Rashnuodi Payam, Afshari Davood, Shirali Gholam Abbas, Amiri Arman, Zadeh Marziye Raesi, Samani Ali Sahraneshin
Occupational Health Engineering, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Occupational Health Engineering, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Work. 2022;71(4):1175-1182. doi: 10.3233/WOR-205223.
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.
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.
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.
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).
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.
代谢综合征是心血管疾病和糖尿病相互依存的危险因素的集合。轮班工作可能会对代谢变量产生影响，并且是2型糖尿病的一个危险因素。迄今为止，伊朗针对工业工作环境中代谢综合征患病率的研究很少，而且大多数研究的样本量都很小。
本研究的目的是评估轮班工作对伊朗一家石化公司代谢综合征患病率的影响。
这项横断面研究在伊朗西南部一家石化公司的692名男性工人中进行。根据成人治疗小组III推荐的标准诊断代谢综合征。为了确定代谢综合征及其因素与轮班工作之间的相关性，计算代谢综合征的优势比（OR）、95%置信区间（95%CL），进行卡方检验和逻辑回归分析。
总体上15.1%的工人被诊断患有代谢综合征，其中80%是轮班工人。轮班工人和非轮班工人在代谢综合征患病率以及体重指数、血压、空腹血糖、腰围平均值方面存在显著差异（p<0.001）。与日班工人相比，轮班工人患代谢综合征的风险显著更高（优势比=4.852；95%CI 2.34-9.974）。
石化工人的代谢综合征与轮班工作之间存在关联。需要有前景的干预策略来预防轮班工人的代谢紊乱。
