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PLoS One. 2015 Dec 7;10(12):e0144318. doi: 10.1371/journal.pone.0144318. eCollection 2015.

Work Stress and Metabolic Syndrome in Police Officers. A Prospective Study.

Author information

1
State Police Health Service Department, Ministry of the Interior, Rome, Genoa, Italy.
2
Department of Health Sciences, University of Genoa, Genoa, Italy.
3
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Infantile Sciences (DINOGMI), Genoa, Italy.
4
Department of Public Health, Università Cattolica del Sacro Cuore, Roma, Italy.

Abstract

OBJECTIVE:

The aim of this longitudinal study was to evaluate the association between occupational stress and metabolic syndrome (MetS) in a rapid response police unit.

METHOD:

Work-related stress was continuously monitored during the 5-year period with both the Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models. Blood pressure, body mass index (BMI), waist circumference, triglycerides, HDL-cholesterol, and fasting blood glucose were measured at baseline in January 2009, and in January 2014. 234 out of 290 police officers (81%) completed the follow-up.

RESULTS:

The majority of police officers had high stress levels. At follow-up, police officers in the highest quartile of stress had significantly higher mean levels of triglycerides, and lower levels of HDL-cholesterol than their colleagues in the lowest quartile. Police officers with high stress had an increased adjusted risk of developing MetS (aOR = 2.68; CI95% = 1.08-6.70), and hypertriglyceridemia (aOR = 7.86; CI95 = 1.29-48.04). Demand and Effort were significant predictors of MetS.

CONCLUSION:

Our study supports the hypothesis that work-related stress induces MetS, particularly through its effects on blood lipids. Future longitudinal studies with continuous monitoring of stress levels will definitively confirm this hypothesis.

PMID:
26641879
PMCID:
PMC4671563
DOI:
10.1371/journal.pone.0144318
[Indexed for MEDLINE]
Free PMC Article

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