The Relationship between Metabolic Syndrome and Shift Work in Midwives: A Cross Sectional Study
Advances in Nursing & Midwifery,
دوره 30 شماره 2 (2021),
15 آوریل 2021
,
صفحه 8-14
https://doi.org/10.22037/anm.v30i2.34288
چکیده
Abstract
Introduction: Recent studies suggest that shift work can be associated with the incidence of metabolic syndrome. The present study was conducted in 2019 to investigate the relationship between metabolic syndrome and shift work in midwives working in hospitals affiliated to universities of medical sciences in Tehran, Iran.
Methods: The present analytical cross-sectional study recruited 216 midwives who satisfied the inclusion criteria. Questionnaires were first used to collect demographic information and job records. Waist circumference and blood pressure of the subjects were then measured. A 12-hour fasting blood test was performed to determine fasting blood sugar (FBS), triglyceride and HDL levels. The frequency of metabolic syndrome was ultimately evaluated based on the Harmonized criteria. Data were analyzed in SPSS using the Chi-square and Fisher's exact tests.
Results: The prevalence of metabolic syndrome was found to be 6.9% in the midwives using the Harmonized criteria. Although the prevalence of metabolic syndrome was higher in the night-shift workers (11.5%) compared to that in the other two groups, but the difference was not significant. Low HDL cholesterol and abdominal obesity were respectively the most frequent metabolic syndrome criteria. Significant relationships were observed between low HDL cholesterol and night shift (P<0.001), and also between abdominal obesity and rotational shift work (P<0.001).
Conclusions: According to the present findings, a higher prevalence of metabolic syndrome was observed in the night-shift workers, and rotational shift work was found to be significantly associated with two of the metabolic syndrome criteria, namely low HDL levels and abdominal obesity.
کلمات کلیدی:
- Midwives, Shift working, Metabolic Syndrome
ارجاع به مقاله
Karami, A. ., Amir Ali Akbari, S., Nasiri, M. ., & Hadaegh, F. . (2021). The Relationship between Metabolic Syndrome and Shift Work in Midwives: A Cross Sectional Study. Advances in Nursing & Midwifery, 30(2), 8–14. https://doi.org/10.22037/anm.v30i2.34288
مراجع
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[12] Kim MJ, Son KH, Park HY, Choi DJ, Yoon CH, Lee HY, Cho EY, Cho MC. Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health 2013;13(1): 1. doi: 10.1186/1471-2458-13-1204.
[13] Arghami S, Ghanbari H, Zahirian G. Health status of city staff shiftwork in a hospital Razan. Journal of Ergonomics 2014; 2 (1) :64-69.(Persian)
[14] Mohammadian M, Hashemi Nejad N, Rahimi Moghadam S, Amiri F. The survey of musculoskeletal disorders of midwives and its relationship with job stress. Journal of Fundamentals of Mental Health. 2013;15(59):171-83.(Persian)
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[16] Moradi S, Farahnaki Z, Akbarzadef A, Gharagozlou F, Pournajaf A, Abbasi A M, Omidi L , Hami M, Karchani M. Relationship between shift work and Job satisfaction among nurses: a Cross-sectional study. International Journal of Hospital Research 2014; 3(2):63-68.
[17] Canuto R, Garcez AS, Olinto MTA. Metabolic syndrome and shift work: a systematic review. Sleep medicine reviews 2013;17(6) : 425-431. doi: 10.1016/j.smrv.2012.10.004.
[18] Pietroiusti A, Neri A, Somma G, Coppeta L, IavIcoli I, Bergamaschi A, Magrini A. Incidence of metabolic syndrome among night-shift healthcare workers. Occupational and environmental medicine 2010; 67(1): 54-7. doi: 10.1136/oem.2009.046797.
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[20] Amiri A, Hakimi A. The study of prevalence of metabolic syndrome among nurses of Shahid Mohammadi Hospital of Bandar Abbas city, Iran. Journal of Clinical Nursing and Midwifery 2017; 6 (1) :1-8. (Persian)
[21] Dalvand S, Niksima SH, Meshkani R, Ghanei Geshlagh R, Sadegh-Nejadi, Kooti W, Parizad N, Zahednezhad H, Afrishams R. Prevalence of Metabolic Syndrome among Iranian Population: A Systematic Review and Meta-analysis. Iranian Journal of Public Health 2017;46(4):456-467.(Persian)
[22] Oğuz A, Sağun G, Uzunlulu M, Alpaslan B, Yorulmaz E, Tekiner E, Sariişik A. Frequency of abdominal obesity and metabolic syndrome in healthcare workers and their awareness levels about these entities. Turk Kardiyol Dern Ars 2008;36(5):302-9. PMID: 18984981.
