilson Coelho, Leite Alexsandra Laurindo, Moreira Jéssica Alves, Abreu Dandara Dias Cavalcante, Oliveira Pierri Emanoel de Abreu, Nunes Daniella Pires, Magalhães Maria Iranilda Silva, Silva José Bruno Nunes Ferreira

机构信息

Department of Clinical Testing, Biomedicine undergraduate course, Faculdade Santa Maria - Cajazeiras (PB), Brazil. Faculdade Santa Maria Department of Clinical Testing Biomedicine undergraduate course Faculdade Santa Maria Brazil.

Undergraduate nursing course, Universidade Federal do Tocantins - Palmas (TO), Brazil. Universidade Federal do Tocantins Undergraduate nursing course Universidade Federal do Tocantins Brazil.

出版信息

Rev Bras Med Trab. 2019 Dec 1;17(4):537-544. doi: 10.5327/Z1679443520190401. eCollection 2019.

Abstract

BACKGROUND

Metabolic syndrome and chronic diseases have impact on the job performance of police officers.

OBJECTIVE

To investigate the association of overweight/obesity and cardiovascular risk factors with work shift and duration of employment among police officers.

METHODS

Cross-sectional study with 102 police officers in Cajazeiras, Paraíba, Brazil, in which we analyzed sociodemographic data, occupational characteristics, body mass index (BMI), lipid profile, personal history of disease and lifestyle. Statistical analysis included the chi-square and Fisher's exact test.

RESULTS

Overweight/obesity was found among most participants (83.3%). Hypertriglyceridemia (49.1%), low HDL-C (56.9%) and high LDL-C (46.1%) levels were associated with abnormal BMI (p<0.05). Hypertension was the main disease reported by overweight/obese participants (28.2%) (p=0.01). Job position, lifestyle and work shift were not associated with any of the analyzed variables, however, abnormal BMI, dyslipidemia, and hypertension were frequent among the participants with 6-10 or more than 10 years in the job (p<0.05).

CONCLUSION

Part of the participants with at least 6 years in the job exhibited overweight/obesity in association with dyslipidemia and hypertension. We recommend prevention and therapeutic strategies to protect officers from chronic diseases or attenuate their long-term complications. Additional prospective studies are needed to confirm the associations we found, mainly between duration of employment and occupational diseases.

摘要

背景

代谢综合征和慢性病会影响警察的工作表现。

目的

调查警察中超重/肥胖及心血管危险因素与工作班次和工作年限之间的关联。

方法

对巴西帕拉伊巴州卡亚泽拉斯市的102名警察进行横断面研究,分析其社会人口学数据、职业特征、体重指数(BMI)、血脂谱、疾病个人史和生活方式。统计分析包括卡方检验和费舍尔精确检验。

结果

大多数参与者(83.3%)存在超重/肥胖。高甘油三酯血症(49.1%)、低高密度脂蛋白胆固醇(HDL-C)(56.9%)和高低密度脂蛋白胆固醇(LDL-C)(46.1%)水平与BMI异常相关(p<0.05)。高血压是超重/肥胖参与者报告的主要疾病(28.2%)(p=0.01)。工作岗位、生活方式和工作班次与任何分析变量均无关联,然而,工作6至10年或10年以上的参与者中,BMI异常、血脂异常和高血压较为常见(p<0.05)。

结论

部分工作至少6年的参与者存在超重/肥胖,并伴有血脂异常和高血压。我们建议采取预防和治疗策略,以保护警察免受慢性病困扰或减轻其长期并发症。需要更多前瞻性研究来证实我们发现的关联,主要是工作年限与职业病之间 的关联。

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