[23] Ho HH, Tsai TY, Lin CL, Wu SY, Li CY. Prevalence and associated factors for metabolic syndrome in Taiwanese hospital employees. Asia Pacific Journal of Public Health 2011;23(3):307-14. DOI: 10.1177/1010539509340911
[24] Ye HH, Jeong JU, Jeon MJ, Sakong J. The association between shift work and the metabolic syndrome in female workers. Annals of occupational and environmental medicine 2013;25(1):1. DOI: 10.1186/2052-4374-25-33
[25] Gonzalez-Zapata, L. I., Cecilia Deossa, G., Monsalve-Álvarez, J., Diaz-Garcia, J., Babio, N. & Salas-SAalvado, J. Metabolic syndrome in healthcare personnel of the university of Antioquia-Colombia; LATINMETS study. Nutrición Hospitalaria, (2013). 28(2):522-531.
[26] Hadaegh F, Zabetian A, Azizi F. Prevalence of Metabolic Syndrome in Iranian Audtl poupaliton, Concordanec Between the IDF with the ATPIII and the who definitions. Ijdld 2007; 6 (4) :367-375.(Persian)
[27] Daneshpour M,Mehrabi Y, Hedayati M, Houshmand M, Azizi F. A multivariate study of metabolic syndrome risk factors, using factor analysis: Tehran Lipid and Glucose Study. Iranian Journal of Endocrinology and Metabolism 2006;8(2):139-46.(Persian)
[28] Maleki R, Mostafazadeh M, Nazari Sharif H, Rahim Nejad S, Gorgani-Firuzjaee S. The Prevalence of Metabolic Syndrome in Air Guard Forces of Iran Army. Paramedical Sciences and Military Health 2016; 11 (1) :8-16.
[29] Lu YC, Wang CP, Yu TH, Tsai IT, Hung WC, Lu IC, Hsu CC, et al. Shift work is associated with metabolic syndrome in male steel workers-the role of resistin and WBC count-related metabolic derangements. Diabetol Metab Syndr. 2017 ;16;9:83. doi: 10.1186/s13098-017-0283-4
[30] Sookoian S, Gemma C, Fernández Gianotti T, Burgueño A, Alvarez A, González CD, Pirola CJ. Effects of rotating shift work on biomarkers of metabolic syndrome and inflammation. J Intern Med. 2007;261(3):285-92.
[31] Mohebbi I, Shateri K, Seyedmohammadzad M. The relationship between working schedule patterns and the markers of the metabolic syndrome: comparison of shift workers with day workers. International Journal of occupational medicine and environmental health 2012;25(4):383-91.
[32] Canuto R, Pattussi MP, Macagnan JBA, Henn RL, Olinto MTA. Metabolic syndrome in fixed-shift workers. Revista de saude publica 2015; 49:30. https://doi.org/10.1590/S0034-8910.2015049005524
[33] Lin Y-C, Hsiao T-J, Chen P-C. Persistent rotating shift-work exposure accelerates development of metabolic syndrome among middle-aged female employees: a five-year follow-up. Chronobiol Int. 2009;26:740–55. DOI: 10.1080/07420520902929029
[34] Violanti JM, Burchfiel CM, Hartley TA, Mnatsakanova A, Fekedulegn D, Andrew ME, Charles LE, Vila BJ. Atypical work hours and metabolic syndrome among police officers. Arch Environ Occup Health 2009 ;64(3):194-201. http://dx.doi.org/10.1080/19338240903241259
[35] Oh JI, Yim HW. Association between rotating night shift work and metabolic syndrome in Korean workers: differences between 8-hour and 12-hour rotating shift work. Ind Health. 2018 7;56(1):40-48. DOI: 10.2486/indhealth.2017-0072
[2] Ghorbani R, Abtahi naeini B, Eskandarian B, Rashidy-Pour A, Ebrahim Khamseh M, Malek M. Prevalence of metabolic syndrome according to ATPIII and IDF criteria in the Iranian population. Koomesh 2012; 14(1): 65-75. (Persian)
[3] Zimmet P, Alberti KGMM, Ríos MS. A new International Diabetes Federation (IDF) worldwide definition of the metabolic syndrome: the rationale and the results. Elsevier Doyma 2005;58(12): 1371-6.
[4] Maleki F, Sayehmiri C, Sayehmiri F, Kiani F,Nasiri S, Mohammadi H, Amraei M. Metabolic syndrome prevalence in iran: a systematic review. Bimonthly Journal of kermanshah university of medical sciences. 2014; 18(4) : 242-250. (Persian)
[5] Jalali R, VashaghaniI M, Dabaghmanesh M, Ranjbar Omrani G. Metabolic syndrome prevalence in adults of Akbar Abad Kovar, Fars Province, in 2008. Iranian Endocrinology and Metabolism Journal 2009; 11(4):405-414.(Persian)
[6] Kawabe Y, Nakamura Y, Kikuchi S, Murakami Y, Tanaka T, Takebayashi T, Okayama A, Miura K, Okamura T, Ueshima H, Relationship between shift work and clustering of the metabolic syndrome diagnostic components. Journal of atherosclerosis and thrombosis 2014; 21(7) : 703-711. https://doi.org/10.5551/jat.19380
[7] Brum M, Dantasfilho F, Schnorr C, Bottega G, Rodrigues T. Shift work and its association with metabolic disorders. Diabetology & metabolic syndrome 2015; 7(1) : 1-7. DOI: 10.1186/s13098-015-0041-4
[8] Wang X, Armstrong M, Cairns B, Key T, Travis R. Shift work and chronic disease: The epidemiological evidence. Occupational medicine 2011; 61(2): 78-89. doi: 10.1093/occmed/kqr001.
[9] Assadi S N. Comparison the frequency of symptoms of acute shift work maladaption syndrome between two groups of shift workers . Iran Occupational Health Journal. 2013; 10 (6) :70-77(Persian)
[10] Ulhoa M, Marqueze E, Burgos L, Moreno C. Shift work and endocrine disorders. International journal of endocrinology 2015; 11 Pages.
[11] Merkus SL, Van dDrongelen A, Holte KA, Labriola M, lund T, Van mechelen W, Van Der Beek AJ. The association between shift work and sick leave: a systematic review. Occupational and environmental medicine 2012; 69(10): 701-12. doi: 10.1136/oemed-2011-100488
[12] Kim MJ, Son KH, Park HY, Choi DJ, Yoon CH, Lee HY, Cho EY, Cho MC. Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health 2013;13(1): 1. doi: 10.1186/1471-2458-13-1204.
[13] Arghami S, Ghanbari H, Zahirian G. Health status of city staff shiftwork in a hospital Razan. Journal of Ergonomics 2014; 2 (1) :64-69.(Persian)
[14] Mohammadian M, Hashemi Nejad N, Rahimi Moghadam S, Amiri F. The survey of musculoskeletal disorders of midwives and its relationship with job stress. Journal of Fundamentals of Mental Health. 2013;15(59):171-83.(Persian)
[15] Oliveira MD, LUÍZA A. Brazil: Case study on working time organization and its effects in the health services sector. ILO 2015. 978-92-2-130083-0 (web pdf)[ISBN].
[16] Moradi S, Farahnaki Z, Akbarzadef A, Gharagozlou F, Pournajaf A, Abbasi A M, Omidi L , Hami M, Karchani M. Relationship between shift work and Job satisfaction among nurses: a Cross-sectional study. International Journal of Hospital Research 2014; 3(2):63-68.
[17] Canuto R, Garcez AS, Olinto MTA. Metabolic syndrome and shift work: a systematic review. Sleep medicine reviews 2013;17(6) : 425-431. doi: 10.1016/j.smrv.2012.10.004.
[18] Pietroiusti A, Neri A, Somma G, Coppeta L, IavIcoli I, Bergamaschi A, Magrini A. Incidence of metabolic syndrome among night-shift healthcare workers. Occupational and environmental medicine 2010; 67(1): 54-7. doi: 10.1136/oem.2009.046797.
[19] Azizi F, Khalili D, Aghajani HM, Esteghamati,A M, Hosseinpanah ,F,M, Delavari,A, M, et al. Appropriate waist circumference cut-off points among Iranian adults: the first report of the Iranian National Committee of Obesity. Archives of Iranian Medicine. 2010;13(3):243.
[20] Amiri A, Hakimi A. The study of prevalence of metabolic syndrome among nurses of Shahid Mohammadi Hospital of Bandar Abbas city, Iran. Journal of Clinical Nursing and Midwifery 2017; 6 (1) :1-8. (Persian)
[21] Dalvand S, Niksima SH, Meshkani R, Ghanei Geshlagh R, Sadegh-Nejadi, Kooti W, Parizad N, Zahednezhad H, Afrishams R. Prevalence of Metabolic Syndrome among Iranian Population: A Systematic Review and Meta-analysis. Iranian Journal of Public Health 2017;46(4):456-467.(Persian)
[22] Oğuz A, Sağun G, Uzunlulu M, Alpaslan B, Yorulmaz E, Tekiner E, Sariişik A. Frequency of abdominal obesity and metabolic syndrome in healthcare workers and their awareness levels about these entities. Turk Kardiyol Dern Ars 2008;36(5):302-9. PMID: 18984981.
[23] Ho HH, Tsai TY, Lin CL, Wu SY, Li CY. Prevalence and associated factors for metabolic syndrome in Taiwanese hospital employees. Asia Pacific Journal of Public Health 2011;23(3):307-14. DOI: 10.1177/1010539509340911
[24] Ye HH, Jeong JU, Jeon MJ, Sakong J. The association between shift work and the metabolic syndrome in female workers. Annals of occupational and environmental medicine 2013;25(1):1. DOI: 10.1186/2052-4374-25-33
[25] Gonzalez-Zapata, L. I., Cecilia Deossa, G., Monsalve-Álvarez, J., Diaz-Garcia, J., Babio, N. & Salas-SAalvado, J. Metabolic syndrome in healthcare personnel of the university of Antioquia-Colombia; LATINMETS study. Nutrición Hospitalaria, (2013). 28(2):522-531.
[26] Hadaegh F, Zabetian A, Azizi F. Prevalence of Metabolic Syndrome in Iranian Audtl poupaliton, Concordanec Between the IDF with the ATPIII and the who definitions. Ijdld 2007; 6 (4) :367-375.(Persian)
[27] Daneshpour M,Mehrabi Y, Hedayati M, Houshmand M, Azizi F. A multivariate study of metabolic syndrome risk factors, using factor analysis: Tehran Lipid and Glucose Study. Iranian Journal of Endocrinology and Metabolism 2006;8(2):139-46.(Persian)
[28] Maleki R, Mostafazadeh M, Nazari Sharif H, Rahim Nejad S, Gorgani-Firuzjaee S. The Prevalence of Metabolic Syndrome in Air Guard Forces of Iran Army. Paramedical Sciences and Military Health 2016; 11 (1) :8-16.
[29] Lu YC, Wang CP, Yu TH, Tsai IT, Hung WC, Lu IC, Hsu CC, et al. Shift work is associated with metabolic syndrome in male steel workers-the role of resistin and WBC count-related metabolic derangements. Diabetol Metab Syndr. 2017 ;16;9:83. doi: 10.1186/s13098-017-0283-4
[30] Sookoian S, Gemma C, Fernández Gianotti T, Burgueño A, Alvarez A, González CD, Pirola CJ. Effects of rotating shift work on biomarkers of metabolic syndrome and inflammation. J Intern Med. 2007;261(3):285-92.
[31] Mohebbi I, Shateri K, Seyedmohammadzad M. The relationship between working schedule patterns and the markers of the metabolic syndrome: comparison of shift workers with day workers. International Journal of occupational medicine and environmental health 2012;25(4):383-91.
[32] Canuto R, Pattussi MP, Macagnan JBA, Henn RL, Olinto MTA. Metabolic syndrome in fixed-shift workers. Revista de saude publica 2015; 49:30. https://doi.org/10.1590/S0034-8910.2015049005524
[33] Lin Y-C, Hsiao T-J, Chen P-C. Persistent rotating shift-work exposure accelerates development of metabolic syndrome among middle-aged female employees: a five-year follow-up. Chronobiol Int. 2009;26:740–55. DOI: 10.1080/07420520902929029
[34] Violanti JM, Burchfiel CM, Hartley TA, Mnatsakanova A, Fekedulegn D, Andrew ME, Charles LE, Vila BJ. Atypical work hours and metabolic syndrome among police officers. Arch Environ Occup Health 2009 ;64(3):194-201. http://dx.doi.org/10.1080/19338240903241259
[35] Oh JI, Yim HW. Association between rotating night shift work and metabolic syndrome in Korean workers: differences between 8-hour and 12-hour rotating shift work. Ind Health. 2018 7;56(1):40-48. DOI: 10.2486/indhealth.2017-0072
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